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Have white bumps on side of tongue, swollen tongue, sore throat, difficulty swallowing. Taking multi vitamin and Iron

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I have white bumps on side of tongue, swollen tongue, nagging sore throat, difficulty swallowing. bump on inside of lower lip left side. what feels like rough patches on inside of cheeks. I am taking a multi vitamin, b12, Vc, Iron etc...

My tongue on the sides has had white patches over the bumps. Bumps are mid tongue and back of Tongue, Tongue painful when pressure applie
Posted Fri, 6 Sep 2013 in Dental Health
Answered by Dr. Anshumala Singh 41 minutes later
Brief Answer:
Biopsy required,pain killers and oral paste advise

Detailed Answer:
Hello and welcome.

Please mention since when do you have lesion on tongue,cheek and inside of lower lip?Are you taking any medication other than those you have mentioned above?

Do you have sharp edged lower teeth or jagged teeth when you touch with your tongue?,

Any habits like tobacco chewing in any forms or smoking?

The lesion needs biopsy as it could be precancerous lesion too.

Presently you can apply Triamcinolone oral paste 0.1% for a week and please see your oral surgeon soon for biopsy. You can also take pain killers until you see your dental surgeon.

Awaiting your response to suggest better diagnosis.


Take care
Above answer was peer-reviewed by
Follow-up: Have white bumps on side of tongue, swollen tongue, sore throat, difficulty swallowing. Taking multi vitamin and Iron 1 hour later
lesions on tongue, months almost a year. Inside of cheeks maybe last 6 months, and new lesion on lip about 45 days.

sort of sharp and jagged...not awful

list of meds:
Wellbutrin 300 mg daily
Cymbalta 60 mg daily
Trazadone 50 mg prn as needed for sleep
Klonapin 1mg, prn as needed for anxiety(haven't used in last 2 months)
Neurontin 3500 mg XXXXXXX does for fibromayalgia
Bayer Back and Body, 4 per day

1988-1995 smoked, quit
2006-2008 Have not had a cigarette since Aug 25, 2008

I don't drink accept maybe a glass of wine on special occasions
FYI...All the med I listed I have been taking for over 5 years.
Answered by Dr. Anshumala Singh 34 minutes later
Brief Answer:
Biopsy needed

Detailed Answer:
Thanks for reply.

After reading your complete history, I will advise the following:

1.Biopsy along with blood tests, is needed as it can be a long-standing granulomatous infection or can even be pre-cancerous.

2. It could be due to ill-shaped tooth edges causing continuous trauma to soft tissues of mouth.This can be well managed by shaping the teeth called as grinding. The worn out edges can be smoothened.

3. Last but not the least, if the above measures do not help you can directly see your physician and talk about the side effects of your antidepressants that you are taking.

Especially drugs like cymbalta can cause swelling of tongue,throat and face too and many more oral symptoms over prolonged might require to change your drugs to relieve these symptoms.

4. I will advise you some lifestyle changes to deal with it:
- Eat lots of fruits and raw vegetables at least 5 times a day. Take 3 proper meals and 3 small snacks in a day. Take nutritious, hygienic food and pure drinking water.
- Exercise at least 20 min a day. Exercise can include walk, yoga, gym, cycling, swimming, etc.

You also need to see your oral surgeon once, get the lesions biopsied and then you can proceed accordingly.

Hope it helps. Let me know for further query.

Take care
Above answer was peer-reviewed by
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