Symptom >> Otorhinolaryngology >> Stomatology

Tongue pain

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Tongue pain refers to a syndrome of burning, burning pain, numbness, and pain in different parts of the tongue, tongue, tongue, tongue or whole tongue. See "Traditional Chinese Medicine Proclamation". Caused by fiery inflammation, the symptoms of red tongue on the tongue, tongue pain and difficult to lift. Expelling heat and purging fire. Add and subtract with Huanglian Jiedu Decoction, Zhichi San, etc. Injuries caused by yin, the symptoms are dry and painful, or the tongue is peeled off. Expelling yin and clearing heat. Can choose Ganlu drink, Liuwei Dihuang soup, etc.

Cause

Cause

The reasons are manifold and can be caused by systemic diseases such as anemia, diabetes, liver disease, scleroderma, malnutrition, vitamin deficiency, chronic alcoholism, and tumors. Local factors such as sharp edges of the teeth, poor prostheses, long-term self-examination of the tongue, microbial infections, and irritants such as toothpaste and drugs. Also caused by neuropsychiatric factors, such as the trigeminal nerve tongue, and glossopharyngeal neuralgia.

There are many possible factors that cause tongue pain. General condition discomfort, such as endocrine, metabolic disorders, vitamin B deficiency, etc., especially in menopausal women often complain of irregular tongue pain, accompanied by discomfort in other parts of the body. When the patient suspects that there is a "tumor" in the pharynx, or in some cases, when he sees his red, swollen, hypertrophic lobulated nipple and contoured nipple, he develops fear, and then feels tongue discomfort or pain, frequently for careful observation of the condition. Stretching the tongue and opening the mouth to make the tongue root muscles fatigue and discomfort, thereby increasing the discomfort of the tongue. Due to local irritation, such as sharp cusps, inappropriate denture substrates, etc.; or two different metal prostheses on the same side of the mouth, the weak current stimulation generated by the upper and lower jaws may also cause mild tongue pain.

Examine

an examination

Related inspection

Oral oral endoscopic oral X-ray examination

Tongue pain caused by systemic diseases, in addition to systemic symptoms, can show the tongue dry, the tongue nipple shrinks, and the epithelium becomes thinner.

Localized factors caused by local congestion, edema, erosion ulcers.

Self-feeling

The tongue is heavier, and it is thirsty, bitter, and upset.

Self-observation

The tongue is red and red, and the thorn is thorny. The tongue is thin yellow or thick, or dry, not sputum, short urine, constipation or dry knot, pulse slip.

Diagnosis

Differential diagnosis

Neuropathic pain can be transient, trigger point, and disappear after the seal. Mental tongue pain, more common in menopausal women, no abnormalities in the tongue, patients often suspect serious physical illness.

Tongue pain in the elderly is often caused by lack of vitamins, malnutrition, anemia or the presence of certain chronic infections in the body, and may also be associated with systemic arteriosclerosis. The tongue pain of the elderly and the danger of cerebral thrombosis must be highly vigilant.

Hyoid bone fracture: During the physical examination, the hyoid bone area is swollen and tender, and sometimes the broken bone friction sound can be touched.

Tongue and throat burning sensation: dry tongue, throat and hot, followed by pain. Often due to cold, excessive fatigue, excessive alcohol and tobacco, etc., the systemic and local resistance decreased, causing pathogenic microorganisms to take advantage of. Malnutrition, chronic heart, kidney, joint disease, poor living and working environment, frequent exposure to high temperatures, dust, harmful irritating gases, etc. are prone to such symptoms.

Because of systemic discomfort, such as endocrine, metabolic disorders, vitamin B deficiency, etc. caused by the symptoms of redness and swelling of the tongue.