It's often caused by an infection, but can also sometimes happen as a result of a throat injury. Features of "COVID tongue" include tongue discoloration, enlargement, mouth ulcers, and more. Glossitis could also appear due to conditions such as. "In the tongue, there can be a lot of COVID." You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Prevalence of mucocutaneous manifestations in 666 patients with COVID19 in a field hospital in Spain: oral and palmoplantar findings. If your tongue feels or looks unusual, it could be a sign that you have another type of virusor that you just ate something that irritated you, according to Dr. Russo. 2020;97:326-328. doi:10.1016/j.ijid.2020.06.012. Sore throats may be caused by a viral illness, such as: The common cold. Altogether, these unusual symptoms of COVID-19 were a part of a growing list that seemed to change on a weekly basis with patients experiencing new and undiagnosed problems. Dr. Fernando said it's unlikely that you would just develop COVID tongue. Other possible causes could be a throat injury, allergic reaction, ingesting certain chemicals, or smoking. "We found . And that can lead to symptoms like tongue bumps and tongue swelling. And for the side effect cropping up most in Pfizer patients, check out The One Side Effect That's Much More Common With Pfizer, Data Shows. That means up to 20 percent of cases could be going unaccounted for while people continue to spread . Theres also a chance that COVID-19 treatments could be indirectly causing mouth problems. Its common for illnesses and infections to cause changes to your tongue. (2021). After the start of the COVID-19 pandemic, reports trickled in about unusual symptoms of COVID-19. Some people infected with the coronavirus might have "COVID tongue."The condition may involve a painful rash, swelling, or discoloration on patients' tongues.One A loss of taste is a known COVID . Medical illustration of the interior of the human mouth, showing the tongue, soft palate, uvula, and tonsil; engraving, 1902. close-up of a young man shouting - uvula stock pictures, royalty-free photos & images muscle pain. Also, the longer-than-normal papillae can easily trap cells that have shed, which become stained by tobacco, food or other substances. Results One patient had serologically confirmed COVID-19, whilst the remaining two cases were only suspected. If it was me and I didnt know why my mouth was like this, I would go and do a COVID test just to cover all the bases," Gulick says. Keeping your mouth moist should help with discomfort., If you do have problems after surgery, you should contact your doctor immediately. Sore throat. Avoid foods such as crackers, chips, popcorn, and raw fruits and vegetables.. In obese or overweight patients, the tongue may be raised upwards making the distance between the tongue and palate much smaller. Right now, there are a lot of unanswered questions about COVID tongue. It may not be that the mouth is vulnerable to the new coronavirus, but that Covid-19 may set up an immune circumstance such that other viruses such as herpes labialis the herpes virus above the waist, or herpes simplex virus type 1, which causes an infection of the lips, mouth, or gums may perhaps activate, Schaffner said. Uvulitis is severe swelling of your uvula. When doctors studied 666 patients with Covid19 in Spain, more than a tenth of them 78 exhibited oral cavity findings, according to a study published in the British Journal of Dermatology. (2020). "Oral health is an important and vital part of overall health, and the ADA is continuing to examine the connection between the two as it relates to COVID-19," the association said in a statement. While early evidence suggests that death and severe sickness are less likely with Omicron COVID-19 infections, any of the following symptoms may present within 2 to 14 days after being exposed to. British J Dermatol. A cross-sectional study at a field hospital. (2020). Any injury to the uvula Acid reflux or vomiting Uvulitis is usually characterized by symptoms like swelling of the tonsils, sore throat, difficulty while breathing or swallowing, excessive salivation, gagging or regurgitation, sensation of something getting stuck at the back of the throat, pain and even fever. Her work has been published in medical journals in the field of surgery, and she has received numerous awards for publication in education. Dr. Fernando explained it this way: Your cells contain enzymes called ACE receptors, which SARS-CoV-2 latches onto. This is known as COVID tongue and its still being studied. Read our, Researchers Identify 6 Types of COVID-19 Based on Symptoms, Preliminary Studies Link Mouth Problems to COVID, Study Explores How COVID-19 Damages the Brain Without Ever Entering It, Loss of Sense of Smell May Be Best Sign of COVID-19, Studies Find, Overview of Transient Lingual Papillitis (Lie Bumps), What to Know About Pulmonary Embolism