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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are dryness and burning sensation in mouth signs of fungal infection?

Answered by
Dr.
Dr. Honey Arora

Dentist

Practicing since :2011

Answered : 13921 Questions

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Posted on Mon, 29 Aug 2016 in Dental Health
Question: So I have had this ongoing tongue issue for 6 months now and I cant seem to figure out what it is. Ive been to 4 dentist and one oral surgeon. Basically I have been having a burning,numbing sensation on both sides of my tongue. The last dentist I went to did a Velscope exam and one area of the tongue tested positive (the left side of the tongue) for Cellular changes. He told me it could be nothing but sent me to a oral surgeon because he knows how stressed I am over it. This was about a month ago. I went to the oral surgeon the same day and he looked at the spot and said there is nothing there. He also did an exam and said there is nothing serious going on to not worry. He did tell me I had a fungal infection (Not thrush) and prescribed me Mycelex for ten days. He also told me the area that showed up positive had no fungal growth on it so he suspected geographic tongue as well. The Oral surgeon told me that the Velscope is garbage and has a high false positive result. So I left his office and called my dentist to update him. He then called the oral surgeon and they discussed. The oral surgeon called me last week just to do a follow up with me and had me come in. He looked at my tongue and said he still sees nothing, however he was going to do a biopsy of the area that my dentist had concern over just to make the dentist happy. He told me he was 99.9% positive its nothing. Well its been 9 days and the result from the biopsy is not in yet. So I have been stressing so hard over this the past 6 months that Ive lost 40 pounds. Also when I was at the oral surgeon for my biopsy I had little white sores on the tip of my tongue and on the oposite side of the biopsy site. About 5 sores. They start out really small with a white outlining and in a matter of 2 days they grow larger then on day 3 they were gone. Then the very next day they started out again small and grew large again and went away 3 days later. I had them when I was in the office with the oral surgeon and he said they are cankor sores and I need to stop stressing. Well they keep coming back over and over (I am on my 4th round of them in 18 days). They keep coming and going. those areas did not show up in the velscope when my dentist originally looked. Also the past two days my saliva glands are swollen and hard as a rock. Both the two under my jaw on each side. I keep poking and prodding that area the past week looking for lumps because I freaking out so maybe I caused them to swell. My mouth is super dry from it. I also noticed that since my glands started to swell two days ago that the original feeling I have been having on the sides of my tongue got worse so maybe those two are connected and have been this whole time. Sorry for the long winded explanation but I wanted to give you as much details as possible. I also chewed tobacco for 10 years but I quit 6 months ago. So my questions are
Do you have any thoughts on what is causing my tongue discomfort?
could my tongue discomfort be linked to my saliva glands?
Could my saliva glands be swollen because I keep poking them and feeling them?
and why do I keep getting these sores on my tongue that keep coming and going?

Thanks
doctor
Answered by Dr. Honey Arora 52 minutes later
Brief Answer:
Nothing is serious at all..

Detailed Answer:
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query in deep details and also taken reference from previous discussions that we had..

I would like to tell you that being your Dentist here I would like to assure you that you have nothing serious going on and the reason behind all the problems is anxiety and fear that you have some serious mouth disease which is not at all actually present..

I will answer your question point wise..

As you have a dry mouth that you also mentioned previously, it is a very potent cause for Burning and numbing sensation of the tongue and the condition is referred to as Burning Mouth Syndrome..
It is a commonly seen if thee is less saliva..

Secondly sores that comes and goes is due to Recurring Canker Sores and as they heal and recur it is not serious because non healing ulcers are a feature of cancerous ulcers while those heals and comes back ae very commonly seen condition and can be due to both stress and dry mouth..

Swelling under the jaw for just 2 days on both sides seems to be either swollen lymph nodes or Salivary ary gland and can be evaluated only by a clinical examination..
It can be due to infection and again nothing serious..
Yes, any DISORDER related to Salivary Gland can cause dry mouth and an MRI and Biopsy of Salivary Gland can help in ruling out the cause..

Lastly about your tongue, when the Oral Surgeon could not see anything serious over the tongue you should not worry as they are experts in ruling out Oral lesions..

You can also send me your Biopsy report and a picture of your tongue so that I can assure you further..

