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Suggest Treatment For Painful Sores On Tongue
Question: My uncle who 73 has these sores on his tongue. The pain and sores are increasing. He took pan paraag for a long time and stopped 20 years ago. These sores started 5-6 years ago, much smaller at tha time. What can he take to reduce the pain and swelling as well as stop the growth?
Brief Answer:
Local gels, medications, direct examination, biopsy.
Detailed Answer:
Hi,
Thank you for your query.
1. You can apply medical grade liquid glycerine locally. OTC preparations such as Zytee, Orasep, Smyle contain an anesthetic agent which lessens the pain.
2. It is better to get the ulcers checked as they are growing in size and since he has a history of using Paan XXXXXXX for a long time. You can also upload a close up picture here. A dental check-up and a biopsy from the edge of one of the ulcers can be done.
3.An anti-inflammatory such as Disperzyme will help. Muciane Gel and anri-reflux medication should be given. A multi-vitamin with zinc supplemet should be started.
4. As the sores are chronic and non-healing, a direct examination is recommended.
If you have any more questions I will be available to answer them.
Regards.
Local gels, medications, direct examination, biopsy.
Detailed Answer:
Hi,
Thank you for your query.
1. You can apply medical grade liquid glycerine locally. OTC preparations such as Zytee, Orasep, Smyle contain an anesthetic agent which lessens the pain.
2. It is better to get the ulcers checked as they are growing in size and since he has a history of using Paan XXXXXXX for a long time. You can also upload a close up picture here. A dental check-up and a biopsy from the edge of one of the ulcers can be done.
3.An anti-inflammatory such as Disperzyme will help. Muciane Gel and anri-reflux medication should be given. A multi-vitamin with zinc supplemet should be started.
4. As the sores are chronic and non-healing, a direct examination is recommended.
If you have any more questions I will be available to answer them.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi, I have provided some attachments. Please review them.
Brief Answer:
Get a biopsy done as soon as possible.
Detailed Answer:
Hi,
Thank you for writing back.
1. From the images, he definitely needs a biopsy (or preferably multiple biopsies) from the edges of the ulceration on the left half of the tongue.
2. The lesion is fairly large. Multiple areas of leukoplakia (white areas) are seen. Dental staining is seen and oral hygiene is poor). This definitely looks precancerous or cancerous. Only medication will not help, except to reduce the pain.
3. Kindly upload a biopsy report.
If you have any more questions I will be available to answer them.
Regards.
Get a biopsy done as soon as possible.
Detailed Answer:
Hi,
Thank you for writing back.
1. From the images, he definitely needs a biopsy (or preferably multiple biopsies) from the edges of the ulceration on the left half of the tongue.
2. The lesion is fairly large. Multiple areas of leukoplakia (white areas) are seen. Dental staining is seen and oral hygiene is poor). This definitely looks precancerous or cancerous. Only medication will not help, except to reduce the pain.
3. Kindly upload a biopsy report.
If you have any more questions I will be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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