Tongue infections

Tongue infections cleaning

Last Updated August 23rd, 2019

The early symptoms of tongue cancer include formation of painful sores on the tongue along with stiffness and pain. In many cases, an ulcer that doesn’t heal is indicative of tongue cancer. Many of these symptoms are similar to those that appear in case of tongue infection. Though not all cases of tongue infection will eventually turn into cancer, there are instances where a recurrent/non-healing case of tongue infection eventually turned malignant. If the tongue infection is associated with HPV (human papilloma virus), the risk of a tongue infection turning malignant is higher.
There are several oral conditions that can cause soreness on the tongue – smoking or any form of tobacco consumption, nutrient deficiency (folic acid), gluten allergy, poor oral hygiene, antibiotics, radiation therapy, tongue infection, canker sores, oral herpes, ill-fitting dentures etc. Conditions such as Down syndrome, oral cancer, overactive thyroid gland, strep throat, and anemia could also give rise to a sore and painful tongue.
Yeast infection (candida) is quite common in the oral cavity. There are several topical antifungal medicines available that can help treat it. Additionally, you can also try a few home remedies to get rid of yeast infection at home. These include – saltwater gargle, baking soda mouth rinse, probiotic yogurt, lemon juice, turmeric oil, clove oil, and oregano oil. Essential oils should not be used directly on the affected region. They need to be diluted in carrier oil before application.
If you have oral sores (ulcers) it would be best to avoid spicy foods. Drink plenty of water. Salt water gargle with lukewarm water can help reduce the pain and inflammation. There are several OTC oral ulcer gels that can help numb the pain. Do not compromise on oral hygiene. Use alcohol-free mouthwashes. Natural remedies for mouth sores include chamomile tea (with honey) and aloe vera gel. This gel can be applied directly on the sore. Clove oil rinse can also help disinfect the oral cavity and numb the pain.
The surface of your tongue is covered with tiny raised bumps called papillae. These papillae contain sensory buds for taste and touch. When bacteria, debris, food etc get trapped in these bumps, it causes inflammation forming characteristic white spots on the tongue. It could be linked to poor oral hygiene. Other causes of white spots on the tongue are ill-fitting dentures, smoking, alcohol, and dehydration.
In most cases, white spots on the tongue disappear on their own and do not require treatment. However, if these spots are linked to leukoplakia or oral lichen planus, you should consider getting medical help. If the white spots are due to oral thrush (yeast infection), topical antifungal gels should work. In the rare case, white spots are triggered due to bacterial infection, a complete antibiotic course would be needed.
White spots on the tongue usually do not represent a serious medical condition. With proper brushing, flossing, and other oral hygiene practices, these go away on their own. However, if the white spots are present for more than 2 weeks, it might be a symptom of a serious underlying health condition. You should consult a dentist in such a case.
If you have painful white spots or bumps on your tongue, eating and brushing your teeth can become problematic. You should use a brush with soft bristles and a sodium laurel ether suplfate free toothpaste. You should avoid irritants such as caffeine, tobacco, alcohol and spicy foods. OTC painkillers can help alleviate the pain. You can also look into natural home remedies such as baking soda to treat white spots.

Overview of tongue infections

Oral diseases are becoming increasingly common at present. These may arise from infections of the buccal cavity, tongue or the teeth. In the initial stages, the symptoms are negligible and can be reversed through proper treatment. But in the more advanced stages, the severity may increase and the disease may eventually progress to oral cancer. The statistics of the World Health Organisation show that worldwide, 4,50,000 new cases of oral cancer are reported each year. Clearly, the current global burden of oral diseases is quite alarming.

What are tongue infections?

Tongue infections bacterial“Tongue infections” refer to a group of infections that occur in the tongue and the adjoining mucosa. The patients may have plaque, tongue inflammation or blisters on their tongues. These conditions often arise from dental problems or the use of protruding dentures. Many a time, irregular white patches form on the mucosal linings, accompanied by pain, inflammation, and tenderness. Fluid-filled blisters may form when the condition becomes very critical.

