It could be a combination of everything...tongue surgery, RND, flap, RT, Dry mouth. Tylenol and Ibuprophen can damage the kidneys, but may not be damaged already, so ask the doctor. Physical therapy may help, and lyrica or Gabapentin for nerve pain. There are pain meds without Tylenol, Ibuprophen. Treating the dry mouth is another that can be done. Good luck.