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Suggest treatment for acid reflux and swollen tongues

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Posted on Fri, 8 Jul 2016
Question: What causes weird feeling like my tongue is swollen or bigger and sometimes talking funny with "s" sound. it kinda comes and goes but its freaking me out. I kinda have a scalloped tongue I think. I will attach pic. I weigh 330lbs 39 women I've had tyroid tested before and it was fine. I think I have insulin resistance as my last labs insulin was 50 and my liver enzymes were 75-150 or so, glucose levels normal...negative hepatitis. I have horrible anxiety...I take lexapro for anxiety and omnprazole (sp?) for reflux...I don't get periods so I take progesterone to start periods. was told I have PCOS. I think I might have sleep apnia cuz I've woken up startled taking gasp of air and I snore... My health anxiety is off the charts. Should I be freaking out?
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
Practice yoga and meditation.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through your query and understand your concerns. Acid reflux could give you a sensation of having a swollen tongue. However, going by the description I am quite sure that you are freaked out. If I had a patient like you, I would perhaps asked her to take Prodep (Fluoxetine) 20 mg once daily for at least one and a half months (takes time to start acting). It helps in reducing both the anxiety as well as the acid reflux.

I would insist you to get a gynecological consultation done for the PCOS. Usually low dose estrogen+progesterone combination is advised. I would not insist you to self-medicate.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (15 minutes later)
I take 20 mg lexapro for anxiety and 20mg omnaprazole for gerd/reflux
doctor
Answered by Dr. Prof. Kunal Saha (37 minutes later)
Brief Answer:
Stress and anxiety is the primary cause.

Detailed Answer:
Thanks for writing back. Lexapro (escitalopram) belongs to the same category as Prodep although I feel the latter works better. You would need to discuss with your treating physician/psychiatrist if that is suitable for you.

I understand that you take omeprazole for reflux. But that does not mean that your reflux has subsided completely. Stress and anxiety is the primary trigger of acid secretion and reflux. Unless you can make it go, merely taking omeprazole will not help.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (3 hours later)
sleep apnia? sinus issues?
doctor
Answered by Dr. Prof. Kunal Saha (8 hours later)
Brief Answer:
Sleep study, ENT consultation, steam inhalation nee

Detailed Answer:
The cause of sleep apnea needs to be evaluated and dealt with. Taking steam inhalation should help in resolving the sinus issues.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (2 hours later)
so the cause of scalloped tongue is anxiety?
doctor
Answered by Dr. Prof. Kunal Saha (3 hours later)
Brief Answer:
Indirectly yes.

Detailed Answer:
Scalloped tongue could be due to a number of reasons including hypothyroidism, vitamin deficiencies or parafunctional habits. The latter is likely to be due to anxiety.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (9 minutes later)
I attached pictures and thyroid was normal before. What is parafunctional habits? Should I be freaking out about this?
doctor
Answered by Dr. Prof. Kunal Saha (5 minutes later)
Brief Answer:
Nothing to be freaked out about.

Detailed Answer:
It is about how you place your tongue, how you move it, and so on.
See:
https://en.wikipedia.org/wiki/Parafunctional_activity
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (3 hours later)
did you see pictures
doctor
Answered by Dr. Prof. Kunal Saha (10 hours later)
Brief Answer:
Does not look concerning

Detailed Answer:
Yes, I have seen your tongue. Does not look quite crenated or scalloped. I would not be concerned about it.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4438 Questions

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Suggest treatment for acid reflux and swollen tongues

Brief Answer: Practice yoga and meditation. Detailed Answer: Thanks for asking on HealthcareMagic. I have gone through your query and understand your concerns. Acid reflux could give you a sensation of having a swollen tongue. However, going by the description I am quite sure that you are freaked out. If I had a patient like you, I would perhaps asked her to take Prodep (Fluoxetine) 20 mg once daily for at least one and a half months (takes time to start acting). It helps in reducing both the anxiety as well as the acid reflux. I would insist you to get a gynecological consultation done for the PCOS. Usually low dose estrogen+progesterone combination is advised. I would not insist you to self-medicate. Regards