Tongue diseases: types, symptoms, description of signs, photos, treatment


The tongue has several functions in our bodies. There are thousands of taste buds on its surface, thanks to which we recognize the taste and aroma of food. But above all, it is a strong muscle with which we can speak and swallow. A healthy tongue is pink, almost smooth and elastic, and touching it should not cause pain. But if something is wrong in the body, the appearance of this muscle also changes.

What can you tell by the appearance of your tongue?

In traditional medicine, the phrase: “Show your tongue!” is usually said by a therapist and an otolaryngologist who want to examine a patient’s throat. But in Chinese traditional medicine, for more than a millennium, doctors have been diagnosing a person’s health condition by his tongue. But for maximum accuracy of diagnosis, it is recommended to examine the muscle in the morning, in good lighting, and preferably before eating and brushing your teeth.

It is interesting that even before examining the pattern on the surface of the organ, experts even pay attention to how the patient opens his mouth.

Content:

  • What can you tell by the appearance of your tongue?
  • Surface structure
  • Color
  • Plaque and possible diseases
  • If your tongue hurts or burns
  • What does tongue size tell you?
  • What about your taste buds?
  • Effect of medications on the appearance of the tongue

For example, if a person does this timidly and shows only part of his tongue, as if embarrassed, to Chinese healers this fact indicates a lack of vitality. If the patient sticks out his tongue, tilting its tip to one side, this can be perceived as a signal that there are problems on that side of the body.

According to Eastern medicine, any changes in individual parts of the organ are not an accident. The Chinese even developed a map of the relationship between individual parts of the tongue and internal organs. So, according to this theory, the language is usually divided into 5 functional zones.

Tip

This part is a “mirror” of the state of organs such as the heart and small intestine. In addition, redness on the tip of the tongue or bright spots on it may indicate anxiety or stress.

Piece by tip

By studying the state of this zone, we can draw a conclusion about the normal functioning of the respiratory and immune systems. Changes in this area may indicate bronchitis, tuberculosis, pneumonia or emphysema.

Center


The middle part of the tongue informs about the functioning of the digestive system, in particular the stomach, pancreas and spleen. Redness or yellow spots in this area indicate gastrointestinal diseases. Any changes in the central part may also be a sign of problems with stool: diarrhea or constipation.

Right and left side

These areas reflect the condition of the liver. If the sides of the tongue are swollen, this may be a signal of hepatitis or fatty liver disease. Sometimes such changes appear in people with diabetes or flatulence. Dark spots around the edges sometimes appear in the presence of cirrhosis or liver cancer.

Back (back)

Any changes in this area may indicate renal failure, bladder dysfunction, dysfunction of the gonads, or disruptions in the endocrine system. In particular, a yellow coating on the back may indicate an infectious disease of the bladder, other changes may indicate urethritis or kidney disease.

The main reasons for the development of pathologies

Many people ask questions about how and how to treat glossitis of the tongue. But, as we noted above, before prescribing a set of therapeutic measures, you first need to find out what form of pathology the patient has and what exact reason it is caused by.

Oral problemsDiseases of the bodyRelated factors
  • stomatitis,
  • candidiasis,
  • decayed teeth,
  • incorrectly installed dentures that injure the mucous membrane,
  • galvanic syndrome,
  • multiple caries,
  • violation of the microflora of the oral cavity,
  • mineralized plaque and tartar on teeth.
  • measles, diphtheria, scarlet fever,
  • blood diseases,
  • gastrointestinal diseases: for example, gastritis,
  • lichen planus, tonsillitis,
  • dysbacteriosis,
  • syphilis, tuberculosis,
  • vitamin deficiency and hypovitaminosis,
  • liver and kidney dysfunction,
  • herpes virus,
  • helminthic infestations.
  • poor oral hygiene,
  • thermal burns and mechanical damage to the mucous membrane,
  • eating sour, hot, spicy foods,
  • work in hazardous industries: in particular, in the chemical industry,
  • alcohol and smoking,
  • long-term antibiotic therapy.

Do you think you have glossitis of the tongue and don’t know what to do? Even minor symptoms of pathology and slight discomfort are a reason to consult a doctor who will conduct a comprehensive examination (examination, smear or scraping, blood tests and LBC culture, histology), make an accurate diagnosis and prescribe treatment.

Surface structure

If cracks have formed on the surface of the tongue, this usually indicates dehydration and excessive blood thickening, which, in turn, increases the risk of stroke or thrombosis. Also, a dry surface with numerous small cracks is one of the symptoms of diabetes. But depending on their location, cracks can indicate different diseases. For example, one deep one in the middle of the tongue can be a symptom of an upset digestive system and high acidity in the stomach.

A spotted or raised tongue may indicate that a person has fungal infections, vitamin deficiency or allergies.

Sometimes such changes appear in people with vitiligo or psoriasis. But if a curved line is clearly visible on the surface, then the musculoskeletal system should be checked; this may be a signal of a spinal disease.

