Tongue Injuries and Cholesterol Management: When to Seek Help

Question for the doctor?

Hello, doctor.
This afternoon, while biting into a malt cookie, I accidentally scraped my tongue against something stuck to my teeth.
Although there was no bleeding, I noticed a small red spot under my tongue.
Could this be due to a microvascular bleed? Do I need to see a doctor or apply any medication for this?
Additionally, I would like to ask about my cholesterol levels.
I have seen my family physician about four times, and while my cholesterol has decreased from 222 to 212, it still seems to be above the normal range.
I have been trying to limit my intake of shellfish and have been walking regularly, in addition to playing table tennis.
I am concerned about the possibility of genetic factors, as it seems that many men on my father's side of the family have similar issues, even those who maintain a normal diet.
I would like to know if cholesterol levels need to be monitored continuously.
I have been getting blood tests every three months, and each time the doctor advises me to continue controlling my diet and exercise.
I am wondering if it would be sufficient to have tests every six months or even once a year, considering that the results of blood tests are typically valid for about six months.
I find that despite my efforts, there is not much change every three months.
Could you please advise if it is acceptable to check my cholesterol every six months instead of so frequently? It can be challenging to fast for 12 hours before each test, and sometimes I forget and accidentally drink water in the morning.

Da, 20~29 year old female. Ask Date: 2020/06/09

Dr. Hong Yuanbin reply Internal Medicine

Hello,
1.
A small cut on the tongue from accidentally biting it usually heals on its own, unless it worsens; otherwise, there is no need for medical attention.

2.
High cholesterol is indeed caused by multiple factors, including diet, exercise, genetics, body composition, and lifestyle.
Generally, dietary changes and increased physical activity are the first steps for management.
If cholesterol levels remain elevated after three months of diet and exercise, medical treatment should be considered.
At that point, it may be necessary to start using cholesterol-lowering medications.
After starting medication, the physician will recommend follow-up appointment and blood test schedules based on your condition.
Thank you for your inquiry.

Reply Date: 2020/06/09

More Info

When it comes to tongue injuries, such as the one you described where you scraped your tongue while eating a snack, it is generally not a cause for alarm, especially if there is no bleeding. The small red spot you observed could indeed be due to minor trauma, possibly from the rupture of small blood vessels in the area. In most cases, these types of injuries heal on their own within a few days. You can manage the discomfort by rinsing your mouth with warm salt water, which can help reduce inflammation and promote healing. Over-the-counter topical anesthetics may also provide relief if the area is painful. If the pain persists, or if you notice any signs of infection (such as increased redness, swelling, or discharge), it would be wise to consult a healthcare professional.

Regarding your cholesterol levels, it is good to hear that you have made some dietary changes and increased your physical activity. Cholesterol management can indeed be influenced by genetics, and familial hypercholesterolemia is a condition where high cholesterol levels run in families. This means that even with a healthy diet and regular exercise, some individuals may still struggle to achieve normal cholesterol levels due to genetic factors.

In terms of monitoring your cholesterol, the frequency of testing can vary based on individual risk factors and the specific recommendations of your healthcare provider. Generally, if your cholesterol levels are close to the target range and you are making lifestyle changes, your doctor may suggest extending the interval between tests to every six months or even annually. However, if you have a history of high cholesterol or other risk factors for cardiovascular disease, more frequent monitoring may be warranted.

It's important to communicate with your healthcare provider about your concerns regarding the frequency of blood tests. They can help you determine the best schedule based on your overall health, family history, and any other risk factors you may have. Additionally, if you find it challenging to fast for the required 12 hours before blood tests, discuss this with your doctor; they may have alternative recommendations or testing methods that could work better for you.

In summary, for your tongue injury, monitor it for any changes and maintain good oral hygiene. For your cholesterol management, continue your healthy lifestyle changes, and discuss with your doctor the appropriate frequency for monitoring your cholesterol levels based on your individual circumstances.

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