What causes tongue infections?

Multiple factors contribute to tongue infections.

  • Tobacco: More than 80% of the Leukoplakia patients have a history of smoking. Research studies have revealed a positive correlation between the degree of smoking and the size of the lesions seen in Leukoplakia. These people usually suffer from diffuse leukoplakia of the tongue, buccal mucosa, lips and in some cases, the floor of the mouth. Most affected are the people who are used to reverse smoking. Tobacco chewing is even more dangerous and may lead to white patches in a buccal sulcus, commonly known as “tobacco pouch keratosis”. The symptoms may disappear on cessation of tobacco consumption.
  • Alcohol: People used to alcohol abuse alongside tobacco consumption develop severe mucosal infections. Overuse of mouthwash containing more than 25% alcohol leads to the formation of greyish plaques on the buccal mucosa.
  • Sanguinaria: This is a variety of herbal extract found in toothpaste. It causes “sanguinaria associated keratosis”. It is often accompanied by dysplasia. This may or may not give rise to malignancy.
  • Ultraviolet radiation: It gives rise to lesions in the lower lip and is often associated with cheilosis.
  • Epithelial atrophy: Mucosal and epithelial atrophy may arise from certain conditions like vitamin deficiency, iron deficiency or oral fibrosis.
  • Tumour suppressor genes: Mutations in the tumor suppressor gene p53 can lead to an uncontrolled cell growth and eventually result in leukoplakia along with dysplasia. People who are used to excessive drinking and smoking can develop these symptoms.
  • Trauma: Trauma induced by friction or irritation may lead to keratosis. Nicotine stomatitis, which results from the heat generated in tobacco smoking is an example of this category. Mechanical trauma may also be caused by the pointed edges of dentures or a broken tooth. The plaques, in this case, resemble callus on the skin.

When do you know you have tongue infection?

Tongue infections in kidsIf you have any of the following symptoms, visit a doctor and get tested for tongue infections-

  • The appearance of whitish or greyish patches on the mucosal linings
  • Transformation of patches into lesions
  • Alteration in the surface texture and colour of the affected surface
  • Formation of thickened plaques on the mucosal surface
  • Appearance of fluid-filled blisters that may release a purulent discharge on being rubbed or scratched
  • Scalding, tingling and numbness in the entire mouth
  • Extreme dryness and roughness of tongue
  • A bitter or metallic taste in the mouth
  • Reduced ability to taste (hypogeusia)
  • Pain in the tongue (glossodynia)
  • Burning sensation in the tongue (glossopyrosis)
  • Damaged oral mucosa
  • Problems in speaking (dysphagia)
  • Altered taste sensations (dysgeusia)

Here are some of the choicest oral hygiene care products recommended by dentists.


What are the different types of tongue infections?

Based on the aetiology, tongue infections are of three types-

  • Viral infections: These are mainly caused by the Herpes virus. White spots appear in the mild stage. In the later stages, tiny fluid-filled blisters may form, which may gradually grow in size. The patients have mild to moderate tingling sensation in the mouth and tongue.
  • Fungal infections: It is normally caused by Candida albicans. White patches appear on the tongue which can be rubbed off to reveal a reddish surface below it. It is common in patients with low immunity.
  • Bacterial infections: These are common in people who have tongue piercings. The severity of infections is more when metal studs are used.

Depending on the type of blisters or sores, tongue infections are classified into the following types-

Canker sores: They are the most common forms of oral blisters. They may appear under the tongue or on the gums. These sores are usually whitish or yellowish with a reddish elevated border. Canker sores may result from –

  • Mental stress
  • Hormone imbalance
  • Celiac disease
  • Poor immunity

Candidiasis sores: It causes infections in the tongue and may lead to oral thrush which has the following symptoms-

  • Taste alteration
  • Whitish patches of fungus
  • Red inflamed patches
  • Cracked and reddened skin at the corners of the mouth

Injury sores: Tongue blisters can also appear due to mechanical trauma. Eating very spicy snacks, biting the tongue and sipping very hot beverages can cause burns, cuts, and blisters on the tongue.