How is the treatment carried out?

The main treatment will be aimed at eliminating the disease or pathology that entails consequences in the form of glossitis. The patient will also be prescribed antiseptic treatment of the oral cavity (for example, “Chlorhexidine”), anti-inflammatory therapy, wound-healing and cell-regenerating ointment (Solcoseryl, vitamin A, rosehip oil), vitamins, anesthetic drugs and applications. The keratinized areas of the affected tissue are removed through surgery. If abscesses and ulcers are present, they are opened and drained. For fungal infections, antibiotics are prescribed.


"Chlorophyllipt" is prescribed for treating the oral cavity

During treatment, it is also necessary to follow a gentle diet, excluding hard, spicy, salty, sour and hot foods, which can injure the mucous membrane and cause additional discomfort.

Color

A healthy person's tongue should be slightly pink. Any changes in color can be regarded as a signal of health problems.

Crimson or violet-tinged


The tongue may acquire this color due to an excessive increase in body temperature caused by inflammation or an infectious disease. Blueness of the tongue often indicates hypoxia (impaired blood supply), and a purple tint sometimes appears after eating too spicy foods.

Scarlet

In people who have a poor diet or are obese, the middle part of the tongue may be bright red. Similar symptoms appear with gallbladder diseases or blood stagnation. If redness is visible on the tip of the tongue, this may be a sign of chronic stress, cardiac disorders, or insomnia and neuroses. If the tip of the tongue is bright red and slightly swollen, there is reason to believe that the person is suffering from coronary heart disease. Additionally, red spots on the surface may be a sign of B vitamin deficiency.

If the tongue is not just bright red, but also completely smooth, this indicates liver disease, toxin poisoning, as well as a lack of vitamin B12 and iron, since this mineral is necessary for the formation of papillae on its surface. By the way, this type of tongue can be seen in vegetarians. But if a person eats a more or less balanced diet, but his body still lacks vitamins, perhaps the reason is an autoimmune disease, due to which nutrients are not absorbed. And this can also be suspected by the unnaturally red and smooth tongue. In some cases, a smooth, very red surface may be the result of a burn or overuse of hot spices. Red spots on an unnaturally pale surface are a signal of disturbances in the respiratory system. A scarlet and grainy tongue most often indicates scarlet fever.

Very pale, almost white

Such an anomaly may indicate several serious diseases. The tongue turns pale at very low body temperatures, due to anemia, a weakened heart, or when the immune system is impaired.

Black

A very dark, almost black tongue always indicates kidney dysfunction. In addition, it does not matter in which particular zone the dark spots appeared, although most often in such cases the base of the tongue turns black.

White spots on the mucous membrane

Sometimes painless white spots may form on the tongue (bottom or along the edges). Medically they are known as leukoplakia. They are formed as a result of excessive cell growth. Smokers often have such spots. And in this case, this is a very alarming signal. Leukoplakia is called a precancerous condition. Between 5 and 17% of people with these spots eventually develop cancer. However, if you quit smoking in time, the spots will disappear. If such spots appear in non-smokers, then perhaps their cause is banal rubbing of the tongue by the teeth. But if leukoplakia does not go away, you should consult a dentist to solve the problem.

Prevention

Prevention of these diseases includes several rules :

  • It is necessary to provide high-quality dental care and visit the dentist in a timely manner for routine examinations and elimination of emerging problems.
  • Pathologies of internal organs must be treated at the initial stages, preventing them from becoming chronic.
  • You need to quit bad habits and balance your diet.

These simple rules will help you avoid inflammation of the tongue and at the same time maintain the health of the body.

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Plaque and possible diseases


During normal functioning of the body, the human tongue is covered with a thin, loose layer of whitish plaque. If it changes color or thickness, this is already an alarming signal.

White

A dense white coating can appear as a result of hypothermia or a slowdown in metabolism (this often happens in the fall). If the plaque is uniform, but very thick, this indicates the presence of a bacterial infection in the body, and if it forms lumps, this is a signal of a fungal disease.

A thick layer of white plaque also occurs with chronic gastritis with high acidity or enterocolitis. With gastritis with low acidity, the plaque is not as thick and drier. It is also interesting that by the thick white coating on the tongue you can recognize those with a sweet tooth and lovers of dairy products.

Grey

Gray plaque is a sign of infectious diseases accompanied by fever. Also, a grayish coating may indicate diseases of the gastrointestinal tract or liver. In particular, the tongue may acquire a grayish tint during an exacerbation of peptic ulcer disease. If a gray coating appears in the company of small blisters on the tongue, the person may be suffering from herpes. A grayish coating can also signal that the body lacks iron.

Brown

Most often, a tongue with a dense brown coating can be seen in smokers. The same symptom indicates disturbances in the respiratory system, which can lead to hypoxia. Also, brown plaque is a signal of digestive problems.

