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What causes soreness at the root of the tongue after a meal?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 28 years old, and currently, I have a medical issue. Every time after a meal, I feel this sort of soreness in the root of my tongue. It feels like the root is pushing the tongue up. The same happens when I drink coffee and soft drinks. I wonder what this could be. I am an asthma patient but I do not feel like the two are connected. Kindly help.

Thank you.

Hello,

Welcome to icliniq.com.

I am here to help you with your queries.

You said that you experience soreness in the mouth after having meals. It can be due to salivary gland disorders like sialadenitis (infection of the sublingual glands) or sialolithiasis (stone in the salivary glands). I suggest you do the following-

  1. Take plenty of fluids.
  2. If it is due to a salivary stone, then suck a lemon.
  3. For infection, take antibiotics.
  4. Take the tablet O2 (Ofloxacin and Ornidazole) twice daily for five days after meals.
  5. If you are an alcoholic, take the Tablet Augmentin (Amoxicillin and Potassium clavulanate) 625 mg twice daily for five days after food.
  6. Do warm saline rinses.
  7. If it does not heal with a conservative approach, then visit a surgeon.
  8. For asthma, steroid inhalers are used, which can cause dryness of the mouth and salivary gland disorders. Rinse your mouth once you take the same or use a spacer.

I wish you good health.

Thank you.

Investigations to be done

I suggest you do a sialography, and take an occlusal X-ray.

Differential diagnosis

Differential diagnosis could be sialolithiasis, sialadenitis, ranula on the floor of the mouth, or any other lump.

Probable diagnosis

The probable diagnosis could be sialadenitis.

Medically reviewed byDr. Sneha Kannan

Published At April 1, 2020
Reviewed AtDecember 19, 2024

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