and COVID-19, Dry Mouth: Symptoms, Causes, and Treatment, Sialolithiasis Symptoms, Diagnosis, and Treatments. However, good oral hygiene and mouth care are essential to your overall health. Signs of "Covid tongue" include inflammation of the small bumps on the tongue's surface, a swollen and inflamed tongue, or indentations on the side. Patients "are usually wearing a mask, and I don't ask them to take their mask off," Dr. Watkins told Health. Usually, they will have a touch of . Researchers still need to determine whether any mouth and tongue issues are indeed related to Covid-19, he added. Reports are surfacing of a possible new symptom of COVID-19 related to your mouth. There may be another addition to the growing list of strange possible symptoms of the new coronavirus: Covid tongue.. As more data from hospitals around the world come in, we might get a better idea of how common COVID tongue is. The doctor or nurse might use a torch to see into. But you can run into problems if it's larger than normal. The tonsils at the back of your throat will be red and swollen. Rates of recovery are also improving for people hospitalized with COVID-19 as doctors learn how to best treat the infection. Tim Spector recently reported COVID tongue as a thing but said it affects less than one in 100 people in their research database of COVID cases," says Hills. a headache. Among those who do react to the vaccine, the most commonly reported side effects are pain and redness at the injection site, with tiredness, headache, muscle pain, chills, fever, and nausea presenting as well. Sofi-Mahmudi A. However, because COVID tongue symptoms include swelling and inflammation, it's possible that any remedies that help with tongue swelling can help with an instance of COVID tongue. Will Covid tongue be placed in a similar category? Recent evidence from clinical trials have found that some of the RSV. Your doctor will let you know when youre fully recovered from uvula removal surgery. Glossitis could also appear due to conditions such as allergic reactions (e.g., to oral care products or food), mouth-related skin conditions, mouth injuries, hormones, or some vitamin deficiencies. problems swallowing. Besides the symptoms listed above, other COVID-19 symptomsper the CDCyou may want to look out for that might accompany a swollen tongue include: The bottom line is that you don't want to ignore bumps or inflammation of your tonguebut don't panic if you develop one of these symptoms, either. Healthcare providers may prescribe one. "There are a lot of ACE receptors in the tongue, so the virus concentrates very heavily in this region," said Dr. Fernando. If you have any unusual mouth or tongue changes, tell your healthcare provider. Since then, more than 50 million cases occurred in the United States alone. She holds a Masters in Psychology concentrating on Behavioral Neuroscience. Infection with SARS-CoV-2 elicits an array of clinical manifestations that mostly include fatigue, fever, dry cough, and others ranging from mild to severe [ 2 ]. When COVID tongue is more severe and doesnt respond to overall treatment, you might receive specialized treatment. Korin Miller is a freelance writer specializing in general wellness, sexual health and relationships, shopping, and lifestyle trends, with work appearing in Womens Health, Self, Prevention, Forbes, Daily Beast, and more. He believes more than a third of COVID-19 patients, 35 percent, have non-classic symptoms of the disease in the first three days, so its important to draw attention to skin rashes, Covid toes and other warning signs that go ignored, he wrote. Despite reports of the phenomenon, experts say that there is not yet enough research to say whether "COVID tongue" is real. But as COVID-19 cases continue, new symptoms are documented, including a rare symptom known as COVID tongue. It was common for patients also to say they felt a burning sensation in their mouth and a loss of taste. If you speak, say, French, German, Hebrew, or Farsi, to name a few languages, you use your uvula to form certain sounds though you may not be thinking about it. . HSV-1 reactivation is associated with an increased risk of mortality and pneumonia in critically ill COVID-19 patients. Mylapalli, H.M. Covid tongue: a new symptom of Covid-19. How Long Does COVID-19 Last? Tonsillitis can feel like a bad cold or flu. When your uvula is infected, it becomes swollen and red. We avoid using tertiary references. For COVID-19 tests, a 'monoclonal antibody' - which matches the virus or part of the virus exactly - is attached to a special strip in a test cartridge. Well discuss in detail. 