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Tongue pain

Also known as Glossalgia, Glossodynia, Painful Tongue, and Sore Tongue

Burning mouth syndrome (BMS also termed glossodynia,orodynia,oral dysaesthesia,glossopyrosis,stomatodynia,burning tongue,stomatopyrosis,sore tongue,burning tongue syndrome,burning mouth, or sore mouth) is the complaint of a burning sensation in the mouth where no underlying dental or medical cause can be identified and no oral signs are found. Burning mouth syndrome may also comprise subjective xerostomia (a dry mouth sensation where no cause can be found such as hyposalivation), oral paraesthesia (e.g. tingling) and altered taste or smell (dysgeusia and dysosmia). A burning sensation in the mouth can be a symptom of another disease when local or systemic factors are found to be implicated, and this is not considered to be burning mouth syndrome, which is a syndrome of medically unexplained symptoms. The International Association for the Study of Pain definitions of burning mouth syndrome are "a distinctive nosological entity characterized by unremitting oral burning or similar pain in the absence of detectable mucosal changes", and "burning pain in the tongue or other oral mucous membranes", and the International Headache Society definition is "an intra-oral burning sensation for which no medical or dental cause can be found".

Source: Wikipedia

What causes it?

The most common causes of tongue pain are common cold, oral mucosal lesion, and mucositis. Other possible causes, such as trigeminal neuralgia, are more rare.


What might my doctor prescribe?

Common Tests and Procedures

Patients with tongue pain often receive other diagnostic procedures (interview; evaluation; consultation), arterial blood gases (abgs), other diagnostic radiology and related techniques, influenzavirus antibody assay, corneal transplant, procedures on spleen, removal of ectopic pregnancy and tracheostomy; temporary and permanent .

Common Medications

The most commonly prescribed drugs for patients with tongue pain include lidocaine, acyclovir, oxcarbazepine (trileptal), nystatin topical product, aluminum hydroxide / magnesium hydroxide, estrogens, conjugated (usp) (premarin), fluconazole (diflucan), cefditoren (spectracef), desloratadine / pseudoephedrine, naftifine topical, niacin / simvastatin, desflurane and brompheniramine (e.n.t.) .

Who is at risk?

Groups of people at highest risk for tongue pain include age 1-4 years. On the other hand, age < 1 years almost never get tongue pain.

Age

< 1 years
0.0x
1-4 years
1.7x
5-14 years
0.7x
15-29 years
1.2x
30-44 years
1.0x
45-59 years
0.7x
60-74 years
1.2x
75+ years
0.9x

Sex

Male
1.4x
Female
0.7x

Race/Ethnicity

Black
1.1x
Hispanic
0.7x
White
1.0x
Other
1.2x
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