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Dental and Oral Health (Adults)

Irritated tongue

06/11/2007

Question:

years ago while traveling i developed painful lesions on my tongue after chewing coca leaves. local doctors gave me an antisptic/numbing topical solution.

Since then I've been very sensitive to acidic foods like pinapple and walnuts. In the last few months my tongue has become extemely sensitive to many more foods, even a bit of black pepper feels too spicy. The tip is red, feels itchy and painful and the buds are swollen and a bit numb all the time.

Is there anything I can do about this?

Answer:

The first answer to this problem is have you seen a dentist recently?

If not, then I would advise that you do so. It would be a good idea to have someone evaluate the tongue during times that the symptoms are occurring.

I am not sure what the ramifications of chewing coca are with regards to the development of sensitivity. The numbness is something that concerns me, and this should be evaluated to determine the cause and extent of nerve involvement.

You may have been allergic or developed sensitivity to compounds in coca leaves. Without seeing the surface and examining surrounding tissues, I would consider “allergic response” to certain foods that is amplified by alterations of the surface of the tongue.

The response to pepper also may be related to denuded surface (Benign migratory glossitis) in which the surface of the tongue is altered and things such as pepper, alcohol, salt and vinegar (acid) may elicit a painful response. You may be allergic to walnuts (very common), same as with pineapple.

Treatment is dependent upon what the practitioner finds at examination.

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Response by:

Case Western Reserve University Richard J Jurevic, DDS, PhD
Assistant Professor of Biological Sciences
Department of Biological Sciences
School of Dental Medicine
Case Western Reserve University
Richard J Jurevic, DDS, PhD