Median Rhomboid Glossitis: A not so uncommon tooth disorder.

Median rhomboid glossitis It is a medical condition characterized by swollen or reddish tongue. It also involves loss of lingual papillae It also include lesions of tongue or palate. The trouble leads to change in size or coloration of the tongue.

Median Rhomboid Glossitis
Median Rhomboid Glossitis

It impacts about 1% of the population and often affects men between the age of 30 and 50. The disease has certain amount of tenacity and does not go on its own. It needs medical attention. It’s a non contagious disease, hence not generally transmitted. Generally disease is asymptomatic but for some patients it causes persistent pain, irritation or severe itching.

Causes of Median Rhomboid Glossitis

It is generally caused by a chronic fungal infection in the area of the tongue. Sometimes a lesion may also appear on the palate directly opposite the tongue lesion.

Other Causes of Median Rhomboid Glossitis

Nutritional deficiencies caused by other diseases such as celiac disease, protein calorie malnutrition and pernicious anaemia can also cause this disease.
Diseases that attack the immune system like Sjögren’s Syndrome can also cause the disease.
Anaemia, Vitamin B12 deficiency, malnutrition, alcoholism, sprue, crohn’s disease, Aids can also cause the disease.

Symptoms of Median Rhomboid Glossitis

A bald or smooth tongue, with depapillation of the dorsal surface of the tongue leaving a smooth surface, It may or may not be associated with pain or swelling. The symptoms may or may not go of their own.
It is easily diagnosable by a qualified physician. Who might prescribe anti fungal, anti bacterial or anti viral drugs. He may also prohibit use of alcohol, very cold or very hot and spicy food for the time being.

Median Rhomboid Glossitis Symptoms
Median Rhomboid Glossitis Symptoms

Cure for Median Rhomboid Glossitis

  1. Good oral hygiene including brushing twice a day and flossing at least once a day.
  2. Antibiotics and other medications would be prescribed to treat the infection.
  3. Change in dietary habits would be suggested to rebalance nutritional deficiencies.
  4. A practitioner would also insist on restriction on use of alcohol, tobacco and spicy food to reduce discomfort caused by the disease.
  5. Cure in most cases is readily available and should be sought.
  6. Ayurveda has also a fairly good regime for the treatment of the disease. An added advantage of subscribing to Ayurveda cure is it that it tries to balance cough,pitta and vatta in the entire system.
  7. Ayurveda looks at the body from the holistic point of view and believes that diseases are symptomatic of imbalance in the body system.

Will the disease go away on its own?

In most cases the treatment would suffice, however in case tongue gets swollen and starts blocking the airway immediate medical attention is required. It may be symptomatic of a more serious underlying cause.

In most cases the treatment would suffice, however in case tongue gets swollen and starts blocking the airway immediate medical attention is required. It may be symptomatic of a more serious underlying cause.

Home Remedies of Median Rhomboid Glossitis

Median Rhomboid Glossitis home remedy
Median Rhomboid Glossitis home remedy

Here is a list of to do items at least initially.

  1. Maintain good oral hygiene. Brush your teeth with a soft brush, floss and use a good mouth wash to keep your tongue free of infection.
  2. Aloe Vera .has excellent anti-oxidant and anti bacterial properties. It is very effective in reducing soreness associated with an infection.
  3. Baking soda is an excellent mouth wash and contributes to oral hygiene.
  4. Milk of magnesia reduces stomach acid and may reduce the itching or painful sensation on the tongue.
  5. Hydrogen peroxide is a readily available home remedy for any infection. Hence it can be safely applied to the tongue lesion. After applying it leave the area undisturbed for 5- 10 minutes.
  6. Gargling with Salt water. It would reduce the painful sensation on the tongue area and clear the oral cavity of any residual bacteria. It would also improve the tooth hygiene.
  7. Honey has multiple health benefits ranging from reduced blood pressure to improved cholesterol, to lowering triglycerides. It is also rich in antioxidants and contains various nutrients.
  8. Coconut oil: Apart from improving brain function, Coconut oil can kill bacteria , viruses and fungi. Its application locally would be beneficial. Apply it for 10-15 minutes thrice daily for a couple of weeks.

Complications in Median Rhomboid Glossitis

There are not many except for rare cases as mentioned underneath.To summarize glossitis is easily treatable and largely preventable. Only chronic cases would need constant medical attention.

Q and A

Is glossitis cancerous?

Only in very rare cases does it show malignancy. Otherwise it is a benign disease easily treatable with over the counter drugs.

Why does anemia cause glossitis?

Certain diseases can cause glossitis, especially those where nutritional deficiencies occur, such as celiac disease, protein-calorie malnutrition, and pernicious anemia. Diseases that attack the immune system, such as Sjögren’s Syndrome, can cause changes in the mouth that lead to glossitis

What causes black hairy tongue?

Too much bacteria or yeast in the tongue grow upon papillae, tiny projections on the tongue. This makes the tongue look dark and hairy.

Can dehydration cause swollen tongue?

Yes , dehydration can cause the tongue to swell.

What does tongue cancer look like?

A lesion on the tongue that does not go away with time is the most common symptom of cancer of the tongue. Red or white patches on the lining of the mouth or the tongue can also be symptomatic of the cancer.

What is oral thrush?

Yeast like fungus over grows in the mouth and throat. It needs medical attention and can be caused by many factors like smoking, dentures medications, pregnancy etc.

Why is my tongue red and sore?

It could be a physical damage to the tongue caused by a bite or by consuming hot food or drink. It might also be a symptom of ulcer, oral thrush, A viral infection or deficiencies of iron or Vitamin B12.

Can low iron make your tongue sore?

Yes, tongue might become pale , It can also lead to dry mouth and sore red cracks . An Hemoglobin check is the best way of resolving the malady. If the result indicates deficiency than iron tablets should have a remedial effect.

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