Tongue Issues: Symptoms and Concerns About Oral Cancer - Dentistry

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Tongue issues?


A few days ago, I experienced severe ulceration under my tongue, with a relatively large ulcer area.
After visiting a doctor and applying the medication prescribed for a few days, it has finally healed to a large extent.
However, I now notice that the front part of my tongue feels somewhat numb and has lost its sense of taste.
At the same time, other areas in my mouth have started to develop ulcers again.
Could this possibly be a symptom of oral cancer?

Bu Yan Bu Jiu Bu Bing Lang De Xue Sheng, 20~29 year old female. Ask Date: 2019/06/12

Dr. Lin Jiayong reply Dentistry


Hello: The most direct way to confirm whether it is oral cancer is through a biopsy.
Whether a biopsy is necessary will be determined by the physician who is evaluating your oral condition.
It is recommended that you discuss with your treating physician whether a biopsy is needed.
Thank you!

Reply Date: 2019/06/12

More Info


When it comes to oral health, particularly concerning symptoms that may indicate oral cancer, it is essential to approach the situation with caution and thoroughness. Your recent experience with a significant ulcer under your tongue, followed by a feeling of numbness and loss of taste in the front part of your tongue, along with the emergence of new ulcers in other areas of your mouth, raises valid concerns.

Oral cancer can manifest in various ways, and while not all symptoms are indicative of cancer, certain signs warrant further investigation. Common symptoms of oral cancer include persistent sores or ulcers that do not heal, lumps or thickened areas in the mouth, white or red patches on the gums, tongue, or lining of the mouth, and changes in taste or difficulty swallowing. The numbness and loss of taste you are experiencing could potentially be linked to nerve involvement or irritation due to the ulcers, but they are not definitive indicators of cancer.

Given your symptoms, it is crucial to consider several factors. First, the duration and persistence of your ulcers are significant. If they have lasted longer than two weeks without improvement, this is a red flag that should prompt further evaluation by a healthcare professional. Additionally, the presence of new ulcers could suggest an underlying issue that needs to be addressed.

Your history of oral ulcers may also be influenced by other factors such as stress, dietary habits (like consuming spicy foods), and oral hygiene practices. Stress can lead to behaviors such as teeth grinding, which may contribute to oral trauma and subsequent ulcer formation. Furthermore, certain dietary choices can irritate the oral mucosa, leading to ulcers.

It is also important to consider your overall health and lifestyle factors. Smoking and alcohol consumption are significant risk factors for oral cancer, as they can cause changes in the oral mucosa and increase the likelihood of malignant transformations. If you have a history of smoking or other risk factors, this should be discussed with your healthcare provider.

In your case, it is advisable to seek a thorough examination from a dental or medical professional who specializes in oral health. They may recommend a biopsy of the ulcers to rule out any malignant changes. Imaging studies, such as a CT scan, may also be warranted to assess for any deeper lesions that are not visible during a standard examination.

In conclusion, while your symptoms could be indicative of oral cancer, they could also be related to other benign conditions. It is essential to follow up with a healthcare provider who can conduct a comprehensive evaluation and provide appropriate management. Early detection and intervention are crucial in addressing any potential issues, so do not hesitate to seek further medical advice. Your health and peace of mind are paramount, and taking proactive steps is the best course of action.

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