Pinching Tongue : Causes, Symptoms, Diagnosis & Treatment

Last Updated: 11/09/2022

Pinching of the tongue is noted with glossalgia, glossodynia, desquamative glossitis, xerostomia, oral candidiasis, dental diseases, and allergic reactions. It may be due to the use of certain foods and drinks, smoking, taking medications. To determine the cause of the symptom, a survey and dental examination are carried out, ultrasonography, sialography, electromyography, other instrumental studies, and laboratory techniques are used. Treatment includes drugs of general and local action, physiotherapy.

Why does the tongue sting

Physiological causes

In healthy people, short-term tingling of the tongue is observed after eating certain foods: tomatoes, onions, garlic, spices, spices, hot seasonings, pickles, marinades. Often provoked by berries, sour fruits (lemon, kiwi, pineapple). The number of drinks that can cause the development of a symptom includes kefir, some juices, strong tea, coffee, alcohol, primarily wine.

Sometimes hot drinks or food cause superficial mucosal burns. In this case, the tingling is intense, complemented by tingling and burning. The sensation is also typical of heavy smokers, due to the constant irritation of the tongue by tobacco smoke. Sometimes the violation occurs against the background of taking antidepressants, antibiotics, antiemetics, sedatives and hormonal drugs.

glossalgia

It is a functional disorder that often develops against the background of gastrointestinal diseases, endocrine and neurological pathologies. Pinching, burning and rawness of the tongue with glossalgia can be periodic or permanent, cause rapid fatigue when talking, and are supplemented by dryness in the oral cavity. They are mainly disturbed in the region of the tip and side surfaces. The symptom intensifies against the background of excitement, disappears or weakens when eating. External changes are usually absent.

glossodynia

Along with tingling and stinging, patients may complain of a hairy sensation or "pins and needles". The symptom is more pronounced in the tip area, can spread throughout the tongue. The root is rarely affected. Characterized by the spread of the affected area and an increase in the duration of discomfort with the progression of glossodynia. Manifestations increase in the evening, sometimes disturb all night, disappear during meals. Violation is observed in the following diseases:

  • Lesions of the digestive system: gastritis, gastric ulcer, cholecystitis, pancreatitis, colitis.
  • Endocrine pathologies: diabetes mellitus, thyroid dysfunction.
  • Cardiovascular problems: hypertension, atherosclerosis, ischemic heart disease.
  • Neurological dysfunction: vegetative-vascular dystonia, functional disorders during stress, neurosis, psycho-emotional exhaustion.

Pinching tongue

 

Desquamative glossitis

In most cases, the pathology is asymptomatic, however, some patients complain of a change in taste, tingling, tingling of the tongue. Possible violations of diction. On examination, multiple whitish areas are revealed, which, after exfoliation of the epidermis, turn into red spots. Desquamative glossitis may accompany the following conditions:

  • Gastroenterological problems: gastritis, enterocolitis, cholecystitis, hepatitis.
  • Autoimmune diseases: rheumatism, systemic scleroderma, SLE.
  • Chronic dermatoses: psoriasis, exudative diathesis.
  • Hypovitaminosis: deficiency of vitamins B1, B2, B5, B6, B12.

Sometimes it develops during pregnancy, worries patients with pathologies of the hematopoietic system, autonomic disorders. Some patients have a hereditary predisposition.

Diseases of the teeth

A common cause of tingling, pain and burning are dental diseases: caries, tartar deposits. The symptom occurs when the edge of the tongue is damaged by a fragment of a tooth, a prosthesis or a crown, the lesion is local. Sometimes the cause of development is an individual reaction to the material of the prosthesis. In such cases, itching, irritation and redness of the mucous membranes are observed.

Xerostomia

Due to an insufficient amount of saliva, the tongue dries up, there is a feeling of tingling, tightness, tingling. Violation is aggravated by taking solid dry foods, a long conversation. Over time, changes progress, discomfort becomes permanent. To reduce the severity of symptoms, patients often drink water or rinse their mouth. Taste sensations are reduced or perverted. Xerostomia can be diagnosed in the following cases:

  • Endocrine pathologies: hyperthyroidism, diabetes mellitus.
  • Diseases of the salivary glands: tumors, parotitis, calculi.
  • Dehydration: fever, increased sweating, repeated vomiting or diarrhea.
  • Infectious diseases: HIV, some other viral infections.
  • Other reasons: condition after radiation therapy, frequent or prolonged stress.

