Inflammation of the tongue (glossitis): causes, symptoms, treatment

We are used to the fact that we need to go to the dentist if we have problems with our teeth or gums. What to do if you have inflammation of the tongue or glossitis? Dentists identify more than 10 types and subtypes of infection. The infection can be caused by both fungus and bacteria. Viral infection is less common. Inflammation can be caused by a lack of certain vitamins and minerals, or hormonal changes. There are many reasons for the disease, so it is important to identify what exactly caused the inflammatory process.

Causes of glossitis

improper oral hygiene;
bacterial infection;
fungal infection;
heavy metal poisoning;
bad habits (smoking, alcoholism);
congenital pathologies of the tongue (folded tongue);
allergic reaction;
tongue injury (often caused by malocclusion);
oral infections;
lack of iron in the body;
burn of the mucous membrane (hot food or drinks);
infectious diseases (AIDS, tuberculosis, scarlet fever, measles).

Signs of teething

There are several of them, let’s get acquainted with the features of each of them.

Baby teething

Anxiety, crying

The first sign that is difficult to ignore is the child’s anxiety . The baby is capricious and often cries, and may refuse food, water, or bottles. Behavior is often observed when the child takes the breast, begins to suck, but immediately releases it and begins to cry. This is explained by the fact that the gums are very sensitive and painful during the teething period; the baby is bothered by unpleasant sensations, but he does not know how to cope with them.

The baby is crying

It is not uncommon for a child to bite the breast with his gums during feeding. The baby just wants to get rid of the itching, which is why he clenches his jaw when any objects get on his gums.

It is worth sounding the alarm if the child does not eat for two days and no longer. And one or two missed feedings a day are not a cause for concern.

Drooling

The second sign is increased salivation . Pay attention to the child, if he puts everything into his mouth, the saliva is thin and abundant, perhaps the first tooth will appear soon. However, this sign does not always accompany teething. It happens that the baby drools like a river, but there are no teeth. Therefore, it is better to focus on other signs or their combination.

Baby's drooling

Increased salivation can cause irritation on the chin and around the lips.

Diarrhea

The third sign is stool disorder . Pediatricians recommend introducing the first complementary foods at 4 months. And if the period of introducing complementary foods coincides with teething, the first thought of parents is food poisoning of the child. Excessive diarrhea in children during teething is also very similar to intestinal upset caused by harmful infections. You should panic only if diarrhea occurs more than three times a day and for longer than 3-7 days in a row.

Diarrhea in infants

On a note! Pay attention to your baby's stool. If there are traces of blood in it, it is important to consult a doctor immediately.

The cause of diarrhea in infants associated with teething is a decrease in the level of functioning of the immune system. The gums begin to itch, and to relieve the itching, the baby puts his own fingers, clothes, mother’s hair, and toys into his mouth. On the surface of all these objects there are invariably microbes that penetrate the child’s body, develop, and as a result, dysfunction of the entire gastrointestinal tract is observed. Diarrhea is an indicator that the baby’s immune system simply cannot cope with the infection in the intestines. But the body quickly adapts, and the diarrhea goes away without a trace.

Symptoms of teething in infants: how to recognize and respond correctly

You can distinguish teething from an intestinal infection as follows:

calm the child down, create a cozy atmosphere for him;
Place the baby on a changing table or other hard surface;
Feel the baby's belly and observe the reaction. If the baby is calm during palpation, there is no reason for concern. If the stomach is hard, and the slightest touch causes the child to become hysterical, you should immediately seek medical help. institution.

A child's stomach is felt

On a note! Diarrhea may be accompanied by excessive regurgitation or vomiting. This is normal during teething.

Sensitivity and itching of gums

The fourth sign is swelling of the gums, redness, sensitivity, itching. If you notice that your four-month-old baby is teething, try to calm yourself down initially. You will in no way be able to influence the progress of teething, their sequence and speed, but you can provide the baby with moral support that is so important these days. There is no need to climb into the child’s mouth every minute, try to tap the gums with steel objects, you will only introduce more germs, scare the child, and his tense state will worsen.

The baby is cutting his first teeth

Very important! If the first tooth has already come out, and then the second one is emerging, do not try to relieve the itching of the gums by offering your child pieces of cookies, crackers, crusts of bread, any confectionery, apples or carrots. An accidentally bitten off piece of food can get into the baby's respiratory tract, which will have disastrous consequences.

You may notice small bumps on the gums or bruises. They will go away on their own; outside intervention is unnecessary.

