Presentation
Although easily examined, abnormalities of the tongue can present a diagnostic and therapeutic dilemma for physicians. [ncbi.nlm.nih.gov]
Histopathologic Examination On histopathologic examination, amyloid presents as a hyaline-like, amorphous material. [pocketdentistry.com]
These may present with dysarthria or dysphagia. New-onset fasciculations are concerning for amyotrophic lateral sclerosis. [stanfordmedicine25.stanford.edu]
A detailed history of how long the spots have been present and when they started is also important. Lichen planus is a somewhat rare condition that can cause some white patchiness in the mouth. [zocdoc.com]
Entire Body System
- Weakness
A thin tongue may indicate anemia or chronic fatigue, while a swollen tongue may indicate a body's overall weakness and declining health. A swollen tongue may also be a result of excess alcohol consumption. [familyshare.com]
A weak tongue also might be a sign of diabetes, as well as alcoholism and multiple sclerosis. Two more symptoms that might indicate disease are a small tongue tongue and a numb or tingling tongue, known as paresthesia. [healthfully.com]
Glossitis Oral lichen planus Hypoglossal nerve weakness can cause atrophy and fasciculation of the tongue. Melkersson–Rosenthal syndrome - a neurological disorder characterized by fissured tongue, facial palsy and orofacial swelling. [en.wikipedia.org]
Implications for practice Two trials provided some weak and unreliable evidence for the use of tongue scraping as a means of controlling halitosis. [doi.org]
If you are experiencing a vitamin deficiency you’ll most likely notice other symptoms as well such as fatigue, weakness, balance problems, and memory difficulties. In severe cases, this “balding” can cause pain when eating hot liquids or spicy food. [rd.com]
- Asymptomatic
Summary of Tongue Conditions Condition Clinical presentation Treatment Comments Median rhomboid glossitis Smooth, shiny, erythematous, sharply circumscribed, rhomboid shaped plaque; usually asymptomatic, but burning or itching possible; dorsal midline [aafp.org]
Signs & Symptoms In many cases, geographic tongue does not cause symptoms (asymptomatic). [rarediseases.org]
Most patients are asymptomatic otherwise. May be associated with geographic tongue. [pocketdentistry.com]
The peptide sensors prove significant success in discriminating saliva collected from patients with peri-implant disease versus clinically asymptomatic volunteers. [nature.com]
- Fishing
Information from South Dakota Game, Fish and Parks [newscenter1.tv]
Iga Stasiak, veterinarian for the Department of Fish and Wildlife, said in the release. EHD is related to another hemorrhagic disease known as bluetongue virus. [kentucky.com]
Prior to joining the staff of QDMA, Lindsay was an editor at a Georgia hunting and fishing news magazine for nine years. Throughout his career as an editor, he has written and published numerous articles on deer management and hunting. [qdma.com]
WV DNR News Release 5 L E G E N D 1 - General News 2 - Hunting News 3 - Fishing News 4 - Law Enforcement News 5 - Parks News SOUTH CHARLESTON, W.Va. — The West Virginia Division of Natural Resources has found deer in eight counties that have died from [wvdnr.gov]
Normally, the throat and mouth are lined with so-called squamous cells, which are flat and look like fish scales on a microscopic level. Squamous cell carcinoma develops when some squamous cells mutate and become abnormal. [cancercenter.com]
- Fatigue
A thin tongue may indicate anemia or chronic fatigue, while a swollen tongue may indicate a body's overall weakness and declining health. A swollen tongue may also be a result of excess alcohol consumption. [familyshare.com]
Lack of water, vitamins, stress, and fatigue, can also lead to slight color changes of the tongue. To obtain accurate information, also perform the following guidelines: Observe the patient's general activities. Observe the patient's vocal problems. [pyroenergen.com]
Symptoms of herpes can also include fever and fatigue. Be sure to talk to your physician about the best way for you to manage the disease. [mouthhealthy.org]
If you are experiencing a vitamin deficiency you’ll most likely notice other symptoms as well such as fatigue, weakness, balance problems, and memory difficulties. In severe cases, this “balding” can cause pain when eating hot liquids or spicy food. [rd.com]
Gastrointestinal
- Vomiting
Purple Character with Big Eyes Vomit Emoji concept line editable vector, concept icon. [pixta.jp]
Recurrent abscesses Redness and scaling around the lips Pyostomatitis vegetans – very rare in Crohn disease Dry mouth – can result in dental decay, denture discomfort and infection Bad breath (halitosis) Recurrent vomiting and regurgitation can cause [dermnetnz.org]
It can occur in patients who have been vomiting or retching and in debilitated elderly persons with chronic lung disease. Emergency surgical repair of the perforation is required. [britannica.com]
- Nausea
Adverse effects in one trial were nausea (60%) and trauma (10%) with the toothbrush and all participants receptive to using the tongue scraper. [doi.org]
Jaw & Teeth
- Hairy Tongue
[…] on the tongue, such as oral hairy leukoplakia Blackened tongue (pseudo-black hairy tongue) from using products containing bismuth, such as Pepto-Bismol Treatment Black hairy tongue typically doesn't require medical treatment. [drugs.com]
