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Soreness on tip of tongue, pain on swallowing followed by burning, no fever, eases with cold water. What could it be?

Hello, It started a few days ago, I noticed tip of tongue sore,almost like a canker sore, by next day swallowing was semi painful. Day three portions of tongue feel like there on fire,and its feels like im swallowing lumps . I am currently working as a nurse in long term care. I do not wish to pass this on of its strep . I don t have a fever , very uncomfortable,and taste buds are shot. It feels good if I drink ice water, or something scratchy going down my throat . I have a slight pink tongue. so much for your time.
Asked On : Tue, 11 Sep 2012
Answers:  4 Views:  127
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Dentist 's  Response
hello and welcome,

this can be an ulcerous condition called aphthous ulcer.

it can be treated with tab.flanzen-10mg;3 times daily for 3 days and tab.wysalone-5mg-3 times daily for 3 days.

please discontinue any oral habits like tobacco or pan chewing if you have any;as it can lead to burning mouth and limited mouth opening called oral submucous fibrosis-osmf.

please add vitamin-b containing food to your diet.

hope you get well soon.always clean your mouth after every food intake.use soft-bristled tooth brush and tongue cleaner to clean your teeh.
Answered: Tue, 11 Sep 2012
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Dentist Dr. Bindiya Bhaskar's  Response
hello and welcome to health care magic,
this may be due to aphthous ulcer on tongue.these are open sore in mouth or rarely a break in mucous membrane or the epithelium on lips or surrounding the mouth.
it can be treated by tab.flanzen-10mg;thrice daily for 3 days.and tab.wysalone-5mg,thrice daily for 3 days.
also check biopsy of the lesion to rule out any precancerous lesion underlying like leukoplakia,oral submucous fibrosis etc.
stop any kind of oral habits like tobacco or pan chewing if you have any.
always maintain good oral hygiene.
hope you get well soon.
Answered: Tue, 11 Sep 2012
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  User's Response
the most probable diagnosis in your case might be either SORE THROAT (pharyngitis) or may be Apthous ulcers. the problem can be relieved sooner by first maintaining oral hygeine using warm saline gargle at leat for two times a day and a three day course of AZITHROMYCIN 500 mg (AZEE) tablets once daily.

Also, you SHOULD NOT USE ICE COLD water for temporary relief, as later it can aggravate the problem only, by enlargement of tonsils. Use warm saline gargles only. lastly, take B Complex Vitamins once daily for sore tongue.
Answered: Tue, 11 Sep 2012
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Dentist, Prosthodontics Dr. Shivangi Gajwani Jain's  Response
Thanks for posting your querry.

After reading your symptoms i feel that you may have developed a condition called Burning mouth sundrome. It is mostly seen in women above the age of 30 and is induced due to stress. There is no definitive cause for it and it can not be passed like an infection.

The only treatment available is symptomatic treatment like:
-regular sips of water
-multi vitamin tablets
-avoiding alcohol containing mouthwashes
-consuming chips of ice helps
-avoid spicy food
-try to avoid stress

Hope you feel better soon.
Answered: Tue, 11 Sep 2012
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