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White patches on the tongue - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Dental Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   I have a white tag on my tongue that I have had for a few months. It does not hurt, but it doesn't go away. Could it be related to HPV? Or cervical cancer? I am 48 years old.
Doctor :   Hi
User :   Hello, did you read my message?
Doctor :   How big is it ?
User :   not very big in diameter, but it feels a bit long. I can see it when i look in the mirror.
Doctor :   Ok
Doctor :   Is the skin over the tag appearing normal,when compared to the other area of the tongue.
User :   The skin around it is normal
Doctor :   Since how long have you been noticing this?
User :   About 3 to 4 months
Doctor :   Ok
Doctor :   Do you have burning sensation or an itching sensation associated with this white tag?
Doctor :   Do you have history of diabetes?
User :   nothing at all. My father has type 2
Doctor :   Did you involve in an unprotected sexual activity?
User :   No
Doctor :   Have you seen a doctor?
User :   No
Doctor :   Ok
Doctor :   let me explain to you.
Doctor :   From this far, without physically examining your tongue, its a hard task determining a definitive cause of this problem.
Doctor :   However I shall provide you with necessary information that will help you in guiding further.
User :   Could it be something serious?
Doctor :   White tag over the tongue can happen due to multiple reasons.
Doctor :   It could be a simple aphthous ulcerations.
Doctor :   or an oral thrush
Doctor :   these 2 conditions can be easily treated.
Doctor :   However there are other conditions too.
Doctor :   Such as oral lichen planus, though an non concerning problem, it can be a chronic one.
Doctor :   oral lichen planus will need close monitoring every day.
Doctor :   Finally there are possibilitities that it could be a premalignant conditions such as leukoplakia.
Doctor :   Since you do not report of any associated symptoms, presently it appears to be a non concerning problem.
Doctor :   I however suggest you to consult your doctor who can examine it physically and if necessary get a biopsy of the sample.
Doctor :   This will be clinch the diagnosis and help in guiding you further,.
Doctor :   Have you followed what I have suggested?
User :   yes
Doctor :   Do you have any other query?
User :   When you say premalignan, what part of the body would that involve?
Doctor :   Premalignant condition is a condition which have higher risk to turn into malignancy.
Doctor :   It can involve any part of the body.
Doctor :   This involves skin and mucous membrane too.
User :   Si it could be coneected to cancer somewhere in my body?
Doctor :   commonest symptom of a premalignant condition of the mucous membrane of oral cavity present as a white tag.
Doctor :   No,
Doctor :   not some where else.
Doctor :   Involving the skin of the mucous membrane.
Doctor :   *In simple words,
User :   I see, would I have other symtoms if this were the case in my mouth?
Doctor :   I would want you to rule out if this present white tag is not a warning sign of future cancer.
Doctor :   Other warning signs are
User :   I see
Doctor :   rapid progress of this white tag,
Doctor :   ulcers formations,
Doctor :   Change in the appearance of the affected area when compared to the normal areas.
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