[47F] Experiencing swollen tongue, red sores, and sore throat

Patient Description

A 47-year-old female presents with a swollen, burning tongue that began two days ago, red painful sores on the gums, and a sore throat that started one day ago. The entire tongue is affected, and the pain is exacerbated when swallowing. There are three sores on the gums. The patient has not experienced these symptoms before and has not used any new medications, foods, or dental products recently. She has a history of high blood pressure diagnosed 20 years ago, for which she is taking Lisinopril. No known allergies to medications have been reported. No relief from symptoms has been found, and there are no additional symptoms or medications.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions might be considered:

  • Oral Thrush: This is a fungal infection that occurs in the mouth. It is caused by a type of yeast called Candida. Symptoms can include painful red sores, a burning sensation in the mouth, and a loss of taste. It is more common in people with weakened immune systems, but can occur in anyone.

    • Treatment typically involves antifungal medications.
  • Glossitis: This is inflammation of the tongue, causing it to become swollen, red, and painful. It can be caused by various factors including allergies, infections, and nutritional deficiencies.

    • Treatment usually involves addressing the underlying cause and may include medications to reduce inflammation and pain.
  • Aphthous Ulcers (Canker Sores): These are small, shallow, painful sores that can occur in the mouth. They are not contagious and usually go away on their own within a week or two.

    • Treatment typically involves over-the-counter topical medications and mouth rinses to help reduce pain and inflammation.
  • Burning Mouth Syndrome: This is a condition characterized by a burning sensation in the mouth. The cause is often difficult to pinpoint, but it can be related to a variety of factors including hormonal changes, dry mouth, or certain medications.

    • Treatment usually involves managing the symptoms, such as using specific oral rinses or changing medications if they are the cause.

Please note that these are potential explanations based on the symptoms you've described, but they are not definitive diagnoses. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Maintain good oral hygiene: Brush your teeth at least twice a day, floss regularly, and consider using a mouthwash. This can help prevent infections and improve oral health.

  2. Stay hydrated: Dry mouth can exacerbate symptoms, so make sure to drink plenty of water throughout the day.

  3. Avoid irritants: Spicy foods, alcohol, and tobacco can irritate your mouth and worsen symptoms. Try to avoid these if possible.

  4. Over-the-counter treatments: There are various over-the-counter treatments available for oral sores and pain, such as topical gels and mouth rinses. These may help provide some relief.

What you should look out for

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

  • Difficulty breathing or swallowing
  • High fever or chills
  • Symptoms that continue to worsen or do not improve after a week
  • Severe pain that prevents you from eating or drinking

Remember, 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 accurate information.

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11 mo ago

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People Also Ask


What are the common causes of a swollen, burning tongue?

A swollen, burning tongue can be caused by various factors including infections like oral thrush, nutritional deficiencies, allergies, or conditions such as glossitis or burning mouth syndrome.


How can oral thrush be treated effectively?

Oral thrush is typically treated with antifungal medications, which can be prescribed by a healthcare provider. Maintaining good oral hygiene and staying hydrated can also help manage symptoms.


What are aphthous ulcers and how can they be managed?

Aphthous ulcers, also known as canker sores, are small, painful sores in the mouth that are not contagious. They usually heal on their own within a week or two. Over-the-counter topical treatments and mouth rinses can help reduce pain and inflammation.


When should I seek medical attention for mouth sores?

You should seek medical attention for mouth sores if you experience difficulty breathing or swallowing, have a high fever or chills, if symptoms worsen or do not improve after a week, or if the pain is severe enough to prevent eating or drinking.


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