Do not worry you are not in any danger..

Any further questions are welcome anytime..

I am always there to help you..

Regards..
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Honey Arora 57 minutes later
Thank you, it makes me feel a lot better. I never used to be like this and for what ever reason I cant seem to shake this mentally. Its been on going for 6 months and its to the point where its driving me crazy, ya know. I have an appointment with the oral surgeon tomorrow to look at my glands. Its the saliva glands that are swollen (I think). I can feel my lymph nodes and always have been able to and they have not changed in size at all. Hopefully he will have my report from my biopsy by tomorrow. He did tell me that if the biopsy was something serious that they would have already gotten back to him.
doctor
Answered by Dr. Honey Arora 4 minutes later
Brief Answer:
Please send the biopsy report and diagnosis of the glands..

Detailed Answer:
Hi..
Welcome back..

As per your answers, you too know that you are simply tensed and worried when there is nothing serious..

Please send me your Biopsy report and also the diagnosis of the gland that are swollen under the jaw so that I can advice you further..

Hope this helps..

Regards..
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Honey Arora 28 minutes later
it does, I honestly feel better already. I appreciate that I got you again.. I will get back to you tomorrow
doctor
Answered by Dr. Honey Arora 11 minutes later
Brief Answer:
Please revert back with details..

Detailed Answer:
Hi..
Welcome back..

Do not worry, just relax..
Revert back with reports and I will be there to guide you genuinely..

Hope this helps.

Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Honey Arora 4 days later
So I went to the oral Surgeon and it turned out to be a callus on the tongue. Thats what he called it. I dont know the exact name that he called it but I think he said Hyperkeratosis with acanthosis. He told me he sees it all the time and its caused by stress in my case. Clinching my jaw and continuously pressing my tongue forward against it. The sores he said were from stress as well. It was a huge relief and by yesterday the sores were gone and most of the pain was gone as well. I appreciate the help
doctor
Answered by Dr. Honey Arora 4 hours later
Brief Answer:
No need to worry..

Detailed Answer:
Hi..
Welcome back..

As previously I assured you that you do not have any serious problems and hyperkeratosis is due to continuous rubbing or irritation of the area..

Therefore avoid taking stress henceforth that will resolve your problem..
Concentrate on your work and routine..

Hope this helps..

Regards..
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Honey Arora 2 days later
I appreciate it. I think it was a huge relief getting the results and talking to you. How long before all these cankor sores stop coming and going. I feel pretty good now, however I keet getting the exact same cankor sores in the exact same spot and my tongue is always hurting. Its only been a week since I got the results and the stress has gone way down. These sores are really annoying. The come and go every 2 or 3 days. The oral surgeon did prescribe me a anti-inflammatory mouth wash called dexamethasone. I have not started taking it yet because I was hoping that because I am not as stressed over this issue that they would just stop. It did get better for a couple days and then 2 days ago they came back. Is dexamethasone a good prescription to help with this?

Thanks
XXXXXXX
doctor
Answered by Dr. Honey Arora 5 minutes later
Brief Answer:
Yes, Dexamethasone is a good mouthwash..

Detailed Answer:
Hi..
Welcome back..

As per your query you can take Dexamethasone mouthwash as it will help in reducing mouth ulcers and pain..
You can also start taking Vitamin B complex supplement daily for a month..
In case if there is pain you can gargle with numbing mouthwash containing Lignocaine..
Suck ice pops..

Any further queries are welcome..

Regards.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Honey Arora 1 hour later
can I take the vitamin B in a pill form? or is it in a mouth rinse form?
doctor
Answered by Dr. Honey Arora 36 minutes later
Brief Answer:
Pill form..

Detailed Answer:
Hi..
Welcome back..

You can take Vitamin B complex in the pill form once daily..

Regards..
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Honey Arora 4 minutes later
thank you
doctor
Answered by Dr. Honey Arora 6 minutes later
Brief Answer:
Welcome anytime..

Detailed Answer:
Hi..

It is a great pleasure for me to help you in resolving your problem..

Wish you a good health..

God bless..

If your query is resolved please write a positive review and give me a five star rating as a token of appreciation..

Regards..
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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