Red smooth tongue,
smooth tongue, or glossitis
- In this condition, the papillae (tiny, red,
raised areas), which normally cover the surface of the
tongue, shrink or disappear and the tongue (a muscle) wastes away
-- giving the tongue a thin, shiny appearance
(smooth). The tongue may also show patches of redness and
inflammation (swelling, irritation, and
- Red patches on the tongue
- Red, swollen, painful tongue
- Sensitivity to spicy foods
- Bad Breath
- There may be ulcers (open sores) on
the tongue or mouth
- Other signs depending on the
- History of symptoms, medications,
illnesses, allergies, habits, nutritional habits
- Medical exam may reveal abnormality
in tongue or other areas within the mouth and signs of
- Referral may be made to a dentist or
oral (mouth) surgeon for further evaluation.
- Biopsy or taking a piece of the area
involved may be necessary.
- Blood tests may be done which
include tests for anemia and vitamin levels.
- Cultures (using KOH, a dye that can
pick up candida and other fungi) or scraping the tongue may
reveal an infection
- Nutritional deficiencies
- Poor areas with inadequate nutrition
such as third world countries
- Chewing tobacco
- Excessive use of mouth wash, tooth
- Hot foods
- Spicy foods
- Poor oral hygiene
- Weakened immune system (natural body defenses) as in AIDS and cancer
- Chemotherapy (cancer-killing drugs)
and other toxic
- Treat underlying cause (i.e., use
vitamin therapy for particular deficiencies)
- Pain may be treated with anesthetic (numbing) mouth rinses, such as viscous Lidocaine, Benadryl solution, Orabase, and even Sodium bicarbonate.
- Nystatin suspensions can be used as
a rinse for treatment of candidiasis.
- Antifungal (Diflucan) or antibiotic
(penicillin) pills may be necessary if more severe fungi or
bacterial infections are involved.
- Avoid alcohol or tobacco.
- Use mild toothpaste or mouth washes
your dentist or doctor as soon as convenient. If severe
tongue swelling, difficulty breathing, or rash appear
rapidly (over several minutes or within one hour) call 911.
If you want your friend to read or know about this article, Click here