When the main reason for the glossitis is uncovered the condition may usually be quickly reversed. All ulcerated lesions that fail to heal after 1-2 weeks should be biopsied.
Symptoms
The manifestations of glossitis vary immensely depending on the cause and the patient's own response to the initiating factor. Often, the severity of the lesions does not correlate with the patient's report on symptom severity.
As the tongue is often a valuable mirror for disease in the body (particularly in Chinese medicine) a patient presenting with glossitis should be studied closely on a systemic level.
Suggested Nutritional Supplementation
Pellagra, pernicious anemia, smoking, mechanical irritation: Reddened edges and tip of tongue. Also heart disease
(Chinese medicine). In later states of pellagra the entire tongue is fiery red, ulcerated and swollen.
Iron and B12 Deficiency:
The tongue is pale and smooth.
- Hemagenics - 3 tablets daily with food.
Nutritional support for red blood cell formation.
Painful Ulcers:
Aphthous ulcers, strep infection, pemphigus, etc.
- Ultra Potent C-1000 - 2-3 tablets 2-3 times daily.
A vitamin C metabolite admixture proven to enhance the functional activity of vitamin C's immune stimulating
properties.
- Glycogenics - 3 tablets daily with food. Homocysteine/balanced B-Complex Formula.
- Ultra Flora Plus - 2 capsules twice daily.
Contains highly viable, pure strains of Lactobacillus acidophilus (NCFM strain) and Bifidobacteria infantis, guaranteed to contain at least 7.5 billion living organisms of each strain at expiration.
- Colloidal Silver - use as a mouth rinse and swallow 2-3 times daily.
White Patches:
Leukoplakia, Candidiasis, lichen planus, syphilitic mucus patch.
- 500-C Methoxyflavone - 6 tablets daily with food. Certified active hesperidin/methoxyflavone complex
- Mycelized Vitamin A - 10 drops 3 times daily. Enhanced absorption vitamin A.
- Ultra Flora Plus - 2 capsules twice daily.
- Contains highly viable, pure strains of Lactobacillus acidophilus (NCFM strain) and Bifidobacteria infantis, guaranteed to contain at least 7.5 billion living organisms of each strain at expiration.
Geographic/Wandering Tongue:
Asymptomatic presentation of denuded red patches "wandering" across the surface of the tongue. Caused by rapid growth and loss of filiform papillae.
- Glycogenics - 6 tablets daily with food. Homocysteine/balanced B-Complex Formula.
Hairy Tongue:
Elongation of filiform papillae in the median dorsal area that may stain brown to black because of tobacco smoke, food or chromogenic bacterial overgrowth. Often seen with antibiotic use, fevers, decreased salivation, and use
of oxygen-freeing mouthwashes.
- DMG Sublingual - 2-3 tablets daily. Increases oxygen and immune enhancement.
- Bio-Guard - 2 droppers daily.
- Micellized antioxidant formula.
Moeller's Glossitis:
Slick, shiny/glazed tongue.
- Hemagenics - 3 tablets daily with food.
Nutritional support for red blood cell formation.
- Glycogenics - 3 tablets daily with food. Homocysteine/balanced B-Complex Formula.
Severe, Acute Glossitis:
Usually a result of trauma, burns or infection. May develop rapidly with swelling and pain. May present a significant danger by blocking the airway. Chewing, speaking and swallowing can be so painful as to be impossible to perform.
- 500-C Methoxyflavone - 6 tablets daily with food. Certified active hesperidin/methoxyflavone complex.
- Bio-Guard - 2 droppers 1-2 times daily
Micellized antioxidant formula.
Glossodynia/Glossopyrosis:
Painful, burning tongue, often without lesions visible to explain the pain. This is mostly seen in post-menopausal women.
- Glycogenics - 3 tablets daily with food. Homocysteine/balanced B-Complex Formula.
For all acute inflammation of tongue add:
- HP 1 Pain & Inflammation - 4 tablets 3-4 times daily on an empty stomach. Homeopathic formula for inflammation, swelling and pain.
Signs associated with various specific nutrient deficiencies:
Biotin:
Geographic tongue; lingual papillae atrophy
- Glycogenics - 3 tablets daily.
Homocysteine/balanced B-Complex Formula.
Riboflavin:
Soreness and intraoral burning; cheilosis; angular stomatitis; glossitis with magenta tongue.
- Glycogenics - 3 tablets daily.
Homocysteine/balanced B-Complex Formula.
Niacin:
Intraoral burning; glossitis; tongue swollen, red tip and sides; swollen, red fungiform papillae; inflamed and atrophied filiform papillae.
- Lipotain - 1-2 tablets twice daily.
Nutritional support for healthy lipid levels with a unique, natural non-flush form of niacin.
Pyridoxine:
Intraoral burning glossitis; mucosal ulcerations and erosions; cheilosis.
- Pyridoyal-5' Phosphate - 2 tablets daily with food.
The active form of B6.
Folic Acid:
Gingivitis; glossitis with atrophy or hypertrophy or filiform papillae; cheilosis.
* Intrinsi B12/Folate - 2-4 tablets daily with food.
B12 and folate with intrinsic factor.
Cobalamin:
Intraoral burning; mucosal erosions and ulcerations; painful glossitis with beefy or fiery red, atrophied tongue.
• Intrinsi B12 and Folate - 2-4 tablets daily with food.
B12
and folate with intrinsic factor.
Vitamin C:
- Sore and bleeding gums; gums deep blue color; loose teeth; follicular hyperkeratosis.
- 500-C Methoxyflavone - 6-8 tablets daily with food. Certified active hesperidin/methoxyflavone complex.
Iron:
Cheilosis; atrophic glossitis; gingivitis; Candidiasis; intraoral pain or burning; mucosal ulcerations and erosions;
pallor
- Hemagenics - 3 tablets daily with food.
Nutritional support for red blood cell formation.
Dietary Suggestions
- FirstLine Therapy®Diet
