With such presentations in my clinic - I come up with these possibilities: Soreness of tongue (Glossitis) is often caused by nutritional deficiencies and may be painless or cause discomfort. Glossitis usually responds well to treatment if the cause is identified and corrected with multivitamin tablets or Vitamin B complex tablets. For reducing the pain you could use glycerin. Iron-deficiency anemia is another cause of soreness and is mainly caused by blood loss, such as may occur during menses or gastrointestinal hemorrhage. Multivitamin tablets can help. Bacterial, viral or fungal infections can cause glossitis so if any infection with layer of white patch is found on the tongue that means the tongue is infected and should be treated with antibiotics. If it was oral candidiasis(white patch) common in asthma patients - Nystatin : swish and swallow should be done. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.