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Fissured tongue is a benign condition characterized by deep grooves in the dorsum of the tongue. Although these grooves may look unsettling, the condition is usually painless. Some individuals may complain of an associated burning sensation. [3]
A burning sensation in the mouth may be primary (i.e. burning mouth syndrome) or secondary to systemic or local factors. [1] Other sources refer to a "secondary BMS" with a similar definition, i.e. a burning sensation which is caused by local or systemic factors, [16] or "where oral burning is explained by a clinical abnormality". [17]
Transient lingual papillitis is generally diagnosed based on patient presentation, meaning where it is located in the mouth and how big the bump is. [8] The visual presentation can also accompany various signs and symptoms such as difficulty eating, having a "strawberry tongue", increased saliva production, and a burning or tingling sensation. [9]
The tongue is only one of the 10 ways you can see disease written all over your face. There are a whole host of other reasons for bumps on the tongue. Bumps on the tongue come in many other varieties.
Cleft tongue (bifid tongue) - completely cleft tongue is a rare condition caused by a failure of the lateral lingual swellings to merge. [4] More common is an incompletely cleft tongue, appearing as midline fissure. This is normally classed as fissured tongue.
Rarely are there any symptoms associated with the lesions, but occasionally a burning sensation may be present, which is exacerbated by eating hot, spicy or acidic foodstuffs. Some consider geographic tongue to be an early stage of fissured tongue, since the two conditions often occur in combination. [22]
Fissured tongue (grooves in the tongue). [2] Enlargement of the mucous membrane of the mouth, which may be associated with cobblestoning and mucosal tags (similar lesions often occur on the intestinal mucosa in Crohn disease). [2] Enlargement of the perioral and periorbital soft tissues (the tissues of the face around the mouth and the eyes).
The cause is unknown, but the condition is entirely benign (importantly, it does not represent oral cancer), and there is no curative treatment. Uncommonly, geographic tongue may cause a burning sensation on the tongue, for which various treatments have been described with little formal evidence of efficacy.