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- Sat Feb 25, 2006 2:29 pm
Hello, I am 23 yrs old, a male and I have been having a problem with my tounge lately. I recently became active with another male and have been with two others during. I all started after that fact. First during the middle of the day I had a small upraised bump on the tip of my tounge. Then as the day progressed it got a little bigger and more appeared. That night as Ii was laying in bed, it felt as if they had opened up or something. That next morning where the bumps had been were replaced by white patches that felt numb then would go away. Depending on if I bothered with it they would go away fairly quickly but during my taste would be all out of wack. They had been gone for a week and just started again last night. Woke up this mprning and sure enough the white patches were there. Any idea what this could be? P.S. My X-Girlfriend just told me a month ago that she had HPV when we were together but I did use protection at all times. What do you think it is?
| Dr. Safaa Mahmoud
- Wed Aug 09, 2006 2:23 pm
There is no replacement to a direct clinical examination, however these lesions could be:
- Oral Candidiasis (Thrush).
They are in the form of white plaques, distributed anywhere on the oral mucosa or tongue.They can easily scraped off showing a red base.
Diagnosis may be confirmed with microscopic exam.
Oral candidiasis do not occur in healthy young adults unless they are on antibiotics, steroids, or other immunosuppressive therapy.
Undiagnosed diabetes may present with oral candidiasis.
Early evaluation and treatment by an Infectious Disease specialist should be done to exclude STDs.
-Traumatic plaques lesions improve within a week.
-Hairy Leukoplakia, white plaques with a hairy-looking painless lesions on the lateral aspects of the tongue;EBV and HPV and HIV risk factors should b tested.
-Lichenoid reactions, may occur secondary to drugs, allergies and liver disease.
-Recurrent Apthous Ulcers -stress ulcers; they are usually multiple lesions and painful.
- Oral lichen planus patches form fine white lines and dots do not cause problems, and diagnosed by biopsied.
- Leukoplakia is only considered by exclusion when other conditions such as candidiasis, lichen planus, leukoedema, etc. are ruled out.
Any lesion that does not resolve with medications should be biopsied.
Direct clinical examination is essential.
I advise you to follow up with your doctor.