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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could white coating with red spots on tongue be the symptoms of oral cancer?

Hello, I had sex with prostitutes and also had oral contact, sometimes the condom broke off after sometime i got burning in urine so I was admitted in hospital for urine infection, I had got my Hiv test done which was negative. Since somedays Im having Gastritis and I am showing Dr.Harshal gadhikar for that who is giving treatment of Razo20, lesuride25mg for 1 month, i have completed that course but still lot of burning sensation in stomach and womiting sensation. My toungue develops white coating everyday with some red spots for which I had shown to a skin specialist who had given me Mucopain gel, Tantum oral rinse and Ginicast oral paste which i had applied but did not get any relief, is it because i had mouth contact with prostitute who was having pan masala and should get tested for oral cancer, could you please tell me who are the good oral cancer doctors in Pune and what are the tests to be done for oral cancer. I am attaching my photos of the tounge, kindly suggest. As i have read about Hiv in articles it is said that the symptoms may develop in 2 or 3 years depending on the immunity of the body, so do i have symptoms which are the signs of the disease but may take time to come out in the Elisa Hiv test reports. I get lot of sweating in the legs and in hands, since some time I remain in confused state of mind and forget things. Is it possible to get an Hiv test done through the saliva or from the toungue, kindly suggest some tests. I would like to take appointment from you if possible to explain and show my reports.                                                   
Thu, 2 Jun 2016
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Dentist 's  Response
Hello,

I can understand your concern. I have a few question for you that can help you in deciding if the lesion can be cancerous or not. Firstly, can you scrape the white lesion off the tongue leaving red areas beneath? If you can scrape it, then it is either tongue coating due to plaque or fungal infection called candidiasis. If you are not able to scrape off the white part of the lesion, then it can be pre-cancerous condition called Leukoplakia. The test to confirm if you have oral cancer is biopsy of the white lesion of the tongue. It can be done by an oral surgeon.

To answer your other question, the blood test that identifies HIV antibodies is the best test to confirm presence of HIV infection in your body. It is more sensitive and reliable than saliva or other tests. The test can be done in a week after suspected infection of the virus. If it comes out negative, then it has to repeated after 3 months as HIV antibodies can reach detectable level in blood as late as 86 days after infection. If that test comes negative, then there are 97% chances that you are not having HIV infection.

In case of negative tests for oral cancer and HIV infection, you should contact a physician for investigations regarding general physical health of you. I am afraid we cannot provide you with any reference of a doctor in your area. You can ask your family physician to refer you to one.

I hope this information helps you. Thank you for choosing HCM. Let me know if you have folow up questions.

Best,
Dr. Viraj Shah

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Hematologist Dr. Hardik Sanghvi's  Response
Hi, dear
I have gone through your question. I can understand your concern.
You have history of sexual activities but your symptoms are not looking like HIV. Other thing is that you have already tested for HIV.

But still if you have doubts then you should go for western blot test or p24 antigen detection test.

white coating with red patch does not indicate the oral cancer. Test for oral cancer detection is biopsy of that lesion. Tongue biopsy is the investigation of choice to confirm or rule out the cancer. consult your doctor and go for testing according to requirement.

Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.
Thanks for using health care magic. Wish you a very good health.
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