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45 yr female Patient with burning sensation over tongue Dx /Rx please

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Patient must be having paan/tobacco chewing habit. Lesion looks like homogeneous leukoplakia showing cracked mud appearance and associated with fungal infection. Some part of lesion is also seen on retromolar region. The mucosa appears pale so there can be iron deficiency also. Please provide complete history. D/D lichen planus if no habit history For treatment please give history

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Patient must be having paan/tobacco chewing habit. Lesion looks like homogeneous leukoplakia showing cracked mud appearance and associated with fungal infection. Some part of lesion is also seen on retromolar region. The mucosa appears pale so there can be iron deficiency also. Please provide complete history. D/D lichen planus if no habit history For treatment please give history

Thnks Dr
0

Looks like oral lichen planus......check buccal mucosa as well.....

Thnks Dr
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DD 1) leukoplakia 2)oral submucos fibrosis 3)oral lichen planus 4) glossitis due to anemia Check Hb.biospy TT accordingly

LEUCOPLAKIA Antioxidant Biopsy to exclude mitotic change

Rule out any habit or any therapy from long time?? Seems even mucosa seems to be dry Start with cap. Sm fibro Oro t mouth rinse And a salivary substitute

Thnks Dr
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Hy, Looks like glossitis or oral lichen planus. Other symptoms? Thanks.

Homogenous leukoplakia OLP Rhomboid glossitis Iron def Mutivitamins Limcee Kenacort

Might be rhomboid glossitis or its manifestation of some systemic deficiency. Most commonly iron,vit B-12 and folic acid..in women at this age its common..so better you can take some blood test

Thnks Dr
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Blood tests are used to rule out nutritional deficiencies, hormone imbalances, and endocrine disorders. Oral samples are used to rule out oral conditions, such as thrush and oral lichen planus. Allergy tests are used to rule out burning of the tongue caused by allergies to food or additives. Saliva testing is used to rule out dry mouth. Imaging tests are used to rule out any other conditions that your doctor may suspect. Gastric reflux tests are used to see whether or not you have GERD.

For treatment u can follow these Dr. Bharat, Drink and rinse the area well with cool water for a few minutes. Suck on ice chips or a popsicle to soothe the pain. Rinse with cool water or cool salt water (1/8 teaspoon of salt dissolved in 8 ounces of water). Avoid warm or hot liquids, which could irritate the burn. Take acetaminophen (Tylenol) or ibuprofen (Advil) for pain and inflammation. Consider sprinkling a few grains of sugar or trying honey on the tongue to relieve pain.
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