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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can I Be Suffering From Macroglossia ?

Hi, I am 29 yrs old (male). I dont have normal breathing. Usually if I dont notice my breath I may some times breath less than normal counts per minute. And even sometimes I can not take long breath, my chest feels full with less air inhaled. And my throat will be always in infected state. I have to keep clearing my throat (approx. very 15mins) by uttering a sound. I dont suffer from cold or a running nose. But even then a nose discharge in a fluid state accumulates very frequently (approx. every 1hr) just in between the nose and mouth and it comes to mouth by pulling with little force. I am having this problem from more than 10 years. I had consulted some ENT doctors. I have been told that I am allergic to dust. But now I am sensing that my tongue has enlarged. I feel it bit heavier than normal and grown in width and length. It fills my mouth completely and produces more saliva. And I did some research over internet and I feel macroglossia matches most of my symptoms. Could you please help me to diagnose this problem and suggest me a best a doctor and hospital. Thanks much in advance for your help.
posted on Sat, 26 Feb 2011
Twitter Mon, 28 Feb 2011 Answered on
Twitter Fri, 13 Jan 2012 Last reviewed on
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Otolaryngologist / ENT Specialist,  's  Response
1. Your symptoms of post nasal drip and excessive salivation may be linked to:



a. Long standing GERD (Gatsro Esophageal Reflux Disease) / LPR (Laryngo Pharyngeal Reflux) and/or



b. Mouth Breathing due to chronic nasal obstruction.



2. The posterior part of the tongue and throat is covered by a large amount of lymphoid tissue which may enlarge due to chronic inflammation, and would feel like macroglossia. Kindly have an endoscopic examination.



3. True Macroglossia can have many causes, therefore a CT / MRI Scan will be required. A Cine MRI will also show how severe the problem is during actual movements.



4. If you have true macroglossia, there is a new and effective surgery to reduce the bulk of the tongue by coablation. It is known as SMILE (Submucosal Minimally Invasive Lingual Excision).
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Can I Be Suffering From Macroglossia ?

1. Your symptoms of post nasal drip and excessive salivation may be linked to: a. Long standing GERD (Gatsro Esophageal Reflux Disease) / LPR (Laryngo Pharyngeal Reflux) and/or b. Mouth Breathing due to chronic nasal obstruction. 2. The posterior part of the tongue and throat is covered by a large amount of lymphoid tissue which may enlarge due to chronic inflammation, and would feel like macroglossia. Kindly have an endoscopic examination. 3. True Macroglossia can have many causes, therefore a CT / MRI Scan will be required. A Cine MRI will also show how severe the problem is during actual movements. 4. If you have true macroglossia, there is a new and effective surgery to reduce the bulk of the tongue by coablation. It is known as SMILE (Submucosal Minimally Invasive Lingual Excision).