2021;184(1):184-185. doi:10.1111/bjd.19564. Gulick says that a COVID-19 infection in the salivary gland could decrease secretion in the mouth and cause dry mouth. What Are the First Signs of Monkeypox? While the CDC and other health organizations do not list COVID tongue among COVID-19 symptoms, some doctors reported instances of it. Causes Uvulitis is mainly caused by an infection with streptococcus bacteria. Common coronavirus symptoms include having a high fever, and developing a new, continuous cough. Often they recover without contacting a doctor at all, so their symptoms are never recorded. Muscle or body aches. "All of these oral and mucocutaneous manifestations tend to be nonspecific," said Dr. Russo. May macroglossia in COVID-19 be related not only to angioedema? Red, swollen uvula Fever and sore throat Difficulty swallowing Patients with COVID-19 may present some oral manifestations. Once you are, your mouth should feel pretty normal., But in some moments, your mouth may feel dry or uncomfortable. However, there are several mechanisms that could explain the link. You might feel more pain during the first days after your surgery. Tongue swelling can quickly become a medical emergency if your airway becomes blocked. Other yet-to-be confirmed sensations include fizzing, or a tingling feeling reported by some Covid-19 patients. Public health officials tend to say people will recover within two weeks or so. Coronavirus and tonsillitis can have similar symptoms, such as fever and sore throat, but Cooper experts have put together a guide to help you differentiate the two. The palatine uvula, usually referred to as simply the uvula, is a conic projection from the back edge of the middle of the soft palate, composed of connective tissue containing a number of racemose glands, and some muscular fibers. The test that's currently in use for COVID-19 is known as a nasopharyngeal swab test. The Innova test, used in Liverpool . Mononucleosis. A case report published last June documented a similar scenario. One patient tested positive for COVID-19 and soon after experienced a series of conditions, including a herpes infection, oral thrush, and a geographic tongue. Verywell Health's content is for informational and educational purposes only. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Treatment options for swollen tongue include: Read this for more information about swollen tongue. new loss of taste or smell. 2021;184(1):184-185. doi:10.1111/bjd.19564, Jimenez-Cauhe J, Ortega-Quijano D, de Perosanz-Lobo D, et al. Youll need pain medicine to help as your throat heals., Eat soft foods. Read on to learn more about this unusual COVID-19 symptom. Centers for Disease Control and Prevention (CDC). A few hours later he reported throat discomfort, feeling his uvula was larger and touching the back of his tongue. You And Your Friends Have COVID-19. Coronavirus disease (COVID-19), caused by SARS-CoV-2, has a string of symptoms that include cough, fever, and difficulty of breathing. Hills says that in her mind, "its really difficult to make an association between a disease and a symptom thats showing up that infrequently.. Colombo D, et al. Bleeding, infection, and swelling of the throat, Rarely, scar tissue that narrows your airway, Damage to your muscles in your throat and soft palate. Having a dry mouth, in turn, could prompt other oral issues that have also been linked to COVID-19, such as teeth decay and teeth that have fallen out. New loss of taste or smell. What are the signs and symptoms of uvulitis? Abnormal findings include deviation of the uvula from the midline, an asymmetrical rise of the soft palate or uvula and redness of either. But right now, even less is known about how many people in this group develop COVID tongue. 2005-2022 Healthline Media a Red Ventures Company. The treatment for a swollen tongue is designed to reduce the swelling and relieve pain and discomfort. Content is fact checked after it has been edited and before publication. Preliminary studies connecting COVID-19 to mouth problems have been mainly observational and focused on a small number of people. Previously,she was a writer, editor and producer at CNN. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. You can get your uvula removed even if your snoring isnt related to sleep apnea., If you snore really loud or stop breathing altogether during sleep, you might have OSA. Your uvula is also considered an organ of speech. The American Dental Association said it has been tracking developments of tongue and mouth issues experienced by COVID-19 patients since early on in the pandemic. Verywell Health content is rigorously reviewed by a team of qualified and experienced fact checkers. Tonsils are graded on a scale from 0 to 4. There's still not a lot of information on the difference between symptoms of the omicron variant and other COVID-19 variants, if there are any, but the CDC recently released a briefing with the most commonly reported symptoms. JAMA Dermatol. Mouth breathing or dry mouth may also be linked to yellow tongue. Mouth lesions and spots on the palate may be a new symptom of the novel coronavirus, a new study suggests.. You should try to avoid doing difficult activities