Fever, cough

Table. How do you know if your baby has caught ARVI or is just teething?

Signs	Teething	ARVI, infectious diseases
Increased body temperature	An increase to 37-38°C is considered normal, lasting no more than four days	Elevated body temperature of 37-40°C and above lasts more than four days
Heat	Absent	Usually present
Weakness	Absent	Occurs frequently
Cough	Rare, appears due to the fact that the baby chokes on a large amount of saliva without having time to swallow it	The cough is systematic, frequent, and may cause hoarseness.
Runny nose	It may be small if the child's saliva gets into the nasopharynx. Runny nose for no more than three days	Present abundantly, for a long time

The child has a high temperature

Note! If your child constantly rubs their face and chin against the surface they are lying on, this may be a sign of ear inflammation. You need to see an otolaryngologist.

Video: Teething Symptoms

The most common types of glossitis

The most common occurrences in dental practice are:

acute catarrhal glossitis;
tongue abscess;
desquamative glossitis.

Acute catarrhal glossitis is the most common type of inflammation. Inflammation can be caused by microbes or mechanical damage to the tongue. The predominant symptoms are pain, redness and swelling.

A tongue abscess is the appearance of an abscess in the tongue. The abscess can be superficial, under the mucous membrane, or maybe in the thickness of the tongue. Abscesses in the thickness of the tongue, in addition to pain in the tongue, can cause a disturbance in the general condition. A person develops a fever, a headache, and weakness. Most often occurs due to injury to the tongue.

Desquamative glossitis, also known as “geographic tongue,” most often appears in children. It appears in the form of various spots on the tongue, which look like a white coating, alternating with areas of pink mucous membrane. There are no changes other than appearance. Scientists have identified a clear reason for it. The main factors are believed to be bacteria, allergic reactions and hormonal imbalances.

Causes of tongue itching

In young children, itching of the tongue can be caused by food allergies . You should review the child's menu and exclude those foods that can provoke irritation of the organ. Against the background of an allergy, the tongue may not only itch, but also hurt, tingle and swell, and the stool may acquire a liquid consistency. With allergies, symptoms appear immediately upon contact with the allergen or after a short period of time.

A rash may appear on the cheeks or throughout the body. With obstruction, breathing becomes difficult and swelling occurs. It should be remembered that allergies can be a consequence of problems in the gastrointestinal tract, especially if the temperature rises and diarrhea appears.

Food allergies

Candidiasis is manifested by the presence of a white coating on the mucous membranes of the mouth and tonsils, but the back of the tongue is clean. The child may experience a sour taste and pain when swallowing. Usually the fungus is contained in the baby’s body in a latent form and the catalyst for the disease can be a weakened immune system, injury to the mucous membrane of the mouth or tongue. When the tongue is cleaned, under the coating you can see an inflamed focus of infection of a bright scarlet color.

Candidiasis

The tonsils may also become covered with white dots due to chronic tonsillitis , but in this case the formations are sporadic and the oral cavity is clean. The resulting crusts must be carefully removed with a cotton swab or bandage, as this is nothing more than purulent discharge.

Worm infestation in a baby manifests itself in the mouth area, and not just in the anus area. Itching can be either constant or periodic. The tongue may not only itch, but sometimes there is a burning sensation.

In diseases of the gastrointestinal tract, itching is not accompanied by other visual changes in the oral cavity, except for a white coating along the entire base of the tongue. But the patient may be bothered by pain in the right hypochondrium and itchy skin.

In case of caries, the damaged tooth should be filled immediately, otherwise the location of the disease becomes a favorable environment for harmful bacteria to live.

Infectious diseases of a long course can also provoke the appearance of microbes in the pharynx, penetrating there through the nasal passages.

Symptoms of glossitis

increased salivation;
swelling and redness;
pain and burning when eating;
plaque on the tongue in the form of spots;
bad breath;
papillomas or warts on the tongue;
speech disorder;
foreign body sensation.

Prevention of glossitis - high-quality oral hygiene and no bad habits. It is important to undergo timely preventive examinations and also eat well. All these factors actively contribute to the development of the disease and bring a number of problems.

What are pinworms in children?

Infection with worms is often caused by eating unwashed fruits.

