[28F] Experiencing persistent tongue and throat pain

Patient Description

A 28-year-old female presents with a persistent chemical burn on the tip of her tongue, resulting in a constant sensation akin to having consumed overly hot food. This condition has been present for a couple of weeks. The patient has been using over-the-counter oral numbing gel for relief, which provides incomplete alleviation and is reported to have an unpleasant taste. Additionally, the patient reports a sharp pain when swallowing, rated 6-7 on a pain scale, which intensifies to 7-8 when consuming food. The pain is triggered by swallowing hard foods, saliva, and during yawning. The patient has no known allergies, is not on any prescription medications, and has no pre-existing conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you're experiencing the following:

  • Chemical Burn: Hydrogen peroxide is a mild antiseptic used on the skin to prevent infection of minor cuts, scrapes, and burns. However, it can cause a chemical burn if it's used in high concentrations or if it's left on the skin for too long. In your case, the burn is on the tip of your tongue.

    • Treatment for a chemical burn usually involves removing the chemical that caused the burn and rinsing the area with water. Pain can be managed with over-the-counter pain relievers and topical treatments like the oral numbing gel you've been using.
  • Pharyngitis: This is inflammation of the back of the throat that can cause discomfort or pain when swallowing. It's often caused by a viral or bacterial infection, but it can also be caused by injury or irritation from substances like tobacco smoke or alcohol. Given that you're experiencing pain when swallowing around the same time as your tongue burn, it's possible that the two are related.

    • Treatment for pharyngitis depends on the cause. If it's due to a bacterial infection, antibiotics may be prescribed. Rest, hydration, and over-the-counter pain relievers can help manage symptoms.

What you can do

Here are some things you can do to help manage your symptoms:

  1. Continue using the oral numbing gel as directed to help manage the pain from your chemical burn. If the pain continues or gets worse, you should seek medical attention.
  2. Try to avoid foods and drinks that can irritate your throat, such as spicy foods, alcohol, and tobacco.
  3. Stay hydrated by drinking plenty of water. Warm liquids like tea or soup can also help soothe your throat.
  4. Over-the-counter pain relievers can help manage your throat pain. Be sure to follow the package instructions.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Difficulty breathing or swallowing
  • Severe pain that doesn't improve with over-the-counter pain relievers
  • Symptoms that last for more than a week or get worse

Please remember that while I strive to provide accurate and helpful information, I am not a doctor. This advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

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People Also Ask


What are the common causes of a chemical burn on the tongue?

Common causes of a chemical burn on the tongue include exposure to high concentrations of chemicals like hydrogen peroxide, certain cleaning agents, or accidental ingestion of caustic substances. It can also occur from prolonged contact with irritating substances.


How can I differentiate between a chemical burn and other types of tongue injuries?

A chemical burn on the tongue typically presents as a white or discolored patch, pain, and a burning sensation. Other tongue injuries, like cuts or bites, may have visible lacerations or bruising. If unsure, consult a healthcare provider for an accurate diagnosis.


What are the typical symptoms of pharyngitis?

Typical symptoms of pharyngitis include a sore throat, pain when swallowing, redness in the throat, and sometimes fever or swollen lymph nodes. It can be caused by viral or bacterial infections, or irritation from substances like smoke.


When should I seek medical attention for a sore throat or tongue burn?

You should seek medical attention if you experience difficulty breathing or swallowing, severe pain that doesn't improve with over-the-counter pain relievers, or if symptoms persist for more than a week or worsen over time.


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