Black hairy tongue - some factors thought to cause black hairy tongue are environmental, such as eating a soft diet, poor oral hygiene, smoking and antibiotic use. [en.wikipedia.org]
ORAL HAIRY LEUKOPLAKIA Oral hairy leukoplakia ( Figure 5 ) differs from hairy tongue in its location and association with immunosuppression. [aafp.org]
Examination of tongue morphology and a careful assessment for lymphadenopathy are also important. Geographic tongue, fissured tongue, and hairy tongue are the most common tongue problems and do not require treatment. [ncbi.nlm.nih.gov]
- Poor Oral Hygiene
Other risk factors include a poor oral hygiene, smoking, diabetes or a dry mouth. Treatment may involve improving the diet, quitting smoking, and improved oral hygiene (including gently brushing or scraping the tongue). [infodentis.com]
The dark coloration is caused by the trapping of debris and bacteria, which is worsened by smoking and poor oral hygiene. [aafp.org]
Black hairy tongue - some factors thought to cause black hairy tongue are environmental, such as eating a soft diet, poor oral hygiene, smoking and antibiotic use. [en.wikipedia.org]
Hairy black tongue has quite a few risk factors — poor oral hygiene, smoking, drinking a lot of coffee, being dehydrated, and using antibiotics, to name a few. Luckily, clearing up the condition is accomplished with simple oral hygiene. [medicaldaily.com]
- Lesion of the Tongue
However, lesions on the tongue may indicate other more-serious conditions of the tongue or diseases affecting the body in general. If you have lesions on the tongue that don't resolve within 10 days, see your doctor or dentist. [mayoclinic.org]
Reports of deer exhibiting lethargy, blue tongues and ulcers and lesions on the tongue and palate have been filed in portions of Oklahoma. These are all symptoms Blue Tongue, one of a group of viruses collectively called hemorrhagic disease. [oklahomafarmreport.com]
It causes creamy white lesions on the tongue and inner cheeks, according to the Mayo Clinic. It is more likely to affect babies, the elderly and people with suppressed immune systems, such as people with HIV/AIDS. [livescience.com]
The characteristic lesion in geographic tongue is reddish (erythematous), degenerated (atrophic) patch or area on the tongue that is abnormally smooth because of the lack of the small bumps that normally cover the tongue. [rarediseases.org]
Thickening tongue K14.8 ICD-10-CM Codes Adjacent To K14.8 K13.70 Unspecified lesions of oral mucosa K13.79 Other lesions of oral mucosa K14 Diseases of tongue K14.1 Geographic tongue K14.2 Median rhomboid glossitis K14.3 Hypertrophy of tongue papillae [icd10data.com]
- Cheilitis
Glossitis (inflamed tongue) Cheilitis (inflamed lips) Bad breath (halitosis) In children with ulcerative colitis, only nonspecific changes were seen in one large study. [dermnetnz.org]
Fissured tongue may be part of Melkersson-Rosenthal syndrome, the other features being granulomatous cheilitis and transient facial nerve paralysis; this triad is not necessarily present at the same time. [pocketdentistry.com]
Plummer vinson syndrome: sideropenic anemia shares atrophic glositis, angular cheilitis, generalised atrophic oral mucosa, oral ulceration and secondary candidiasis Pernicious anemia: atrophy of filiform &fungiform papilae. Niacin deficiency: [slideshare.net]
- Black Tongue
Black Hairy Tongue Black Hairy Tongue. Credit: Com4. Perhaps the most unappealing of all tongue conditions, black hairy tongue makes one’s tongue appear dark and furry. Again, the condition is surprisingly harmless, and it’s thankfully temporary. [medicaldaily.com]
A black tongue is usually associated with elongated tongue papillae and thus, it is called "black hairy tongue " (lingua villosa nigra). [medicinenet.com]
Psychiatrical
- Fear
It showed no fear of humans and allowed people to get close and snap pictures. It never made it out of the pond. The next day it was found dead floating in the water. [deerhuntersclub.com]
Infected whitetail are less fearful of humans, salivate excessively, exhibit peeling or sloughing of the hoof walls, lose their appetite, and do not forage for food. [deermanagement.us]
Anyway, let's have a look in Chapter 34 or Psalms, Verse 11; Come and listen to me, and I'll teach you the fear of the Lord, so he's talking about having the fear of the Lord, which is the beginning of wisdom, beginning of success in life. [mikeconnellministries.com]
Often, infected animals will be found lying around water sources with little fear of man or an inability to flee. The disease poses no health risk to humans, and while cattle can be infected, they rarely exhibit signs of disease. [oklahomafarmreport.com]
Neurologic
- Irritability
Mouth Irritation Drinking too many irritating beverages, overbrushing your tongue, and overusing your mouthwash can irritate mouth tissues. If you are experiencing a burning sensation in your mouth, try to drink fewer or less acidic drinks. [colgate.com]
A variety of diseases and disorders can affect the tongue including infections, injuries, chronic irritation, abnormal tissue growth and congenital conditions. [livestrong.com]
Inflamed papillae, or taste buds, may also appear due to an irritation from hot foods. This can also result in a sore tongue until the damage heals. Grinding or clenching the teeth can irritate the sides of the tongue and cause it to become painful. [infodentis.com]
