A 23 year boy with complaints of ulcers on tongue and cheek with crack on tongue. with ragged edjes since his childhood.Also had no appetite on morning since 6 Years. foul odour from mouth occasionally present. no family history of suchlike tongue. no bad habits and addiction. thermally chilly patient. desire spicy foods. diagnosis and treatment please



@Dr. Hari Krishnan Sir! Tongue is the mirror for GIT. So, investigate the GIT in detail. Check for malnutrition, deficiency, infection and any systemic disorder before considering any treatment.

@A.K.Srivastava. Acid Nitric 6 thrice daily.

Constipation and indigestion Avoid oilly and spicy food. Drink much more water use multivitamins

Nitric acid, merc sol, syphilinm are good for that case. select according to symptoms.

Dr. Hari Krishnan Sir....It's a case of typical Cracked Tongue associated with Geographical character, also known as scrotal tongue. It is simply when small or pronounced grooves or fissures develops on the surface of your tongue. It is considered normal to have certain types of cracks on the tongue. This condition can be harmless or Benign nature. Although most of the causes of cracked tongue are unknown, the following conditions or diseases are may caused.. ●Geographic tongue(benign migratory glossitis) This is a harmless condition that affects the surface of the tongue. The surface of the tongue is normally covered with hair-like projections known as papillae. When having geographic tongue, it causes some patches on the tonguewith lack of papillae. This causes the areas that are missing papillae to be smooth with raised borders of the normal papillae. The patches gives the tongue a geographic appearance. This condition may cause some pain or inflammations when eating spicy, salty or acidic foods. The exact cause of geographic tongue is unknown. This condition normally disappears on its own without treatment after a couple of month and may re-appear again if not treated. ●Deficiencies of B vitamin is the main cause of various tongue problems. This vitamin plays a very big role in your body that includes metabolism and absorption of other nutrient. Vitamin deficiencies can also lead to other symptoms like fatigue and painful muscles. Vitamin deficiencies that lead to cracks in tongue includes: ※Riboflavin Riboflavin is B2 vitamin, its deficiency is the major cause of cracked or fissured tongue. It plays a very big role in energy production, skin and vision health and also helps the body to use other vitamins like B6, folate, iron and niacin. Deficiencies of riboflavin is rare since most of the foods we take contain this type of vitamins. However, deficiency symptoms may be noted in people who consume excessive amount of alcohol or those that don’t consume milk or its products. The deficiency symptoms includes cracked, redness, inflamed, painful or smooth tongue. Other parts of the body may also experience skin rash and eye problems. However, it is recommended to take foods like milk, milk products, cereals, green vegetables, meat, liver, kidney or egg white that are rich in riboflavin. ※Biotin Biotin or B7 vitamin also plays very important roles in your body. It helps in energy metabolism, glucose synthesis, fat synthesis and amino acid metabolism. This vitamin are found in most of the foods that we eat like cauliflower, peanuts, liver, chicken meat, mushrooms and egg yolks. Excessive consumption of alcohol and over-consumption of egg white can lead to deficiencies of biotin in your body. Therefore you are likely to experience symptoms like cracked tongue, pale or gray skin, hair loss, dry skin or dermatitis and muscle pain among others. There are various conditions that can lower the absorption of biotin to your body such as excessive consumption of alcohol, regular intake of antibiotics and consuming raw egg white. ※Folic acid This is also another vitamin that its deficiency may cause tongue problems like cracks and soreness. Its deficiency is mostly caused by excessive consumption of alcohol, poor nutrition and long term use of antibiotics Rich sources of folate includes leafy vegetables, seeds, liver, chicken meat, legumes, eggs, citrus fruits and cereals. It is recommended for adults to take at least 400micrograms a day of folic acid, pregnant and breast feeding mothers may need more than that. Cracks on the tongue can be accompanied with other symptoms like pain, inflammation, itchiness or a burning sensation. The pain level varies depending with the cause, you may experience some pain especially when taking spicy, acidic, salty or hot foods and beverages. ●Oral thrush Oral thrush is also known as candidiasis. It is a yeast infection that develops in the mouth as a result of fungus infection. Cracked tongue is among the symptoms of this mouth infection. A part from grooved tongue, this infections may also cause white bumps or lesion, pain and swelling of different parts of your mouth. There are various factors that increases the risk of developing oral thrush. They include having weak immune system, suffering from diabetes, iron and B vitamin deficiencies, wearing dentures and often use of antibiotics. Infants and elderly people are prone to oral thrush due to weak immune system. To combat this infection, take yogurt with active cultures to balance the level of fungus in your mouth. You can also visit your healthcare provider for diagnosis and treatment. He or she may will give you antifungal medicines to take for