Brief Answer: Possible infection. Seek urgent medical attention. Detailed Answer: Hello and welcome to Healthcare Magic. Thanks for your query. I understand that you are worried about the irritation under your tongue and the whitish stuff on the frenulum. From your description of the preceeding events, it is quite likely that the drugs and the smoking could have led to irritation and possible inflammation of that area. However, what is worrying is the whitish stuff that you have noticed, which could very well be a fluid or a pus collection. So, it appears that there is or could potentially be an infection there. In this case, it is advisable to see a doctor immediately, so that appropriate treatment can be initiated to prevent further complications. The oral cavity is a very delicate and vascular area and infection can spread very quickly. So, my opinion is that it is better to avoid any risk and seek urgent medical attention. Till that time, you can try antiseptic mouthwashes or salt water rinsing. Anti-inflammatory tablets like Ibuprofen can help reduce the inflammation and pain. Avoid smoking as it will only irritate the area furthet and delay healing. Drink plenty of fluids and take adequate rest. Wish you a speedy recovery. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist

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