[…] teeth use a toothpaste that doesn't contain sodium lauryl sulphate brush your tongue or use a scraper to help improve a white tongue use a straw to drink cool drinks take painkillers do not eat hard, spicy, salty, acidic or hot food and drink that may irritate [nhs.uk]
A minor infection on the tongue isn’t uncommon, and it can cause pain and irritation. Inflamed papillae, or taste buds, are small, painful bumps that appear after an injury from a bite or irritation from hot foods. [healthline.com]
- Seizure
Nervous system malfunction (seem lost, seizures, keep head turned, flip over backwards 3. Swollen face or tongue with tongue hanging out 4. Oral ulcers -Is Bluetongue contagious? From what we know today, Bluetongue is spread by gnats called midges. [dev.louisianacattleanddeervet.com]
Ucers and infectious diseases: Quite severe ulcers, which are more in nature of lacerations and contusions, are produced by sudden biting trauma, either during epileptic seizure or as a result of a sudden blow to the jaw while tongue lies b/w upper [slideshare.net]
Treatment
Treatment includes replacement of the missing nutrient or treatment of the underlying condition. 11 – 13 View/Print Table Table 2. [aafp.org]
Burning mouth syndrome often involves the tongue and has responded to treatment with alpha-lipoic acid, clonazepam, and cognitive behavior therapy in controlled trials. [ncbi.nlm.nih.gov]
[…] so the treatment will be with the emetic drugs( xix) & so on each case it treated according to the cause. [ishim.net]
Treatment is difficult since any trauma or surgery to the area may expand the bone loss. [entusa.com]
Prognosis
[…] coating is one of the direct objective foundations for clinical diagnosis and treatment of many critical diseases, so it is of great importance for syndrome differentiation, determining the treating principle, prescribing a formula, and predicting the prognosis [onlymyhealth.com]
What is the prognosis for tongue problems? Fortunately, most tongue problems are benign and treatable. Therefore, the prognosis is generally very good. In regard to growths on the tongue, the main concern is oral cancer. [medicinenet.com]
Cancers of the lower lip have a better prognosis than those of the upper lip. Chronic sun exposure is the most common cause, but smoking can also be an etiology. [entusa.com]
Prognosis Geographic tongue is a benign condition. [emedicine.medscape.com]
The prognosis is poor because the tumour has usually been growing for one or two years before symptoms are apparent. The channel of the esophagus is encroached upon and can be almost entirely obstructed. [britannica.com]
Etiology
Etiology The etiology of BMS is unknown. Although a variety of causes have been mentioned in the literature, the most common one being an underlying psychiatric disorder, there is no proven causative etiological factor. [pocketdentistry.com]
Tongue lesions of unclear etiology may require biopsy or referral to an oral and maxillofacial surgeon, head and neck surgeon, or a dentist experienced in oral pathology. [ncbi.nlm.nih.gov]
This condition is of unknown etiology, although a scraping should be performed to exclude candidal infection, and biopsy can aid diagnosis. [aafp.org]
Some authers suggest fungal infection as etiology. 21. c/f: m>f Generally asymptomatic The surface is dusky red and completely devoid of filiform papillae and usually smooth. Kissing lesion-soft palate erythema may be seen where the lesion [slideshare.net]
Epidemiology
Epidemiology The estimated prevalence is approximately 1 %. Geographic tongue may occur on all ages, even in young children. [pocketdentistry.com]
HIV Epidemiology Research Study (HERS) Group. Am J Med 104: 559 –564. Google Scholar | Crossref | Medline | ISI Scully C ( 2000 ). [adr.sagepub.com]
Immunologic and psychologic parameters have been associated with geographic tongue. [15] Epidemiology Frequency Geographic tongue has reportedly occurred in up to 3% of the general population in the United States. [emedicine.medscape.com]
Pathophysiology
Pathophysiology The most commonly affected site is the tongue; however, other oral mucosal soft tissue sites may be affected. [emedicine.medscape.com]
Prevention
Centers for Disease Control and Prevention. https://www.cdc.gov/hepatitis/hbv/hbvfaq.htm#treatment. HIV Transmission. Centers for Disease Control and Prevention. https://www.cdc.gov/hiv/basics/transmission.html. [verywell.com]
Nearly 20 million new cases of sexually transmitted diseases affect people in the United States each year, according to the Centers for Disease Control and Prevention. [mouthhealthy.org]
While there is little that can be done to prevent hemorrhagic disease, Elmore said to contact your county wildlife conservation officer if you suspect an outbreak is occurring by observing multiple deer carcasses or noting deer acting strangely. [oklahomafarmreport.com]
Q: How can I prevent hairy tongue? A: Most individuals can prevent hairy tongue by practicing good oral hygiene. Brushing the top of the tongue with a tooth brush should be part of regular daily oral hygiene activities. [aaom.com]
Causes The cause of geographic tongue is unknown, and there's no way to prevent the condition. There may be a link between geographic tongue and psoriasis and between geographic tongue and lichen planus. [mayoclinic.org]