a couple of days. ●Genetic predisposition – the fissured tongue has been encountered in several members of the same family. ●Melkersson-Rosenthal syndrome This is a rare condition that its cause is yet to be known. It results to cracked tongue among other symptoms that includes paralysis of the face, lip and facial swelling. The swollen lips can also develops some cracks that are painful. Salivary glands are part of the mouth that can also be affected during the outbreak of this condition. Patients that are suffering from this condition normally recovers within a few hours or days. However, a severe outbreak can lead to permanent lip and facial swelling if not treated. ●Tongue cancer Tongue bump or lesions that are resistance to home remedy treatments and persists for a long time can be as a result of cancer. Tongue cancer is among head and neck type of cancer. The areas around the bumps may become sore, painful and cracked due to the growth. It is important to consult with doctor when having a cracked tongue with some persistence swellings. Tongue cancer can easily be treated when discovered earlier. ●Black hairy tongue Black and hairy tongue is commonly caused by tobacco smoking, poor oral hygiene and drinking coffee or tea mostly. Smoking and alcohol consumption can cause the papillae to become inflamed and enlarged. Food particles, bacteria, dead cells and other debris can get trapped on the overgrown papillae to cause cracked black and hairy tongue. It is important to keep your tongue clean all the time by brushing your teeth and scraping the tongue after every meal and before sleeping to avoid oral problems. Avoid habits like smoking tobacco and excessive consumption of alcohol that can cause damage to your tongue and other organs. ●Down syndrome This is a genetic disorder that causes physical and mental problems in children before birth. Children who are suffering from this disorder have distinctive features like fissured tongue, flat face, short neck and arms. They may also suffer from intellectual disabilities that varies from one child to the other. This results from a problem with the baby’s chromosomes. Having extra chromosome causes a Down syndrome. Women are at a higher risk of delivered baby with this condition when they get pregnant when old, having a history of this disorder in the family or having another baby with Down syndrome. ●Sjogren’s syndrome This is also another disorder that causes fissured, grooved or cracked tongue. It develops when your body attacks its own moisture-producing glands. The common glands that are affected includes tear and salivary glands that are located in the mouth and other parts of body. When suffering from this disorder, patients are likely to develop other symptoms like cracked and swollen tongue, fatigue, dry mouth, inflamed and itchy eyes, and joint pains. This syndrome is believed to be caused by environmental and genetic factors. When you suspect having this disorder, it is recommended to visit your healthcare provider. Although it has no cure, the symptoms can be controlled by stimulating saliva and artificial tears. ●Pustular psoriasis This is an uncommon form of psoriasis, in which raised bumps, filled with pus (white blood cells) appear on the skin. ●Dehydration It is possible to develop a cracked tongue when your body is dehydrated. Also, the grooves or fissures on the tongue becomes more pronounced when there is insufficient moisture in the mouth. Once you start feeling thirsty, it shows that your body is already dehydrated. Take small ounces or water frequently. ●Trauma or injuries to the tongue Subjecting your tongue to constant injuries or trauma as a result of brushing too aggressively or friction from chipped tooth can cause cracks or fissures to develop on tongue. Also a habit of grinding the teeth while a sleep can subject the tongue to a friction that causes cracks over a long time. ●Use of tobacco and alcohol Chewing and smoking tobacco causes inflammation and enlargement of the papillae which can lead to various infections that causes cracks on the tongue. Consumption of alcohol also plays a major role in development of cracks. In first place, it causes dehydration that is another cause. It also irritates the taste receptors. ●Poor nutrition ●Anemia or other hematologic abnormalities ●Oral yeast infection (caused by candida fungus) But in homoeopathic point of view cracked tongue indicating patients having under syphilitic miasm. In that particular case stay careful about oral hygiene, dentiture, any deficiencies of vitamins and search to determine any pathogenesis of above mentioned causes. As per your presented case my prescription going to be antisyphilitic drugs mostly....Acid.nit.200

Ya i m agree with dr. arunava sir...

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T@Dr. Bhushan Kale c BH

Constipation & allergy may be the reason . Insist him to drink much.water & avoid oily & spicy foods .Thuja 1M one dose may be given There after any one of the following as per symptom----- Borax ,Merc sole, Acid nitric .

But also take a pathological test.it may be due to fungus infection?

Acid Nitric, Borax, Kali Mur,Syphilinum only one medicine symptomwies helpful.

Very help ful

Cracked Tongue /fissured tongue. With white coating. My remedy is nit acid. With borax mouth gel.

Acid nit -200c 3doses thn boxar-30c bd Along with -calendulla+echinecea-q as a gargle...

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