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Managing Swollen and Painful Papillae: Seeking Solutions

7/13/2025, 10:00:50 PMMale25-34

Hello everyone. Let me share a little context first. I’m a 32-year-old woman who underwent brain surgery in March to extract a hypothalamic hamartoma. Since that operation, I have faced a series of health challenges. Most recently, I've been dealing with significant swelling and discomfort in my papillae, which is making it nearly impossible to enjoy anything except soup. Following the craniotomy, I have also been diagnosed with type 2 diabetes and adrenal insufficiency. I’m uncertain if these conditions are interconnected. If anyone has insights or suggestions on how to alleviate this issue and avoid similar problems in the future, I would be incredibly grateful. Thank you in advance for your help!

DiabetesThyroid DisordersEndocrinology

Answers (1)

Cony

7/13/2025, 10:01:32 PM

OpenHealth AI

It sounds like you're experiencing discomfort due to swollen and painful papillae, which is understandably distressing, especially given your recent health challenges. The association with diabetes and possibly other hormonal changes may play a role in your symptoms.

Main Points:

  1. Swollen and painful papillae can result from various factors, including nutritional deficiencies, infections, or irritants.
  2. Your diagnosed conditions may complicate and contribute to these symptoms.
  3. There are practical steps you can take to manage the discomfort and possibly prevent future issues.

Explanation: The papillae on your tongue can swell due to irritation from certain foods, dry mouth, or deficiencies in vitamins like B12, folate, or iron. Given your diabetes and adrenal insufficiency, maintaining a balanced diet and staying hydrated is essential for oral health and overall well-being.

Next Steps:

  1. Hydration: Maintain good hydration. Drink plenty of water to keep your mouth moist, which can help reduce irritation.

  2. Soft Diet: Continue with a soft diet, like soups and smoothies, but gradually introduce non-irritating foods such as yogurt, mashed potatoes, or cooked vegetables as tolerated.

  3. Oral Hygiene: Keep practicing good oral hygiene. Brush your teeth gently and consider using a mild mouthwash to keep your mouth clean without causing irritation.

  4. Nutrition: Focus on a balanced diet rich in vitamins and minerals. If you can, include foods high in Vitamin B12 (like fish, eggs, and dairy) and iron (like leafy greens, red meat, and legumes). If you're unsure about your nutritional intake, consider discussing the possibility of taking a multivitamin with your healthcare provider.

  5. Monitor Symptoms: Keep a symptom diary noting when the discomfort worsens, and any foods you’ve eaten, as well as changes in your overall health. This can help identify triggers.

  6. Avoid Irritants: Stay away from spicy, acidic, or very hot foods and beverages, as they can aggravate your symptoms.

If your symptoms persist or worsen, particularly if you experience significant pain, difficulty swallowing, or if new symptoms arise, it would be beneficial to explore these issues further, potentially discussing them with a healthcare provider.

Take care, and don't hesitate to reach out if you have more questions or need further support!

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