for a while. Thank you, {{form.email}}, for signing up. The epiglottis is a flap of tissue that sits beneath the tongue at the back of the throat. Your uvula may be red and swollen. It can also be a reaction to an allergy or injury. Your uvula sits in front of your throat. But just like many things about COVID-19, theres a lot we dont know right now about COVID tongue. A longer or swollen uvula could cause problems for your windpipe., If its too long. Symptoms of Coronavirus. Is It Possible To Have an Allergic Reaction to COVID-19? Try to stop smoking as it can make your healing process more difficult. Hand-washing with soap and water for 20 seconds is effective at killing germs. ", It's important to point out that what's been dubbed "COVID tongue" isn't necessarily unique to COVID-19. As of September 2022, there have not been any treatments identified that may alleviate COVID tongue specifically. They sometimes find bumps or open areas called ulcers on their tongue. As a health journalist, Korin has reported heavily on everything from COVID-19 to mental health, with a little of everything in between. Nuno-Gonzalez A, Martin-Carrillo P, Magaletsky K, Rios M, Maas CH, Almazan JA, et al. Nuno-Gonzalez A, et al. But he wouldn't consider Covid tongue as a diagnostic tool for the disease at this time just because it seems to occur in a very small proportion of people, he noted. By Jocelyn Solis-Moreira The American Academy of Otolaryngology-Head and Neck Surgery could not immediately comment about whether cases of mouth and tongue issues have been reported by COVID-19 patients. Some symptoms of COVID-19 might linger for weeks or even months. Of that group, 11 percent had inflammation of the small bumps on the tongue's surface; 6 percent had a swollen and inflamed tongue with indentations on the side; 6 percent had mouth ulcers; 4 percent had "patchy" areas on the tongue; and 4 percent had tissue swelling in the mouth. On examination, pharyngeal erythema and blanching of the lower half of the uvula were noted, consistent with uvular necrosis. February 01, 2021 'COVID tongue' may be another early indication of coronavirus infection Researchers are investigating complaints of discoloration and swelling people diagnosed with COVID-19 Contact your healthcare professional immediately if you notice that your tongue swells. This is the small tongue-shaped tissue that hangs from the top of the back part of the mouth. We currently dont know how many people get COVID tongue or what causes it. More information about COVID tongue will be available as doctors learn more about COVID tongue and more research occurs. To check the uvula, a tongue blade is pressed down on the patient's tongue and the patient is asked to say "ah"; the uvula should look like a pendant in the midline and rise along the soft palate. Uvulitis is most often caused by an infection. In obese or overweight patients, the tongue may be raised upwards making the distance between the tongue and palate much smaller. Do not drive yourself to the ER because your condition could worsen on the way. Gulick points out that for safety reasons, healthcare providers have reduced the number of exams they perform that require a patient to take their mask off. Are oral mucosal changes a sign of COVID-19? The reports initially came from England where Tim Spector, a researcher at King's College London, was tracking COVID-19 symptoms in British patients. : literature review and a new theory., Collins, B., Mees, I. Geographic tongue doesnt generally cause pain or other health concerns, but flare-ups can make it difficult to eat spicy foods. In March 2020, the World Health Organization (WHO) declared a pandemic in response to the spread of the COVID-19 infection. Additionally, your throat may feel sore, and you may find swallowing difficult and painful. The information in this story is accurate as of press time. The researchers went on to sample saliva from COVID-19 patients and found that, since mouth cells slough off into our spit, they could detect infected cells floating in the samples. Case reports also documented COVID-19 tongue, but more information is needed to answer important questions about this symptom. Often the cause is not known. This could include: COVID-19 may cause the tongue to swell. Therefore, following the CDC's guidelines for what to do when you get sick from COVID-19such as getting rest, staying hydrated, and taking over-the-counter (OTC) medicationsmay be helpful. Its too early to tell if there are mouth and tongue problems related to COVID-19 infections. The main symptoms in children and adults are: a sore throat. The letter even includes photos so that you can see close-ups of (a) a swollen COVID tongue and (b) a patchy, bumpy COVID tongue. Uvulitis Many parts of your body and mouth can become inflamed, and your uvula is no exception. Omicron Symptoms Can Look Like AllergiesHere's How to Tell the Difference. Hand