Persistent Tongue Ulcer: Seeking Solutions Beyond ENT Specialists - Dentistry

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Persistent tongue ulcers can be a frustrating and concerning issue, especially when they do not heal despite ongoing treatment. In your mother's case, it is understandable that the initial worry about tongue cancer led to a biopsy, but it is unfortunate that the procedure may have exacerbated the ulcer and led to further inflammation. Given the complexity of oral ulcers, it is essential to explore various avenues for treatment and management beyond just the ENT specialists.

Firstly, it is important to understand that tongue ulcers can arise from a variety of causes, including trauma, infections, autoimmune conditions, nutritional deficiencies, and even stress. Since your mother has already undergone a biopsy that returned normal results, it is crucial to consider other potential factors that may be contributing to the persistent ulceration.

1. Oral Medicine Specialists: Consulting with an oral medicine specialist could be beneficial. These professionals focus on diagnosing and managing diseases of the oral cavity, including ulcers. They can provide targeted treatments and may offer insights into underlying conditions that could be causing the ulcer.

2. Dermatology: Sometimes, skin conditions can manifest in the oral cavity. A dermatologist with experience in oral lesions might be able to identify any dermatological conditions that could be affecting the tongue.

3. Gastroenterology: If there is a suspicion that gastrointestinal issues could be contributing to the ulcer, such as acid reflux or other digestive disorders, a gastroenterologist may be able to help. Conditions like celiac disease or Crohn's disease can also lead to oral ulcers.

4. Nutritionist/Dietitian: Nutritional deficiencies, particularly deficiencies in vitamins such as B12, folate, and iron, can lead to the development of ulcers. A consultation with a nutritionist could help assess dietary habits and recommend supplements if necessary.

5. Pain Management or Palliative Care: If the ulcer is causing significant discomfort, a pain management specialist may provide options for pain relief and improve quality of life while the underlying issue is being addressed.

6. Psychological Support: Chronic health issues can lead to stress and anxiety, which may exacerbate physical symptoms. Consulting with a psychologist or counselor may help address any emotional distress related to the ongoing health issue.

In terms of treatment options, it may be worthwhile to explore topical treatments that can promote healing and reduce inflammation. These may include:
- Topical corticosteroids: These can help reduce inflammation and promote healing.

- Antimicrobial mouth rinses: These can help prevent secondary infections.

- Pain-relief gels: Over-the-counter gels can provide symptomatic relief.

Additionally, ensuring good oral hygiene is crucial. Gentle brushing and rinsing with saltwater can help keep the area clean and may promote healing.

In conclusion, while ENT specialists are essential for diagnosing and treating conditions related to the ear, nose, and throat, your mother's persistent tongue ulcer may benefit from a multidisciplinary approach. Consulting with oral medicine specialists, dermatologists, gastroenterologists, nutritionists, and pain management experts can provide a more comprehensive evaluation and treatment plan. It is essential to remain proactive in seeking solutions and to communicate openly with healthcare providers about the ongoing issues and concerns.