Glossitis
Multimedia
Definition
Glossitis is a condition in which the tongue is swollen and changes color, often making the surface of the tongue appear smooth.
See also: Geographic tongue
Alternative Names
Tongue inflammation; Tongue infection; Smooth tongue; Glossodynia; Burning tongue syndrome
Causes, incidence, and risk factors
Glossitis is often a symptom of other conditions or problems, including:
Allergic reaction to toothpaste, mouthwash, breath fresheners, dyes in candy, plastic in dentures or retainers, or certain blood pressure medications (ACE inhibitors)
Dry mouth, when the glands that produce saliva are destroyed (see:
Sjogren syndrome)
Injury from burns, rough edges of teeth or dental appliances, or other trauma
Low iron levels (called iron deficiency) or certain B vitamins, such as
vitamin B12Tobacco, alcohol, hot foods, spices, or other irritants
- Yeast infection in the mouth
At times, glossitis may be passed down in families and is not due to another disease or event.
References
Reamy BV, Derby R, Bunt CW. Common tongue conditions in primary care. Am Fam Physician. 2010;81(5):627-634.
Mirowski GW, Mark LA. Oral disease and oral-cutaneous manifestations of gastrointestinal and liver disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 22.
Review Date: 3/5/2011
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Seth Schwartz, MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Alternative Names
Tongue inflammation; Tongue infection; Smooth tongue; Glossodynia; Burning tongue syndrome
Symptoms
Symptoms of glossitis may appear quickly or slowly over time. They include:
- Difficulty with chewing, swallowing, or speaking
- Smooth surface of the tongue
- Sore and tender tongue
- Tongue color changes
- Pale, if caused by pernicious anemia
- Fiery red, if caused by a lack of other B vitamins
- Tongue swelling
Signs and tests
An examination by a dentist or health care provider shows:
Your health care provider may ask detailed questions about your medical history and lifestyle to find the cause of tongue inflammation if there was no obvious injury or other cause.
Blood tests may be done to rule out other medical conditions.
References
Reamy BV, Derby R, Bunt CW. Common tongue conditions in primary care. Am Fam Physician. 2010;81(5):627-634.
Mirowski GW, Mark LA. Oral disease and oral-cutaneous manifestations of gastrointestinal and liver disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 22.
Review Date: 3/5/2011
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Seth Schwartz, MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Alternative Names
Tongue inflammation; Tongue infection; Smooth tongue; Glossodynia; Burning tongue syndrome
Treatment
The goal of treatment is to reduce inflammation. Most people do not need to go to the hospital for treatment unless tongue swelling is severe.
Good
oral hygiene is important. Brush your teeth thoroughly at least twice a day and floss at least once a day.
Antibiotics, antifungal medications, or other antimicrobials may be prescribed if the glossitis is due to an infection.
Dietary changes and supplements are used to treat anemia and nutritional deficiencies.
Avoid irritants (such as hot or spicy foods, alcohol, and tobacco) to reduce any tongue discomfort.
Expectations (prognosis)
Glossitis usually responds well to treatment if the cause of inflammation is removed or treated. This disorder may be painless, or it may cause tongue and mouth discomfort. In some cases, glossitis may result in severe tongue swelling that blocks the airway.
Complications
- Airway blockage
- Difficulties with speaking, chewing, or swallowing
- Discomfort
Calling your health care provider
Call your health care provider if:
Symptoms of glossitis last longer than 10 days
Tongue swelling is severe
Breathing, speaking, chewing, or swallowing is difficult
Blockage of the airway is an emergency situation that needs immediate medical attention.
References
Reamy BV, Derby R, Bunt CW. Common tongue conditions in primary care. Am Fam Physician. 2010;81(5):627-634.
Mirowski GW, Mark LA. Oral disease and oral-cutaneous manifestations of gastrointestinal and liver disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 22.
Review Date: 3/5/2011
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Seth Schwartz, MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Alternative Names
Tongue inflammation; Tongue infection; Smooth tongue; Glossodynia; Burning tongue syndrome
Prevention
Good oral hygiene (thorough tooth brushing and flossing and regular professional cleaning and examination) may help prevent glossitis.
References
Reamy BV, Derby R, Bunt CW. Common tongue conditions in primary care. Am Fam Physician. 2010;81(5):627-634.
Mirowski GW, Mark LA. Oral disease and oral-cutaneous manifestations of gastrointestinal and liver disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 22.
Review Date: 3/5/2011
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Seth Schwartz, MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Review Date: 3/5/2011
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Seth Schwartz, MD, MPH, Otolaryngologist, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.