sanitizer with at least 60% alcohol can be effective in killing some viruses, including the new coronavirus, but . The uvula is the small piece of tissue that hangs in the back of your throat. ", Mount Sinai: Uvulopalatopharyngoplasty (UPPP).. Find out why constipation is an uncommon, yet possible, symptom of COVID-19, and when you should see a doctor. From there, the virus gets into your cells, replicates, and makes you sick. When you were a child, you might have looked in the mirror at the inside of your mouth and wondered about that dangling thing at the back of it. Alternative Names Swollen uvula Causes What To Expect if You Contract the Virus. Other researchers have also reported tongue and mouth symptoms linked with the new coronavirus. Until there's more data, it's too early to add "COVID tongue" to any official symptom lists, but dentists, oral surgeons and other doctors looking inside people's mouths should be aware it might be one of the early signs of infection, he noted. Coronavirus disease 2019 is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), an enveloped RNA virus and a member of the Coronaviridae family [ 1 ]. Two patients reported pain from the palate, whilst the third reported in the tongue. If you have a strange symptom or even just headache and fatigue stay at home! Tim Spector, a professor of genetic epidemiology at Kings College London, tweeted this month. Others, like Richard Watkins, MD, an infectious disease physician and professor of internal medicine at the Northeast Ohio Medical University, haven't seen this in COVID-19 patients, but there could be a reason. He began noticing an increasing number of patients with tongue discoloration, enlargement, and other mouth problems. You might not need treatment targeted to COVID tongue. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Adding to the not-so-common symptoms is COVID tongue. Integrative Med Resear. Uvulitis is usually caused by an infection, an injury to the back of the throat, or an allergic reaction. If you think you could have COVID-19, the best step you can take is getting tested. If you have COVID-19 and are experiencing any mouth or tongue health concerns, talk with your doctor. At the very least, if there was an acute inflammatory response, Gulick says that good oral health wont make the problem any worse. Usually, someone who sleeps near you is the one wholl let you know if you stop breathing., You may wake up not feeling refreshed and feel very tired during the day. ", Intermountain Healthcare: Uvula Removal Surgery., Journal of Advances in Linguistics. Gaddy HL. However. British Association of Dermatologists /. The infamous cytokine storm associated with COVID-19, which causes the body's immune system to turn on itself could also be a reason behind such a lingering COVID-19 symptom. DR. NICOLE SAPHIER ON WHAT YOU CAN LEARN FROM NEW COVID-19 STRAINS Among the most common were peeling skin (25%), reddish-brown blemishes on the hands and feet (15%) and painful, swollen bumps on. Even when people with mild or moderate COVID-19 do seek treatment, they often wear masks or use telehealth for a video appointment. Prevalence of mucocutaneous manifestations in 666 patients with COVID-19 in a field hospital in Spain: oral and palmoplantar findings, Maintaining good oral hygiene (e.g., brushing at least twice per day and flossing at least once per day), Avoiding foods or other substances (e.g., tobacco) that could cause tongue irritation, Taking antibiotics or other medications for infections, Making any diet changes or utilizing supplements for nutritional issues, Muscle or body aches, including headaches. Getty. The condition can present the same way as COVID tongue: A person might have a sore or swollen tongue, or their tongue could appear pale. Congestion or runny nose. It is thus advised to consult a physician or doctor as soon as signs of COVID Tongue are observed and get tested for the coronavirus infection. IE 11 is not supported. Learn what COVID-19 rashes look like, how they can be treated, and when its important to see a doctor. , Ear, Nose & Throat Journal: Uvulectomy in the Office Setting. , Hebrew Higher Education: "ATTENDING TO PRONUNCIATION ISSUES IN TEACHING MODERN ISRAELI HEBREW. The reports initially came from England where Tim Spector, a researcher at Kings College London, was tracking COVID-19 symptoms in British patients. Have someone stay with you until help arrives. Is this a new indicator of COVID-19 infection? This is the small tongue-shaped tissue that hangs from the top of the back part of the mouth. However, an increasing number . You can learn more about how we ensure our content is accurate and current by reading our. Anju Goel, MD, MPH, is a public health consultant and physician with more than 10 years of experience in the California public health system. That makes it difficult for medical professionals to see their tongues and document any abnormalities. