I started getting a sharp pain on the left side of my tongue one day about 9 months ago, but only when taking. Over the months it gradually affected my whole tongue. It's only when I'm talking and the feeling ranges from a stinging pain, burning, tightness and it radiates throughout the tongue at times. A month into this, I was talking and almost felt like I pulled a muscle on the right side of my throat. At this point, I can talk and no one has commented that anything sounds different, however the tongue tightness/stinging/burning and tight throat occurs all the time when I talk and is sometimes a struggle to keep talking. It also feels like I have a lump in my throat and I seem to wake up every morning trying to swallow the phlegm stuck in my throat. When I stop talking and/or eat something, it gradually relieves the discomfort. I went to a neurologist who concluded I had full strength and range of motion in my tongue and, even with the fasciculations I have everywhere (except on my tongue). sensory feelings versus weakness didn't suggest ALS. Any thoughts?
Your symptoms sound more like a bad case of gastric reflux, either due to acidity or lax esophageal sphincter or due to hiatal hernia (part of stomach forms a hernia into chest cavity). This can cause pain along throat, a feeling of something in the throat, phlegm, and pain in mouth/tongue/throat due to the chemical burn caused by acid from the stomach.
Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications (under medical supervision) like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals or H-2 blocker such as ranitidine for complete relief. Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment.
Life style changes that will help include: Drink cold milk. Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Avoid lying down for least 2 hours after food. Take a late night snack. Maybe these tips will help you.
If these tips do not help, then liver function test, pancreatic enzymes, and HIDA scan for gall bladder should be done. Food intolerance and inflammatory bowel conditions such as IBS, Crohn’s, celiac etc should be considered. Log in what you eat and see if there is a correlation between a certain food type and the symptoms.
You should consult a gastroenterologist (a specialist who looks after the diseases of our digestive system) or a physician for this.
The other possibility is low vitamin B 12. Take care!
The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
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