Glossalgia - causes, symptoms, diagnosis and treatment

Glossalgia - Pain in the area of ​​language without any visible changes it. Display a sense of burning, stinging, rawness, tingling in the tongue, sensation of dryness in the mouth, is not associated with food intake and other stimuli. Glossalgia always secondary to the underlying disease (neurosis, gastrointestinal tract, liver, endocrine disorders), or injury (production prosthesis, tooth extraction, surgery in the mouth and so on. D.). Removing the cause of glossalgia lead to its disappearance. For relief of pain can assign applications or baths with local anesthetics.

  • Reasons glossalgia
  • Symptoms glossalgia
  • Differential diagnosis
  • Treatment glossalgia
  • Glossalgia - treatment

  • Glossalgia

    vascular dystonia; glossalgia organic cause has been found.

    Often glossalgia develop against diseases of the gastrointestinal tract and liver. Vascular lesions, particularly in combination with endocrine disorders and diseases of the central and peripheral nervous system lead to glossalgia have hypochondriac patients. glossalgia development is promoted by disorders of the nervous system, leading to a decrease in sensitivity or perverted perception in response to stimulation.

    Organic lesions of the central nervous system are less common causes of glossalgia. Sometimes glossalgia symptoms develop on the background of encephalitis, neurosyphilis and cerebrovascular events (ischemic or hemorrhagic stroke).

    According to the results of numerous studies, glossalgia recognized as one of the symptoms vistsero reflectron-bulbar syndrome in which affected glossopharyngeal and vagus nerves. And nervous disorders give rise to a false sensation, in the absence of irritating or traumatic factor.

    When existing glossalgia, external stimuli reinforce the symptoms.

    bulimia or nutritional weight gain.

    Burning sensation and tingling are most pronounced in the lateral zones and on the tongue, at least glossalgia appear on the back and the root of the tongue. Soreness is a diffuse character, glossalgia have no explicit localization of the lesion and the pain can vary.

    If untreated, the symptoms may disappear glossalgia, but then reappear in a different area. Sometimes glossalgia have consequences.

    Changes tongue mucosa and oral cavity absent. And only a minority of patients with observed slight swelling glossalgia, coated tongue plaque, which arises from the constant dryness in the mouth, and hypertrophic changes in individual buds. Varicose veins glossalgia language at present only in elderly patients. During the instrumental examination revealed a decrease pain sensitivity in the affected area, degenerative changes of the salivary glands, and as a consequence - sialoschesis.

    Patients with symptoms of depression have glossalgia, sometimes autistic. Sometimes patients are too excitable, in the behavior of present anxiety and suspiciousness. Pay greater attention to detail, delving into the features of his fortune. On requests to calm down, become aggressive, seeing the incompetence or negligence of the doctor.

    Almost all patients suffer glossalgia kantserofobiey or fear of other serious diseases. During the conversation it turns out that in addition there are other glossalgia neurotic condition - sleep disturbances, false angina, spastic colitis.

    Often patients refuse treatment glossalgia because of an iatrogenic fear and therapeutic procedures. Sometimes doctors falsely diagnosed tumors, because obviously erroneous patient's story about the course of the disease, and refer patients to be examined by an oncologist than further fuel the patient's opinion about the incurability glossalgia. In the future, when the correct diagnosis refuse treatment, citing the disparity therapy status severity.

    neuritis and neuralgia.

    Glossalgia symptoms should be differentiated from the manifestations of malocclusion and the initial manifestations of osteochondrosis of the cervical spine syndrome. But the main difference from the organic lesions glossalgia symptoms is a mismatch of pain intensity of exposure. Also at glossalgia change the language and the oral mucosa are virtually absent.

    Just to be distinguished from glossalgia pain in the area of ​​language in relation to the presence of tongue trauma. In cases of injury, pain is localized in nature and beyond the lesion does not apply. Such pains are after elimination of the traumatic factor.

    Pain neuralgia are short-lived and localized in specific nerve innervation, whereas glossalgia pains are diffuse in nature, due to the non-organic lesions of the vagus nerve.

    Pain in neuritis usually unilateral, in the affected area partially or completely disappears tactile sensitivity, they are amplified during the meal, which is unusual for glossalgia.

    neurologist, gastroenterologist, endocrinologist) and interviews with psychologists.

    Glossalgia Pathogenetic treatment is to normalize the homeostasis and the impact on the peripheral and central units of pain symptoms. In particular show reception bromine preparations, valerian, light tranquilizers such as Phenazepam. Good effect have an injection of vitamins B and trimekainovye lingual nerve blockade. Due to blockades at glossalgia restores nerve function, and symptoms can go unnoticed.

    Showing iron preparations - Ferrokal, Ferropleks and Gemostimulin. For removal of the unpleasant symptoms of glossalgia used local anesthetics in the form of applications and mouth trays. It Anestezin on oil, citral solution in oil or peach trimekain solution. Lubrication language solution of vitamin A in the rosehip oil helps eliminate the symptoms of dryness and increase salivation.

    The combination of these treatments with physiotherapy and reflexology helps eliminate glossalgia symptoms. Hypochondriac patients often enough conversations with the psychologist, sometimes with the consent of the patient, glossalgia pass without trace after the hypnotic sleep.