Tongue Biopsy: Healing, Concerns, and Aftercare

Oral problems

Doctor, I had a biopsy done on the underside of my tongue because there has been a red area for a month.
The doctor suggested that I could either have a biopsy or just observe it, as both a physical examination and visual inspection at two major hospitals and clinics indicated it was just normal inflammation.
However, I chose to have the biopsy because I was concerned.
Can I apply oral ointment on the biopsy site? The doctor only prescribed anti-inflammatory and swelling medications, but did not give me anything for the wound.
How long does it typically take for the biopsy site to heal? I had a liver transplant in 2000; will that affect the healing time? Also, I experienced pain after the biopsy yesterday, but today it no longer hurts.
Does that mean the biopsy site is healing well? Additionally, there were small red spots on the wound after the biopsy, and this morning I noticed a yellowish film over the wound.
I visited a clinic, and the doctor said that was normal.
Is that correct? Lastly, if the biopsy results for my tongue are normal, will that affect the likelihood of other issues arising in the same area in the future?

Wenwen, 40~49 year old female. Ask Date: 2018/09/22

Dr. Ji Zhaoyun reply Otolaryngology

Hello, regarding the situation you mentioned, if a biopsy is performed on the tip of the tongue, the wound can be treated with an oral ointment for healing.
If there is no infection, it typically takes about one week to heal.
If the tongue biopsy results are normal, it usually does not affect future biopsies in that area, unless other issues arise.
It is advisable to avoid irritating foods and substances such as coffee, tea, cigarettes, alcohol, fried foods, and spicy foods, as well as to maintain good oral hygiene, which can help improve symptoms.
If symptoms persist, it is recommended to seek medical attention again.
Wishing you peace and good health.

Sincerely,
Dr.
Chi Chao-Yun
Director, Department of Otolaryngology, Taichung Hospital, Ministry of Health and Welfare

Reply Date: 2018/09/22

More Info

When it comes to understanding the process and aftercare of a tongue biopsy, it's essential to address several aspects, including healing time, potential concerns, and proper aftercare practices.
Firstly, a tongue biopsy is typically performed to investigate abnormal lesions or persistent symptoms, such as the red area you described under your tongue. The decision to proceed with a biopsy, especially after multiple assessments indicating normal inflammation, is often driven by patient anxiety or the desire for definitive answers. It's understandable to want to ensure that any abnormality is thoroughly evaluated, especially given your medical history.

Regarding the healing process, a tongue biopsy usually heals within 7 to 10 days, but this can vary based on individual factors, including your overall health and any underlying conditions. Since you mentioned having undergone a liver transplant, it's crucial to consider that your immune system may be compromised due to immunosuppressive medications. This could potentially affect the healing process, making it slightly longer than average. However, many patients with a history of organ transplantation heal well, provided they follow their doctor's recommendations and maintain good oral hygiene.

You asked about applying oral ointments to the biopsy site. Generally, it's advisable to avoid applying any topical medications or ointments unless specifically directed by your healthcare provider. The medications you received, such as anti-inflammatory and swelling-reducing drugs, are likely sufficient for managing discomfort and promoting healing. If you experience significant pain or discomfort, it’s best to consult your physician before applying any additional treatments.

The presence of a yellowish membrane on the biopsy site is often a normal part of the healing process. This membrane is typically a fibrin clot that forms as part of the body’s natural healing response. It is essential to keep the area clean and avoid irritating it further. If you notice any signs of infection, such as increased redness, swelling, or discharge, you should seek medical attention promptly.

As for your concern about future biopsies and the potential for complications at the biopsy site, it is generally not the case that a previous biopsy site predisposes you to further issues. However, it is always wise to monitor any changes in the area and report them to your healthcare provider. Regular follow-ups and communication with your doctor can help address any concerns that may arise.

In summary, after a tongue biopsy, focus on maintaining good oral hygiene, managing pain with prescribed medications, and monitoring the healing process. If you have any concerns about the healing or the appearance of the biopsy site, do not hesitate to reach out to your healthcare provider for guidance. Your proactive approach to your health is commendable, and staying informed will help you navigate your recovery effectively.

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