Suggest treatment for enlarged papillae on sides of tongue
More information needed
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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.
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.
needs investigation and examination
Thanks for the reply.
As I could understand that it the lesions is painless,
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
Dr Pankaj Borade
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