Yellow

If such a plaque appears in a person in the summer, this may indicate overheating of the body. The surface of the tongue also turns yellow after drinking coffee or certain spices. In more serious cases, the appearance of yellow plaque indicates a gastric ulcer, malfunction of the pancreas or liver.

Greenish

Plaque with a green tint is a very alarming signal. As a rule, it warns of serious liver diseases, including the development of cancer.

Under the influence of what factors do tongue diseases develop?

Tongue diseases can occur in humans due to many factors:

  • Pathogenic fungi, viruses and bacteria that accumulate in dental plaque or enter the body through the “gate of infection” - the oral cavity.
  • Injuries caused to teeth by careless chewing of food, spicy and hard foods, uncomfortable dentures, or a splintered tooth.
  • Contact with food allergens.
  • Vitamin deficiency or lack of elements necessary to maintain healthy tongue tissue.
  • Dehydration due to illness or improper drinking regimen.
  • Unhealthy lifestyle with bad habits.
  • Metabolic disorders in the body.
  • Blood supply defects.
  • Nervous regulation disorder.
  • Neoplasms.
  • Congenital developmental anomalies.
  • Accumulation of toxins and metabolic products in tissues due to kidney or liver dysfunction.
  • Inflammatory diseases in the digestive and respiratory organs.
  • Development of dysbacteriosis.

If your tongue hurts or burns


In many cases, painful sensations in the tongue appear as a result of not following a balanced diet. In particular, pain can occur due to a lack of iron, vitamins B6, B3 (PP) and B12.

A burning sensation on the surface of the muscle may indicate that the stomach is producing too few digestive juices, so this symptom usually indicates a malfunction of the gastrointestinal tract.

Sometimes, if the tongue looks no different, but there is a burning sensation, this may indicate a hormonal imbalance. By the way, women experience this symptom almost 7 times more often than men. In addition, the burning sensation may be the result of an allergy to the wrong toothpaste.

Folded shape

The name speaks for itself. This form of glossitis has the following visual symptoms: folds, grooves, the presence of longitudinal and transverse lines. It is interesting that most patients seek help and undergo treatment only because of complaints of a visual defect and an unusual appearance of the tongue, because The pathology practically does not manifest itself with other signs.


The photo shows a folded tongue

Despite the absence of pain and discomfort, the folded form of the disease must be treated, because grooves and folds are an excellent place for the accumulation of pathogenic bacteria and tiny food particles, and thorough hygiene of these areas is almost impossible. Due to lack of treatment, the patient may develop serious inflammatory processes in the oral cavity and abscesses, the removal of which will require surgery and long-term drug therapy.

Be sure to read the whole truth about the folded tongue and the reasons for its appearance in the feature article on the website.

What does tongue size tell you?

If we carry out diagnostics based on the appearance of the tongue, then experts also advise paying attention to its size. If it is excessively large and swollen (touches the corners of the mouth), you should check for problems with the heart, thyroid gland, spleen, kidneys.

The tongue increases in size with anemia, allergies, or if for some other reason the whole body swells in a person, as well as in people who are overly nervous. Swollen veins under the tip of the muscle may indicate heart failure.

If the tongue is smaller than normal size, then it is quite possible that the body is suffering from a deficiency of vitamins and minerals, and this may also be a symptom of a very weakened immune system.

Diagnosis of glossitis

If glossitis is accompanied by severe symptoms, the dentist can understand the cause of the disease after the initial examination.

To clarify the diagnosis, the following diagnostic methods will be required:

  • Donating blood for general and biochemical analysis. This will confirm the presence of inflammation and assess its intensity.
  • Donation of saliva to identify the infection in it that caused the inflammation.
  • Ultrasound of the digestive system.

If an accurate diagnosis cannot be made, the patient is prescribed additional examinations:

  • RPR test to detect antibodies to cardiolipin antigen.
  • Scraping from the tongue with its further microscopic examination.
  • Cytological analysis.
  • Serological tests for syphilis.
  • ELISA for antigen detection
  • Blood test to determine vitamin B12 levels.

When the diagnosis is clarified, the doctor will prescribe the necessary treatment to the patient.

Glossalgia and glossitis are two different diagnoses. With glossalgia, the root of the tongue becomes inflamed, but the tip remains untouched. Pain also occurs precisely in the root part of the organ.

What about your taste buds?

On the surface of the tongue there are thousands of small pimples - these are papillae. All of them can be divided into 6 groups, each of which plays its own role, including the ability to distinguish four basic tastes: sweet, salty, bitter and sour.

Interestingly, over time, taste buds “wear out,” but if a person is healthy, they are replaced by new “pimples.” At a young age, this process occurs quite quickly, and after 45 years, as a rule, it slows down.

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Therefore, with age, a person ceases to distinguish tastes and aromas so keenly. But sometimes the inability to taste food is not just due to age. Loss of sensitivity in taste buds may be a symptom of a bacterial infection in the digestive tract or indicate problems with the pancreas.

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