Tingling of the tongue occurs when it is injured by carious teeth or prostheses, desquamative and Gunther's glossitis, xerostomia. The symptom is typical for glossodynia, glossalgia, which develop with endocrine, gastroenterological or neurological pathologies. To diagnose the causes of tingling, a dental examination, microscopic and bacteriological analysis of tongue scrapings, instrumental methods (sonography of the salivary glands, EFGDS, electromyography) are performed. Treatment involves a combination of medication (etiotropic and pathogenetic drugs) and physiotherapy techniques.
Tingling, burning sensation throughout the tongue occurs after eating spicy foods, some spices. Unpleasant sensations are noted directly during meals, lasting several hours. To reduce discomfort, a person drinks cool water, rinses his mouth. The tingling is accompanied by increased production of saliva, which must be constantly swallowed. Externally, the tongue is unchanged, sometimes due to irritation and increased blood flow, it looks bright pink.
The second typical reason is the use of too hot drinks or food. There is a superficial burn of the tongue, which is manifested by painful tingling, burning and tingling. With mild damage, the symptoms bother for 12-24 hours, after which the increased sensitivity of the receptors to hot or spicy foods persists for several days.
Constant tingling occurs when the tongue is traumatized by the sharp edges of carious teeth, improperly selected crowns or prostheses. Discomfort is felt in the same place where there is maximum friction or scratching of the tooth on the surface of the tongue. An epithelium defect is formed in this area, therefore, when spicy food enters, the tingling intensifies.
Low saliva production provokes drying of the tongue, against which there is an excruciating feeling of tightness and tingling. The symptoms are aggravated by talking for a long time, eating dry solid food. Gradually, xerostomia progresses, so burning, tingling, discomfort persist constantly. To alleviate the condition, patients regularly rinse their mouths, drink water, but such manipulations help for a short time.
tongue prickling
With this pathology, the patient complains of a variety of painful sensations: tingling, tingling, soreness. Symptoms are not related to food or hot drinks. The tingling is most pronounced on the lateral surfaces and the tip of the tongue. Localization of sensations periodically changes. Externally, the language is not changed. Secondary glossalgia are manifested:
Paresthesias are observed, manifested by tingling, burning, a feeling of "crawling", which have no apparent cause. At first, discomfort symptoms affect only the tip of the tongue, gradually they spread over its entire surface like an “oil spot”. The root of the tongue is the last to be affected, but often there is no tingling at all in this area.
Discomfort lasts for 3-5 minutes, appear several times a day. As glossodynia progresses, episodes of paresthesia lengthen, accompanied by a feeling of enlargement and swelling of the tongue. The pathognomonic feature of the disease is the absence of tingling at the time of eating. Therefore, people constantly chew something, which as a result leads to weight gain, carious damage to the teeth.
Periodically during the day, patients experience an unpleasant tingling and burning sensation in the mouth. The tingling spreads over the entire surface of the tongue or in its individual areas that are affected by the inflammatory process. Increased discomfort during eating is characteristic, especially when eating hot or spicy foods. Symptoms bother the patient for several weeks or months.
With desquamative glossitis, in contrast to glossalgia and glossodynia, the appearance of the language changes. On its mucosa, bright red foci of inflammation appear with exfoliation of the epithelium, noticeable cracks or furrows form. In places of desquamation, pain and tingling are most pronounced. Wounds heal quickly, then new erosions form elsewhere - a constantly changing "geographical pattern" on the tongue.
The tingling and tingling of the tongue is due to atrophy of the papillae and the development of Gunther's glossitis. Discomfort is observed constantly, it is not associated with food or other external factors. With increased vitamin B 12 deficiency and the occurrence of macrocytic anemia, symptoms worsen. Patients complain of constant painful burning sensation, soreness when eating. The tongue becomes bright red, "polished" and shiny.
Tingling of the tongue is characteristic of chronic candidiasis, while in the acute form, severe burning and pain are more likely to disturb. The feeling of discomfort extends not only to the back of the tongue, but also to the mucous membrane of the cheeks, the red border of the lips. Patients notice a grayish dense plaque, after peeling off which bright red inflamed areas of the epithelium remain. With the development of chronic atrophic candidiasis, tingling is complemented by severe dryness in the mouth.
Paresthesia in the tongue is one of the signs of a food allergy or a reaction to animal hair, plant pollen. In this case, tingling is combined with excruciating itching, to relieve which patients try to “scratch” the back of the tongue with their teeth, which increases discomfort. Symptoms appear against the background of other allergic manifestations: lacrimation, sneezing, digestive disorders.
With complaints of tingling of the tongue, they first of all turn to a dentist who examines and identifies the most common causes of this condition. If there are no obvious factors, a comprehensive examination is prescribed with the participation of a therapist, a neurologist and other specialists. To detect the etiology of tongue tingling, the following are used:
Examination of the tongue and oral cavity
To reduce tingling and burning, doctors recommend dieting. All spicy and spicy dishes are excluded from the menu, food should be warm, but not hot. Products are steamed, boiled or stewed so that they are soft and do not injure the surface of the tongue. It is necessary to regularly rinse your mouth with water or a weak solution of chlorhexidine: this helps to get rid of tingling, as well as prevent inflammatory diseases of the oral cavity.
Tongue tingling treatment begins with dental care. The doctor carries out sanitation of the oral cavity, if necessary, changes fillings and incorrectly selected prostheses. If after this the symptoms do not disappear, treatment of the underlying disease that causes glossalgia is prescribed. Therapeutic schemes are selected by a specialized specialist: a neurologist, an endocrinologist, a gastroenterologist.
Pathogenetic treatment includes drugs that affect the nervous system, which help to reduce painful paresthesias. Herbal sedatives, bromine preparations, "daytime" tranquilizers are effective. For refractory symptoms, injections of B vitamins and trimecaine blockades are used. Local remedies give a quick effect: lubrication of the tongue with anestezin, pyromecaine, oil solutions (vitamin A, rose hips).
Those suffering from desquamative glossitis are often prescribed physiotherapy, which includes drug electrophoresis, ultrasound therapy, SMT therapy. With prolonged glossalgia, reflexology and ozone therapy help to remove tingling. To reduce the intensity of symptoms, laser therapy is used, which has an additional anti-inflammatory effect. Paresthesias of a neurogenic nature require psychotherapy sessions.