How to detect and treat tongue infections?

Tongue infections cleaningTongue infections can be detected by the following tests-

  • Cystoscopy (endoscopy of the urinary bladder): Reveals the white lesions on the urothelium.
  • Tissue biopsy: To rule out malignancy
  • Brush biopsy / exfoliative cytology: to remove and test sample cells from the affected area
  • Histological examinations: To determine the degree of hyperplasia and inflammatory cell infiltration.

The treatment of tongue infection mostly depends on what is the real cause of the infection. To get immediate relief from the pain, OTC painkillers can be taken. but only on doctor’s advise. In order to get relief from the burning sensation in the mouth or tongue, one can try sucking on a piece of ice-cube. Depending upon the severity and the nature of infection, the doctor may prescribe drugs, surgery, or radiation therapy.

In the early stages, certain topical and systemic medications can help cure the symptoms. The most important ones are- carotenoids, retinoids, antimycotics and anti-inflammatory drugs. The use of toothpaste containing sodium lauryl sulfate should be avoided since it acts as an irritant.


Prevention

It is easy to prevent the onset of tongue infections. One should regularly practice oral hygiene and care. Replace your toothbrush and tongue cleaner once in every 2-3 months. Bacteriocidal mouthwash is good for keeping your oral region sterile. Make dental visits a priority. Refrain from smoking and other forms of tobacco consumption.

Tongue infections are not life-threatening but can cause persistent pain and discomfort. A proper diagnosis should be carried out in all the cases in order to prevent the disease from progressing to oral cancer.

Facts

  • Both Kawasaki disease and scarlet fever can cause red pigmentation of the tongue.
  • Several medications such as NSAIDs or ACE inhibitors can lead to swelling of the tongue.
  • The most common form of oral cancer is SCC or Squamous cell carcinoma.

Facts

  • White discoloration of the tongue can arise from a number of diseases such as thrush infection, leukoplakia, oral lichen planus, or linea alba.

Facts

  • The tiny raised bumps of the surface of the tongue are called pappilae, where a majority of the taste-buds are present.

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The early symptoms of tongue cancer include formation of painful sores on the tongue along with stiffness and pain. In many cases, an ulcer that doesn’t heal is indicative of tongue cancer. Many of these symptoms are similar to those that appear in case of tongue infection. Though not all cases of tongue infection will eventually turn into cancer, there are instances where a recurrent/non-healing case of tongue infection eventually turned malignant. If the tongue infection is associated with HPV (human papilloma virus), the risk of a tongue infection turning malignant is higher.
There are several oral conditions that can cause soreness on the tongue – smoking or any form of tobacco consumption, nutrient deficiency (folic acid), gluten allergy, poor oral hygiene, antibiotics, radiation therapy, tongue infection, canker sores, oral herpes, ill-fitting dentures etc. Conditions such as Down syndrome, oral cancer, overactive thyroid gland, strep throat, and anemia could also give rise to a sore and painful tongue.
Yeast infection (candida) is quite common in the oral cavity. There are several topical antifungal medicines available that can help treat it. Additionally, you can also try a few home remedies to get rid of yeast infection at home. These include – saltwater gargle, baking soda mouth rinse, probiotic yogurt, lemon juice, turmeric oil, clove oil, and oregano oil. Essential oils should not be used directly on the affected region. They need to be diluted in carrier oil before application.
If you have oral sores (ulcers) it would be best to avoid spicy foods. Drink plenty of water. Salt water gargle with lukewarm water can help reduce the pain and inflammation. There are several OTC oral ulcer gels that can help numb the pain. Do not compromise on oral hygiene. Use alcohol-free mouthwashes. Natural remedies for mouth sores include chamomile tea (with honey) and aloe vera gel. This gel can be applied directly on the sore. Clove oil rinse can also help disinfect the oral cavity and numb the pain.
The surface of your tongue is covered with tiny raised bumps called papillae. These papillae contain sensory buds for taste and touch. When bacteria, debris, food etc get trapped in these bumps, it causes inflammation forming characteristic white spots on the tongue. It could be linked to poor oral hygiene. Other causes of white spots on the tongue are ill-fitting dentures, smoking, alcohol, and dehydration.
In most cases, white spots on the tongue disappear on their own and do not require treatment. However, if these spots are linked to leukoplakia or oral lichen planus, you should consider getting medical help. If the white spots are due to oral thrush (yeast infection), topical antifungal gels should work. In the rare case, white spots are triggered due to bacterial infection, a complete antibiotic course would be needed.
White spots on the tongue usually do not represent a serious medical condition. With proper brushing, flossing, and other oral hygiene practices, these go away on their own. However, if the white spots are present for more than 2 weeks, it might be a symptom of a serious underlying health condition. You should consult a dentist in such a case.
If you have painful white spots or bumps on your tongue, eating and brushing your teeth can become problematic. You should use a brush with soft bristles and a sodium laurel ether suplfate free toothpaste. You should avoid irritants such as caffeine, tobacco, alcohol and spicy foods. OTC painkillers can help alleviate the pain. You can also look into natural home remedies such as baking soda to treat white spots.

