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Suggest Treatment For A Brown Mark On The Tongue

Posted on Mon, 27 Jun 2016

Question: Good morning doctor,
I have a brown color mark on side of my tongue. I observed it recently, i Dont know whether its there from earlier or not. I recently ate colocasia on thursday got itching and rubbed it with teeth. I got one mouth blister after that and when i obserbed it i saw this mark. I observed on sunday evening and again observing. Its flat and no growth or change since now. Nor pain. I am worried whether its melanoma or cancer

Answered by Dr. Hariom Sharma (4 hours later)

Brief Answer:
Most probably it is not the melanoma or cancer

Detailed Answer:
Hi Mam,
I have gone through your question and images and understand your concern; and it suggests that most probably you may not be suffering from the melanoma or cancer.

I would like to inform that there are so may reason of the brownish discoloration of the tongue such as fungal infection except candida or mixed infection i.e. fungal and bacterial, trauma to the tongue, oral fibroma and hyperpigmentation.

If I were your treating doctor then I would like to prescribe gargles with the hydrogen peroxide and hexidine and also apply the candid mouth paint (Clotrimazole) to the affected area for at least 7 days. If the condition persist even after the seven days then better to consult with ENT specialist for further management.

Regards
Dr Hariom Sharma MS, XXXXXXX

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Hariom Sharma (12 minutes later)

But doctor there was no pain nor itch and anything. And when observed closely it looks like a brown cotton bud. Cant feel it on fingers. Can u tell me how much percentage u assure that its not cancer out of 100 percentage.

Answered by Dr. Hariom Sharma (2 hours later)

Brief Answer:
99.9% if you have no history of tobacco chewing, smoking and related products

Detailed Answer:
Hi Mam,
I have gone through your follow up question and understand your concern; and I would like to assure that 99.9% it is not the cancer if you have no history of tobacco chewing, smoking and related products.

Regards
Dr Hariom Sharma MS, XXXXXXX

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Hariom Sharma (30 hours later)

Sir what is best to do reduce post nasal drip. Sinus pains and Throat burning due post nasal drip. Had all tests ct scan. It confirmed sinusitis. Similarly had endoscopy it said gastritis. And duodinitis. Healing ulcer. Feel that gerd is cause of nasal drip and sinusitis. Light dns. Gets ear pain, upper teeth pain. Been chronic sinusitis sufferer. Takes cetrizine when feels its high. Nasal turbination is there as well. Please specify a course of medicine that solve problem for.me.

Answered by Dr. Hariom Sharma (8 hours later)

Brief Answer:
If I were your treating doctor then I will prescribe the following

Detailed Answer:
Hi Mam,
I have gone through your follow up question and understand your concern; if I were your treating doctor then I will prescribe you
1. Netiwash (Normal saline, sodium bicarbonate and sodium biborate) nasal wash once a day.
2. Steroid nasal spray such as fluticasone furoate once a day and
3. Systemic and local nasal decongestant.

For better answering please send me the CT scan report and image to me.

Regards
Dr Hariom Sharma MS, XXXXXXX

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Sonia Raina