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Tongue Lesions then soreness

User Level:
Patient
Posted by: tim5309  (2 years ago)
I cannot determine the offending cause of this current chronic soreness on the dorsal (top) surface of the tongue near the midline groove. This started out with visible lesions/ulcers on and around the tip of the tongue 6 weeks back. I would usually associate the sores with the irritant SLS in my toothpaste, but this time, the sores took 3 weeks to subside even though I had switched to a SLS-free toothpaste right away. I was then treated with an antiviral (acyclovir) for about 10 days and noticed no change. Bacterial culture results were negative as were labs for autoimmune diseases. I don't believe a fungal culture was run, however, there are no visible signs of thrush (i.e. white patches). I also had no striae that is common with oral lichen planus. The lesions abated, but the soreness continued.

The oral surgeon diagnosed this as glossitis [https://en.wikipedia.org/wiki/Glossitis]
I was concerned it could be BMS [https://en.wikipedia.org/wiki/Burning_mouth_syndrome], however, by definition, BMS has no signs (i.e. lesions) which I displayed at the onset. I am very health conscious, have taken a plethora of supplements for years and a few meds (blood pressure/thyroid) and never had issues, eat all organic, no processed food, & exercise regularly. I am unable to tell if any food, supplement or med causes or even worsens the soreness as it just hangs. It's not a burning or throbbing soreness, but rather just tender when touched or when I flex my tongue. There are no visible sign or redness or swelling at this point.

All input appreciated as to possible causes and treatment.





User Level:
Dentist
I cannot determine the offending cause of this current chronic soreness on the dorsal (top) surface of the tongue near the midline groove. This started out with visible lesions/ulcers on and around the tip of the tongue 6 weeks back. I would usually associate the sores with the irritant SLS in my toothpaste, but this time, the sores took 3 weeks to subside even though I had switched to a SLS-free toothpaste right away. I was then treated with an antiviral (acyclovir) for about 10 days and noticed no change. Bacterial culture results were negative as were labs for autoimmune diseases. I don't believe a fungal culture was run, however, there are no visible signs of thrush (i.e. white patches). I also had no striae that is common with oral lichen planus. The lesions abated, but the soreness continued.

The oral surgeon diagnosed this as glossitis [https://en.wikipedia.org/wiki/Glossitis]
I was concerned it could be BMS [https://en.wikipedia.org/wiki/Burning_mouth_syndrome], however, by definition, BMS has no signs (i.e. lesions) which I displayed at the onset. I am very health conscious, have taken a plethora of supplements for years and a few meds (blood pressure/thyroid) and never had issues, eat all organic, no processed food, & exercise regularly. I am unable to tell if any food, supplement or med causes or even worsens the soreness as it just hangs. It's not a burning or throbbing soreness, but rather just tender when touched or when I flex my tongue. There are no visible sign or redness or swelling at this point.

All input appreciated as to possible causes and treatment.






These are tough to diagnose. Sometimes they indicate a nutritional deficiency. Sometimes is it autoimmune. You might look at Pemphigus to see if there is any resemblance. Try to be seen by an oral pathologist. They are rare, but every dental school has at least one on staff.

Posted 2 years ago
User Level:
Patient
Posted by: tim5309  (2 years ago)
As I've been dealing with this issue, I have been looking into the causes of mild anemia (RBC/HGB/HCT just slightly below range) that surfaced late last year and prior to the onset of the sores/glossitis. I know one of the symptoms can be tongue sores/sorenes, but I don't know how anemic one has to be before this occurs.
User Level:
Dentist
As I've been dealing with this issue, I have been looking into the causes of mild anemia (RBC/HGB/HCT just slightly below range) that surfaced late last year and prior to the onset of the sores/glossitis. I know one of the symptoms can be tongue sores/sorenes, but I don't know how anemic one has to be before this occurs.

As with every other disease, it varies by individual.
Posted 2 years ago
User Level:
Dentist
I cannot determine the offending cause of this current chronic soreness on the dorsal (top) surface of the tongue near the midline groove. This started out with visible lesions/ulcers on and around the tip of the tongue 6 weeks back. I would usually associate the sores with the irritant SLS in my toothpaste, but this time, the sores took 3 weeks to subside even though I had switched to a SLS-free toothpaste right away. I was then treated with an antiviral (acyclovir) for about 10 days and noticed no change. Bacterial culture results were negative as were labs for autoimmune diseases. I don't believe a fungal culture was run, however, there are no visible signs of thrush (i.e. white patches). I also had no striae that is common with oral lichen planus. The lesions abated, but the soreness continued.

The oral surgeon diagnosed this as glossitis [https://en.wikipedia.org/wiki/Glossitis]
I was concerned it could be BMS [https://en.wikipedia.org/wiki/Burning_mouth_syndrome], however, by definition, BMS has no signs (i.e. lesions) which I displayed at the onset. I am very health conscious, have taken a plethora of supplements for years and a few meds (blood pressure/thyroid) and never had issues, eat all organic, no processed food, & exercise regularly. I am unable to tell if any food, supplement or med causes or even worsens the soreness as it just hangs. It's not a burning or throbbing soreness, but rather just tender when touched or when I flex my tongue. There are no visible sign or redness or swelling at this point.

All input appreciated as to possible causes and treatment.







I have read about your mouth problem and would like to ask you that if you still have this problem into your mouth as its being 3 weeks ago?
Posted 2 years ago
User Level:
Dentist
I cannot determine the offending cause of this current chronic soreness on the dorsal (top) surface of the tongue near the midline groove. This started out with visible lesions/ulcers on and around the tip of the tongue 6 weeks back. I would usually associate the sores with the irritant SLS in my toothpaste, but this time, the sores took 3 weeks to subside even though I had switched to a SLS-free toothpaste right away. I was then treated with an antiviral (acyclovir) for about 10 days and noticed no change. Bacterial culture results were negative as were labs for autoimmune diseases. I don't believe a fungal culture was run, however, there are no visible signs of thrush (i.e. white patches). I also had no striae that is common with oral lichen planus. The lesions abated, but the soreness continued.

The oral surgeon diagnosed this as glossitis [https://en.wikipedia.org/wiki/Glossitis]
I was concerned it could be BMS [https://en.wikipedia.org/wiki/Burning_mouth_syndrome], however, by definition, BMS has no signs (i.e. lesions) which I displayed at the onset. I am very health conscious, have taken a plethora of supplements for years and a few meds (blood pressure/thyroid) and never had issues, eat all organic, no processed food, & exercise regularly. I am unable to tell if any food, supplement or med causes or even worsens the soreness as it just hangs. It's not a burning or throbbing soreness, but rather just tender when touched or when I flex my tongue. There are no visible sign or redness or swelling at this point.

All input appreciated as to possible causes and treatment.







I have read about your mouth problem and would like to ask you that if you still have this problem into your mouth as its being 3 weeks ago?
Posted 2 years ago
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