, spicy foods, too hot foods
Considering the very long list of possible triggers for glossitis, it is evident how important the differential diagnosis is, that is the precise and indisputable demonstration of the underlying disorder. Only after removing the triggering agent, the swollen and red tongue can return to its physiological conditions.and numbness of the same and the evident lingual swelling. Often, it is possible to notice a more or less marked alteration of the natural color of the tongue, which becomes brighter or paler (the latter typical sign of pernicious anemia).
The lingual mucosa tends to peel, giving rise to extremely sensitive patches of variable size: in general, the patient experiences burning or an unpleasant tingling sensation when taking hot or acidic substances, precisely because the tongue is desquamated. peeling, the tongue can change its appearance: to the touch, it is in fact smooth and smooth.
If glossitis becomes chronic, the disease can cause the destruction of the papillae that normally line the back of the tongue: in such circumstances, the papillae decrease in number, eventually disappearing. When the papillae are destroyed due to glossitis, the sufferer is no longer able to taste food.
When glossitis causes significant lingual swelling, the patient complains of difficulty chewing, speaking or swallowing.
, or with the collection of the sensations and symptoms reported by the patient. Subsequently, the doctor proceeds with the analysis of the tongue and the observation of its appearance (color, consistency, presence of spots, presence / absence of the papillae, etc.).
If the doctor deems it appropriate, the patient will have to undergo a series of blood tests to rule out any metabolic abnormalities.
After having clarified any doubts, we proceed with the treatment, which varies according to the triggering cause. The main goal of therapy is to control and block inflammation of the tongue, regardless of the causative factor.
The treatment of glossitis includes:
- Rinses with analgesic mouthwashes, containing for example lidocaine
- Gargling with antimicrobial mouthwashes (e.g. chlorhexidine) or antihistamines (e.g. diphenhydramine)
- Rinse with corticosteroid-based mouthwashes, powerful anti-inflammatory drugs
- Taking food supplements, indicated when glossitis depends on vitamin deficiencies
- Cure for pernicious anemia
- Taking antibiotics or antifungals by mouth, indicated when glossitis depends, respectively, on bacterial or fungal infections (e.g. from Candida albicans) ascertain
Self-medication is strongly discouraged without first having consulted an expert: glossitis could in fact hide serious disorders.