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A swollen tongue, or glossitis, is a condition where the tongue becomes enlarged, smooth, and sometimes painful, which can affect speech, swallowing, and eating. The swelling can be localized to specific areas or affect the entire tongue. This condition may arise from a variety of causes, including allergic reactions to foods, medications, or substances that lead to an inflammatory response. Nutritional deficiencies, particularly in vitamins B12, iron, or folate, can also contribute to glossitis by impairing normal tongue function and health. Infections, such as viral or fungal infections, and autoimmune conditions like oral lichen planus or pemphigus vulgaris, can cause swelling and inflammation of the tongue. Additionally, physical trauma or irritation from sharp teeth, poorly fitting dentures, or aggressive brushing can lead to localized swelling.
Treatment for a swollen tongue focuses on addressing the underlying cause and relieving symptoms. If an allergic reaction is identified, avoiding the triggering substance and using antihistamines or corticosteroids may be necessary to reduce inflammation. Nutritional deficiencies are managed through dietary adjustments or supplements to restore proper nutrient levels and promote healing. Infections are treated with appropriate antiviral, antifungal, or antibacterial medications depending on the type of infection. For autoimmune conditions, treatment may involve corticosteroids or other immunosuppressive therapies to manage inflammation. Maintaining good oral hygiene, avoiding irritating substances, and using soft-bristled toothbrushes can help prevent further irritation. Consulting a healthcare provider is essential for accurate diagnosis and treatment, as persistent or severe swelling may indicate a more serious underlying condition requiring specialized medical attention.
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