### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am having uncontrollable urges with my tongue. I am pushing my tongue against my teeth. As well as rubbing and pushing on my gums where they meet the teeth. I see that I have already started shifting my teeth and caused gaps. The pain of my teeth and gums are horrible but I can not control it most days. I also see my gums receding, lifting, bleeding and tearing. Also I am starting to notice cracks in my teeth. My top 2 front teeth to be specific. This is the target area of my urges to push and rub on my teeth and gums. It used to be the bottom but now my tongue cant seem to relax and rests mainly on the roof of my mouth.  What could cause something like this?!!

### output:

Hi. Thanks for the query. As per your complaint the symptoms that you are explaining is pointing towards TONGUE THRUSTING HABIT. In this condition the individual tends to push his tongue against the front causing spacing between the teeth, pain in teeth and gums, misaligned teeth and gum diseases. It can occur due to a number of causes like Sinus and adenoids related infections, large sized tongue or Macroglossia while stress can also be an important contributing factor. I would suggest you to consult an Orthodontist and get evaluated, and he can fabricate an orthodontic appliance known as Tongue Crib that will prevent hitting of tongue over the inner aspect of teeth, and you will test your tongue on the crib that will gradually reduce the habit. If you have stress then deep breathing exercises, meditation and if needed a consultation with psychologist can be made who can do counseling and advise you antianxiety medication. Hope this helps. Regards.