White Patches on Tongue Edges: When to Seek Further Medical Advice

Q: White Patches on Tongue Edges: When to Seek Further Medical Advice

Hello： According to the descriptions from both physicians, it is likely to be a benign tumor such as leukoplakia or granuloma. <br>If there are no obvious ulcers or protruding tumors, self-monitoring is recommended, with regular follow-up examinations every three to six months. <

White patches on the edges of the tongue?

I usually smoke, drink alcohol, and chew betel nut.
Recently, I noticed that the edges of my tongue are white, and there are two smooth, white patches on the right edge of my tongue.
They are not painful or bothersome.
I also have a white spot on the inside of my cheek.
I have shown this to two doctors.
The first one said it looks like mild leukoplakia and that it’s only a little bit.
The second doctor, from an older clinic that collaborates with oral screenings, examined me and said that the cheek looks like it was injured from biting, and the tongue appears to be caused by friction with my teeth.
Should I go to a larger hospital, or should I just monitor the situation for now?

Tian, 30~39 year old female. Ask Date: 2019/08/10

Dr. Zheng Jueyi reply Otolaryngology

Hello: According to the descriptions from both physicians, it is likely to be a benign tumor such as leukoplakia or granuloma.
If there are no obvious ulcers or protruding tumors, self-monitoring is recommended, with regular follow-up examinations every three to six months.
It is advised to refrain from smoking and betel nut to prevent further changes.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/08/10

More Info

When it comes to white patches on the edges of the tongue, especially in the context of habits such as smoking, drinking alcohol, and chewing betel nut, it is essential to approach the situation with caution. The presence of white patches can indicate various conditions, ranging from benign to potentially serious. Given your description of the patches being smooth and painless, it is possible that they could be related to mild leukoplakia or frictional keratosis due to irritation from teeth.

Leukoplakia is a condition characterized by white patches in the oral cavity that can arise from chronic irritation, such as from smoking or alcohol use. While many cases of leukoplakia are benign, some can harbor dysplastic changes that may lead to oral cancer. Therefore, it is crucial to monitor these patches closely. If they persist, change in appearance, or if you develop any new symptoms such as pain, difficulty swallowing, or changes in taste, you should seek further evaluation from a specialist, such as an oral surgeon or an otolaryngologist.

The fact that you have already consulted two doctors is a positive step. The first doctor's assessment of mild leukoplakia suggests that they are aware of the potential risks associated with your habits. The second doctor's opinion that the white patch on your cheek is due to previous trauma from biting is also a reasonable explanation, especially if it appears to be healing.

However, given your history of smoking and alcohol consumption, it would be prudent to consider a few additional factors:
1. Regular Monitoring: Keep an eye on the white patches. If they do not resolve within a few weeks or if they change in size, shape, or color, it is advisable to return to a healthcare provider for further evaluation.

2. Lifestyle Changes: Reducing or eliminating smoking and alcohol consumption can significantly improve your oral health and decrease the risk of developing more serious conditions. If you are struggling with these habits, consider seeking support from healthcare professionals who specialize in addiction.

3. Oral Hygiene: Maintaining good oral hygiene is crucial. Regular brushing and flossing, along with routine dental check-ups, can help prevent further irritation and potential complications.

4. Follow-Up: If you are still uncertain or anxious about the patches, seeking a third opinion or visiting a larger medical facility with a specialized oral health department may provide you with peace of mind. They can perform a thorough examination and, if necessary, a biopsy to rule out any serious conditions.

5. Awareness of Symptoms: Be vigilant for any new symptoms such as pain, difficulty swallowing, or changes in your oral cavity. These could indicate a more serious issue that requires immediate attention.

In conclusion, while your current observations may not seem alarming, it is essential to remain proactive about your oral health, especially given your lifestyle factors. Regular check-ups and being aware of changes in your oral cavity can help ensure that any potential issues are addressed promptly. If in doubt, do not hesitate to seek further medical advice.

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