oral candidiasis

Tingling, discomfort, tingling are detected in the chronic form of the disease. Acute candidiasis is more often manifested by pain and burning. Unpleasant sensations are diffuse, cover the tongue and oral mucosa. The affected areas are covered with a dense gray coating, which, when removed, reveals a bright red inflamed epithelium. With hyperplastic candidiasis, the mucous membranes become painful, rough. Atrophic candidiasis is localized, the foci are located next to the prostheses, they are areas of erythema with clear boundaries.

allergic reactions

The most common etiological factor for tingling is food allergies. The symptom can also be observed when reacting to plant pollen, house dust, animal dander, and other allergens. Severe itching prevails, which forces the patient to “scratch” the affected area with his teeth, may be supplemented by pinching of the tongue, accompanied by sneezing and lacrimation.

Diagnostics

Determination of the cause of tingling of the tongue is the responsibility of the dentist. If the presence of provoking diseases is suspected, patients are referred to therapists, gastroenterologists, neurologists, and other specialists. The survey program includes activities such as:

  • Dental checkup. Depending on the etiology of the symptom, tartar, ill-fitting dentures, carious teeth, dry mucous membranes, focal or diffuse changes in the tongue, cheeks and gums can be detected. Additionally, the acidity of saliva is determined, and the potential difference is measured.
  • Neurological examination. Informative for glossodynia. The results revealed the absence of curtain and pharyngeal reflexes, rhythmic trembling of the tongue. The submandibular and upper cervical vegetative nodes are painful when palpated. According to electromyography, the prevalence and duration of paresthesias are established.
  • Examination of the salivary glands. Recommended to clarify the causes of xerostomia. According to the results of ultrasound of the salivary glands, congenital anomalies, cysts, tumors, calculi, and inflammatory processes are detected. In the course of sialography using a contrast agent, neoplasms and signs of inflammation are detected.
  • Laboratory tests. Perform a general and biochemical blood test to exclude B12-deficiency anemia and hypovitaminosis. If candidiasis is suspected, a scraping microscopy is indicated. Identification of pseudomycelium is the reason for microbiological research.
  • Other techniques. With the secondary nature of diseases that cause tingling of the tongue, fibrogastroscopy, colonoscopy, ultrasound of the abdominal organs, electrocardiography, echocardiography, tests for specific markers to determine autoimmune pathologies can be prescribed.

Oral examination

 

Treatment

Help before diagnosis

Patients are advised to stop smoking, drinking alcohol, and taking foods that provoke tingling of the tongue. Food should be steamed, stewed or boiled. Food should be soft, not injuring the tongue and oral mucosa. You can reduce the severity of the symptom by regularly rinsing with clean water. It is not recommended to use elixirs and other liquids that irritate the mucous membranes.

Conservative therapy

At the initial stage, professional hygiene is carried out, the oral cavity is sanitized. If crowns or dentures are the cause of the symptom, they may need to be replaced. When pinching a different etiology, the following activities are carried out:

  • Glossalgia. Psychological factors play a significant role in this disease, so patients are recommended to undergo a course of psychotherapy or hypnosis sessions. Light tranquilizers, herbal sedatives, iron preparations are effective. To eliminate discomfort, oral baths with anesthetics are prescribed. It is possible to carry out therapeutic blockades, reflexology.
  • Glossodynia. Local treatment does not bring the desired result, therapy of the causative disease, a special diet, and pathogenetic measures are necessary to normalize the functioning of the vagosympathetic nervous system. The list of drugs includes B vitamins, antispasmodics, antihypertensives. To reduce the severity of paresthesia, neuroleptics and sedatives are prescribed, blockades are produced.
  • Xerostomia. The effectiveness of treatment largely depends on the cause of the pathology. Dryness of the mucous membrane against the background of taking medications, diseases of the teeth and salivary glands is well eliminated after the treatment of the underlying disease. As part of symptomatic treatment, mucosal lubrication is carried out with various solutions, blockades are performed, vibration massage, electrophoresis, and galvanotherapy are carried out.
  • Candidiasis. If possible, cancel corticosteroids and hormonal drugs. Antimycotic agents, alkaline applications and rinses are used locally. The oral cavity is first treated with antiseptics, and subsequently with keratoplastic preparations. Antimycotics of general action, antihistamines, laser therapy, UV radiation, electrophoresis are prescribed.