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Suggest treatment for enlarged papillae on sides of tongue

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Posted on Fri, 15 May 2015
Question: I have several enlarged papillae on rearside of tongue. Near base. There is redness in them. Is this cancer

doctor
Answered by Dr. Pankaj Borade (1 hour later)
Brief Answer:
More information needed

Detailed Answer:
Dear,
Welcome to HCM
A photo graph of the lesion if possible wool help a great deal here.
For a better clinical picture of your condition I need information regarding
1) Is there associated pain, burning sensation, sensitivity to spice and hot foods?
2) Since how long is it present? has it progressed? how fast?
3) Is there any ulceration on sides?
4) Is there a history of tabacco chewing, smoking, etc?
5) Have you lost significant body weight in recent times?
6) Have you had physical stress in recent times?
7) irregular in meals?

Kindly revert back with the answers to these questions.
Regards
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Pankaj Borade (1 hour later)
Pics are difficult to get because they are way back in mouth. They appear as blistered papillae and number about 3 on each side of tongue. Some have whitish heads. I have been under stress, drink 8 ozs red wine daily.

There appears to be some ulceration. No pain. Noticed yesterday while doing a self oral exam. I have had acid reflux during the last several weeks and have lost about 3 lbs this year which was intentional. I wear dentures. I eat meals on regular schedule.
doctor
Answered by Dr. Pankaj Borade (44 hours later)
Brief Answer:
needs investigation and examination

Detailed Answer:
Thanks for the reply.
As I could understand that it the lesions is painless,
accidentally noticed.

well,
the acid reflux problem appears unrelated to lesion problem.
The weight loss you have mentioned is intentional, therefore not contributory here.
Wine history, stress again less significant.

Considering these information:
1) Consult your treating dentist to rule out the possibility of the denture malfunction.
2) Few infective conditions like primary oral syphillis can have similar presentation, however it is suspected only if you have had oral sex encounter in recent time.
3) Certain topical fungal or lichen infection can be suspected. Again it warrants microscopic evaluation and one needs to consider prescence of risk factors such as poor oral hygeine and poor nutrition if.
4) Regarding Cancer, precancerous lesion can present like this, it is difficult to comment without examination and the lesion tend to be present and progress over years and are not acute. Less likely.
5) Lastly there is possibility that it could be normal.

It is advisable to have an appointment with a Ear Nose and Throat specialist, and discuss this issues with him, as without through local examination it is difficult to judge. Majority of lesions subside on its own within a week, although consulting a doctor would be wise.

You can always discuss your queries here.
welcome for further suggestions
Thank you
Regards
Dr Pankaj Borade

Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
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Dr. Pankaj Borade

Psychiatrist

Practicing since :2011

Answered : 571 Questions

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Suggest treatment for enlarged papillae on sides of tongue

Brief Answer: More information needed Detailed Answer: Dear, Welcome to HCM A photo graph of the lesion if possible wool help a great deal here. For a better clinical picture of your condition I need information regarding 1) Is there associated pain, burning sensation, sensitivity to spice and hot foods? 2) Since how long is it present? has it progressed? how fast? 3) Is there any ulceration on sides? 4) Is there a history of tabacco chewing, smoking, etc? 5) Have you lost significant body weight in recent times? 6) Have you had physical stress in recent times? 7) irregular in meals? Kindly revert back with the answers to these questions. Regards