I have been asked many why is “my tongue swollen and sore.” I have found that the tongue can swell for many reasons. The ones I encounter most are allergies and medications. “Most commonly swellings are due to medications, and allergies” says Lorraine Smith, MD, of the Osborne Head and Neck Institute in Los Angeles. That also has been my experience.
Other Causes of a Swollen Tongue?
Swelling is a warning in our bodies. Swelling fights off harmful bacteria and parasites, and helps with injury and healing. There are multiple chemical systems that turn swelling on and off, which are complicated and only partially understood.
Medications. Many cases of a swollen tongue are the result of a reaction to a medication used for high blood pressure, or non-steroidal anti-inflammatory drug, such as aspirin, ibuprofen [Advil, Motrin], or naproxen [Aleve, Naprosyn].
Allergens. I found allergic reactions to medications and including those that are happening in other parts of the body occur at the same time. allergic reactions to other substances such as foods or bee stings are the most common.
Herpes. These viruses also can cause infections that result in swelling of the tongue. While there is no treatment for viral infections, recovery can sometimes be enhanced with the medicine Zovirax.
Medical illness. Very slow swelling of the tongue over weeks or months can occur in a condition called amyloid, a disease in which harmful amyloid proteins are deposited into tissues and organs.
Bits and irritating substances. You may find that your tongue swells if you accidentally bite it or burn it. Dental appliances also can irritate your tongue and cause it to swell. Tobacco is yet another irritant that can cause tongue pain and swelling.
Tongue cancer. Tongue cancer is a common cancer of the head and neck — more than lump, ulcer, or white spot or patch on the outer layer of the tongue or a surrounding area. Suspicious lesions need to be biopsied and treated. A red white patch on the tongue is often painless, but has a higher chance of being associated with cancer than a white patch.
Treating a Swollen Tongue
I know a swollen tongue can lead to breathing problems, and it should be considered at as an emergency situation. If the problem is caused by a drug reaction, the person must stop the medication immediately and get help. In food allergies, obviously foods that trigger the swelling must be avoided. If it’s a persistent problem, see your doctor so he can determine the cause of your tongue swelling and find the most appropriate treatment.






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