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. , Clinical Otolaryngology and Allied Sciences: Why do we have a uvula? It's not clear whether "COVID tongue" and other mouth symptoms are really indicators of infection with the virus. People react differently to different illnesses, said Dr. Waleed Javaid, director of infection prevention and control at Mount Sinai Downtown in New York. (2020). Usually, the inflammation is due to an infection. For many people, calling 911 means help will reach you faster than going to an ER. . Seeing increasing numbers of Covid tongues and strange mouth ulcers. But it can also be the result of poor mouth hygiene,. Ohio Appointments 216.444.8500 Appointments & Locations Request an Appointment Function Anatomy What looks like COVID tongue could easily be a symptom of a different viral or bacterial infection. Many people with COVID-19 have mild or moderate symptoms and can recover at home. Is COVID Tongue a Real Symptom? Healthline Media does not provide medical advice, diagnosis, or treatment. Rest. The ACE2 receptors targeted by the COVID-19 virus are present in the lungs and several mouth areas, including the salivary glands. The information in this article is current as of the date listed, which means newer information may be available when you read this. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. Another reason there are many questions about COVID tongue is that there are several possible causes. Oral Diseases. The condition can be painful. Stomach Flu vs. COVID-19: Here's How To Tell the Difference, 8 Types of Rashes That Can Be a Sign of COVID-19, What To Do About a Lingering Cough After COVID. From asymptomatic to symptomatic, the virus causes a wide spectrum of presentations. Along with the more well-known symptoms of COVID-19, some people experience bumps, ulcers, swelling, and inflammation of the tongue. A swollen uvula can cause a sore throat,. Chronic cough is a distressing symptom for patients and parents in paediatric practice. However, as the situation surrounding COVID-19 continues to evolve, it's possible that some data have changed since publication. (Later, the Centers for Disease Control and Prevention [CDC] included loss of taste and smell in the list of COVID-19 symptoms.) "I've seen a few," Rajeev Fernando, MD, an infectious disease physician working in field hospitals nationwide, told Health. Further symptoms, according to the World Health Organization, include tiredness, aches . When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. The human papillomavirus (HPV) can cause an infection that can lead to warts almost anywhere over the body, including the tongue, if a person contracts it. Reports are surfacing of a possible new symptom of COVID-19 related to your mouth. Gulick also says that reports of "furry tongues" could be from steroids such as dexamethasone that cause an immunosuppressed state, which can make a person susceptible to oral thrush. The more virus . According to Goldstein, a strep throat will often leave your lymph nodes swollen and tender, causing pain when you swallow. Iranmanesh B, et al. This is the small piece of finger-shaped tissue that hangs down in the back of the throat. People with COVID tongue have swollen tongues that might develop bumps, ulcers, and white patches. Signs of "Covid tongue" include inflammation of the small bumps on the tongue's surface, a swollen and inflamed tongue, or indentations on the side. One comes from researchers at La Paz hospital in Madrid, who reviewed the records of more than 600 COVID-19 patients and found 25 percent of them had some type of tongue reaction. People with mild and moderate cases of COVID-19 usually recover at home without medical intervention. For one, stay abreast of any changes to your oral health and if you notice anything unusual, tell your healthcare provider. We've updated our Privacy Policy, which will go in to effect on September 1, 2022. 2020. doi:10.1111/odi.13465, Pang W, Zhang D, Zhang J, et al. Jocelyn Solis-Moreira is a journalist specializing in health and science news. Health.com uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. While tonsillitis is seen most . But other symptoms people with the virus have experienced include rashes, headaches, and digestive issues like nausea and diarrhea. COVID-19 patients may present with oral manifestations. When elongated due to swelling, the uvula may appear to touch the tongue, however it is important to take note if the uvula is swollen or if it is the tongue that is inflamed (glossitis). Tongue features of patients with coronavirus disease 2019: a retrospective cross-sectional study. The oral cavity deserves specific examination under appropriate circumstances to avoid contagion risk, the authors wrote. Skin rashes, headaches, and swelling on their tongues and document abnormalities. 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