Persistent Tongue Ulcer: What to Do After Two Weeks? - Dentistry

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The hole in my tongue has not healed for more than two weeks?


Hello, I would like to inquire about two holes on the side of my tongue that have been present for over two weeks.
I have applied oral ointment, but it hasn't helped.
What should I do? Here are the photos: https://ibb.co/sHVF9Rd https://ibb.co/zsV9WJS

Tong, 20~29 year old female. Ask Date: 2020/12/16

Dr. Zeng Guanghui reply Dentistry


Hello Tong: If the two sores on your tongue have not healed after two weeks, it is recommended to return for a follow-up appointment so that the doctor can conduct further evaluation and examination to determine the cause.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2020/12/16

More Info


If you have a persistent ulcer on the side of your tongue that has not healed after two weeks, it is important to take this seriously. Oral ulcers can be caused by a variety of factors, including trauma, infections, autoimmune diseases, or even malignancies. Given that your ulcer has persisted for more than two weeks without improvement, it is advisable to seek a thorough evaluation from a healthcare professional, preferably an ear, nose, and throat (ENT) specialist or a dentist who specializes in oral health.

Here are some steps you should consider:
1. Consult a Specialist: Since your ulcer has lasted for over two weeks, it is crucial to consult a healthcare provider. They may perform a physical examination and possibly order additional tests, such as a biopsy, to rule out any serious conditions, including oral cancer.

2. Review Your Symptoms: Be prepared to discuss any additional symptoms you may be experiencing, such as pain, difficulty swallowing, changes in taste, or any other unusual changes in your oral cavity. This information can help the healthcare provider make a more accurate diagnosis.

3. Avoid Irritants: While waiting for your appointment, try to avoid any irritants that could exacerbate the ulcer. This includes spicy foods, acidic foods, and tobacco products. Maintaining good oral hygiene is also essential; however, be gentle when brushing your teeth to avoid further irritation.

4. Topical Treatments: Although you mentioned that topical ointments have not been effective, it may be worth discussing other options with your healthcare provider. They might prescribe a stronger topical medication or recommend a mouth rinse that can help alleviate pain and promote healing.

5. Dietary Considerations: Eating a soft diet may help reduce discomfort while the ulcer heals. Foods that are easy to chew and swallow, such as yogurt, smoothies, and mashed potatoes, can be beneficial.

6. Monitor for Changes: Keep an eye on the ulcer for any changes in size, color, or appearance. If you notice any new symptoms, such as increased pain, swelling, or fever, seek medical attention promptly.

7. Follow-Up: If your healthcare provider prescribes treatment, be sure to follow up as recommended. If the ulcer does not improve with treatment, further investigation may be necessary.

In summary, a tongue ulcer that persists for more than two weeks warrants a professional evaluation to rule out serious underlying conditions. Early intervention can lead to better outcomes, so do not hesitate to seek medical advice. Remember, your health is paramount, and addressing these symptoms promptly can help ensure a proper diagnosis and treatment plan.

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