Enterobiasis is a disease caused by the appearance of pinworms in the small and large intestines of the body. Pinworms are also called worms. These parasites look like small white worms. They are small in size: females up to 1.5 cm, and males up to 5 mm. Their color is always white. The habitat in the human body is the intestines, but there are exceptions when they live in other organs. The female parasite reproduces quite quickly. Every day at night, she can lay eggs near the anus or in the folds of the skin. The affected areas may be the perineum.

During the process of the emergence of worm embryos, the child experiences severe itching as the infected area of the skin becomes vulnerable. Nematodes mature quite quickly and penetrate the intestine and attach themselves to the intestinal walls. After the female has laid eggs, she dies. Girls have a hard time coping with this disease. Worms, crawling out, can penetrate the mucous membrane of the external genitalia, causing additional infections. This does not mean that the disease does not need to be treated. During a short lifespan, a female can lay many eggs. The disease is gaining new momentum and the baby’s condition is worsening.

If no treatment is given, the parasite dies after 50 days.

Treatment of glossitis

A specialist must make an accurate diagnosis and identify the cause of the disease. If you suspect that you have glossitis , and all symptoms indicate this, contact your dental clinic. This is the only way to create the right treatment plan and provide timely assistance. Quite often in such cases, doctors prescribe antibiotics, anti-inflammatory drugs and rinsing the mouth with special antiseptic solutions. In advanced stages, glossitis is treated surgically. Deep abscesses must be opened in the maxillofacial department. Under no circumstances should you take medications without a doctor’s recommendation.

You can cure glossitis, caries or any other diseases of the oral cavity right in your sleep. Family Dentistry Center "Medexpert" provides dental treatment under medicinal sedation. Thanks to this approach, the patient falls into a healthy sleep, ceases to feel pain and discomfort, while the vital functions of the body remain unchanged. Sedation is widely used in pediatric dentistry and even helps fight dental phobia. Dental treatment can be comfortable and painless - tested for yourself.

How to cope with unpleasant symptoms?

It is important to avoid consuming raw vegetables and fruits that cause reactions, especially during allergy season. This is due to the fact that for many people, oral allergy syndrome develops more often and is more difficult during the flowering season of certain plants. You can reduce cross-reaction with food by boiling or baking vegetables and fruits, since proteins that cause allergies are destroyed at high temperatures.

Symptoms of allergic rhinitis and oral allergy syndrome can be managed with antihistamines. However, when it comes to treating a child, the choice of medications must be approached with great caution. First generation antihistamines can cause severe sedation and impaired psychomotor activity.

Cross-reactions with other foods

Children with allergies to the following foods may react to other foods:

Cow's milk allergy: 90% also react to goat's milk and 40% to soy milk.

Egg: in 5% there is a reaction to chicken meat

Peanuts: In 5% of cases there is a reaction to other legumes (such as peas or beans). In 30% there is hypersensitivity to tree nuts.

Fish: in 10% a reaction to seafood is also observed.

Melon: 90% reacts to bananas and avocados

Ragweed pollen allergies can cause a cross-reaction with all melons, bananas and tomatoes.

Birch pollen allergies can cross-react with raw potatoes, carrots, celery and apples.

Grass pollen allergies may cross-react with tomatoes and kiwis.

Treatment of pinworms in children

This is what pinworms look like

It is not recommended to treat pinworms yourself. Parents should definitely seek advice from a doctor. After the examination, a professional will prescribe effective treatment that will help in recovery and will not cause additional harm to health. Experts recommend:

Maintain hygiene rules for the whole family. Wash your hands before and after eating, and after visiting the toilet.
Wash your face morning and evening.
Wet cleaning.
Bed linen must be clean and ironed. Heat treatment kills helminth eggs.
Underwear should be changed every day. Wash in hot water and be sure to iron

The most common drugs for the treatment of helminths are:

Vermox and Medamin. Medicines in tablet form. Prescribed for the whole family. Suitable for children from 2 years old. Has a paralyzing effect on parasites. Dead pinworms leave the body in the stool.
Piperapzine. The doctor sets the dosage depending on the patient’s age. The medicine has an inhibitory effect on helminths. As a result, parasites cannot remain inside the intestines.
Pirantel. The tablets actively cope with the disease, regardless of its development. The dosage varies depending on age.
Pyrvinium pamoate. Suspension effective against pinworms. The drug blocks the work of certain enzymes that are necessary for the life of worms.

It is not recommended to self-medicate and set dosages. Medicines can either cure or harm or worsen the disease. Treatment should only be carried out under medical supervision. Recovery will occur after taking medication for a week. It is possible to prescribe a second course of treatment after 14 days.