 

Dos and Don'ts

Dos
  • To keep your mouth free from germs, gargle with lukewarm water mixed with salt.
  • Go for softer and easier and bite foods. Drinking juices and shakes will put a lesser strain on your tongue.
  • Use a toothbrush with softer bristles. Also, use a mouthwash prescribed by a doctor.
Don'ts
  • Indulge in smoking or drinking. Tobacco exacerbates oral infections.
  • Consume foods with high acidic content such as spicy foods or aerated drinks.
  • Chew gum or any other hard to chew items. Also, refrain from talking while eating.

 

 

 

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Creatine: Is this the right peak athletic-performance supplement for you? Creatine is the amino acid that boosts our energy. Did you know creatine supplements can help you reach…
xylitol gum
Xylitol : Is this the right sugar substitute for you? Discovered during World War 2 owing to sugar shortage, xylitol has become a common name in pharamaceutical industry.…
Coconut sugar: What is it and is it healthier than table sugar? In the long list of things that the wonderful coconut gives us, coconut sugar is another remarkable addition.…
Astaxanthin: Why experts believe it could be 550x more potent than vitamin E! What is astaxanthin and why is this new supplement on the block touted as the most powerful antioxidant…
Water Fasting: What are the pros and cons of this practice? Fasting is defined as a procedure that involves the restriction of food intake. This practice has been widely…
Lauric Acid: 8 health benefits you can derive from coconuts Appropriate use of saturated fats containing lauric acid can provide you numerous health benefits. This is the main…
Urologist: When should you visit one and why? A urologist can treat not only genitourinary problems of both men and women but also can treat various…
Top reasons why you need to pay attention to your vitamin B6 intake Vitamin B6- An essential water-soluble vitamin. Its deficiency leads to physical changes such as sores & glossy tongue…
How to scrub away stress and fatigue with an Epsom salt bath? Epsom salt is a popular home remedy for many skin ailments. Though there is a lack of scientific…
Internal bleeding brain
Beware: Ignoring these tell-tale signs of stroke could cost a life The signs and symptoms of a stroke differ depending on which part of the brain has been affected.…
arterial-blood-gas
Arterial Blood Gas Analysis Arterial blood gas analysis is a diagnostic procedure used to determine the volume of oxygen and carbon dioxide…
EEG
Electroencephalogram – EEG EEG or electroencephalogram is a diagnostic tool used to access the functioning of neurons and brain activity to…
improve digestion weight loss
Power up your gut: 8 proven steps on how to improve your digestion Did you know you have a colony of bacteria in your gut that help you in digesting food?…