How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Coachrobmd Your Own Question

Coachrobmd
Coachrobmd, Internal Medicine MD
Category: Medical
Satisfied Customers: 1785
Experience:  •Fmr. Dir. Hep. C Clinic. •Fmr. Dir. Head Trauma Rehab Ctr.
66242556
Type Your Medical Question Here...
Coachrobmd is online now
A new question is answered every 9 seconds

I have a mild inflammation on the left side of my tongue,

Resolved Question:

I have a mild inflammation on the left side of my tongue, under it and close to the tip. When I clench the muscle of the tongue, I feel a sharp pain and feels a bit numb & swollen when I blte on it. No antiseptic or mouth sore solution appears to get rid of it.
Submitted: 2 years ago.
Category: Medical
Expert:  Coachrobmd replied 2 years ago.

Coachrobmd :

Hi, I'm Doctor Robert, a Medical Internist (MD) who deals with diseases of all organ systems. All my education has been completed in the US.

Coachrobmd :

Are you there? If so, NOW is the time to chime in so we can chat.

Coachrobmd :

The views expressed here are for educational purposes only and do not establish a physician-patient relationship. It is NOT intended to replace your own physician's advice or diagnosis. If this is an emergency, stop now and please call 9-1-1 or go to the nearest Emergency Room.

Coachrobmd :

If you're a smoker, this makes tongue cancer a possibility.

Coachrobmd :

If not, then this is likely an erosion of the surface from biting it or food.

Coachrobmd :

The tongue heals very slowly and is painful.

Coachrobmd :

Tightening the muscle contracts the surface, so what you're describing is not uncommon.

Coachrobmd :

If what you've tried has not worked, you can try this:

Coachrobmd :

1. Listerone cut in ½ with equal part water. Straight listerine s too strong

Coachrobmd :

2. brushing your tongue GENTLY when cleaing the teeth.

Coachrobmd :

3. A fluoride rinse such as ACT, which provides protectin to all survices of the mouth

Coachrobmd :

4. No hard foods such as pretzels as they traumatize the tongue

Coachrobmd :

5. Lidocaine swish from the pharmacist, mixed with equal parts mylanta. Swish that four times daily

Coachrobmd :

6. See the dentist as aphthous ulcers often are a sign of other disease.

Coachrobmd :

7. Do nOT bite on it.

Coachrobmd :

8. Make sure you tke a multivitamin daily as some deficiencies make this more likely.

Coachrobmd :

9. Don't brush more that twice daily.

Coachrobmd :

10. no teeth whitening strips for the time being.

Coachrobmd :

Look here:

Coachrobmd :

http://www.mayoclinic.com/health/canker-sore/DS00354

Coachrobmd :

These all are part of good oral hygiene, and it takes time to heal.

Coachrobmd :

Fluoride rinses are excellent for this.

Coachrobmd :

Also, you can take a vitamin E liquid capsule, puncture it, and apply it directly to the area involved. This works wonders for mouth sores.

Coachrobmd :

Are you there?

Coachrobmd :

I guess not.

Customer:

This inflammation appeared to start from the back of my eardrum from the throat and into the tongue and stopped near the tip. On the flank of the tongue; there appears what seems to be a small indiscernible pimplel that just won't burst and it affects the nerves in my tongue (left side only) hence the pain.

Coachrobmd :

If this is a pimple of sorts, it could be an inflamed taste bud.

Coachrobmd :

If it started by the eardrum, then this could be an infection with a deep tissue abscess.

Coachrobmd :

In that case, it shluld be seen by your primary care physician as antibiotics may now be required.

Coachrobmd :

Oropharyngeal infections can present in a variety of fashions.

Coachrobmd :

That it involved your throat makes me suspicious of an infection, and if so, you may need clincamycin by mouth to treat this.

Coachrobmd :

Does this make sense?

Coachrobmd :

Yes or No?

Coachrobmd :

That's clinDamycin. sorry.

Coachrobmd :

You need to see the dentist of primary care physician at this point.

Customer:

Yes Do I need a prescription for that?

Coachrobmd :

a biopsy may even be needed.

Coachrobmd :

Yes, it is by prescription only.

Coachrobmd :

Do you s moke/

Coachrobmd :

I’m a great M.D., but NOT a great typist. Please bear with me.

Customer:

Is there any chance that it might just cure itself over time?

Coachrobmd :

I don't know the diagnosis, so I can't speculate.

Coachrobmd :

If it's an aphthous ulcer, yes it will.

Coachrobmd :

But I can't see it so I don't know what it is.

Coachrobmd :

do you smoke?

Customer:

My dentist told me that I have an abscess over a tooth but as yet has not caused me any trouble. He told me to get it fixed sooner than later but the treatment is expensive. could this pus or whatever found it's way to the tongue.

Coachrobmd :

If you have an abscess, it can be drained or treated with antibiotics. This does NOT go away by itself.

Coachrobmd :

Yes, abscess can be found in the tongue.

Coachrobmd :

The mouth is a dirty place.

Coachrobmd :

You need to be seen.

Coachrobmd :

Any other questions I can answer for you today?

Customer:

Yes I smoke unfortunately.l

Customer:

Yes only one more.

Coachrobmd :

Well, then that opens the possibility of oral cancer.

Coachrobmd :

So, again, you need to be seen quite soon about this.

Coachrobmd :

I can't make a diagnosis for you and am not going to lie

Coachrobmd :

I've given you all the things you can do, a differential diagnosis and what to do. there's not much more information Ihave for you except to repeat that this needs to be seen and possibly biopsied for cancer in a smoker.

Coachrobmd :

Sorry, but thems the facts.

Customer:

my father did have a cancer at the base of the tongue but it stank horribly. Mine is not like that and it's not spreading. it stays localised at the near underneath tip of the tongue.

Customer:

Thankyou very much

Coachrobmd :

That does NOT rule-out cancer unfortunately.

Coachrobmd :

You need to be seen. I'm sorry to tell you that.

Coachrobmd :

Any other questions I can answer for you today?

Coachrobmd :

Are you still there?

Customer:

I accept. Have a good night. I will see myphysician.

Coachrobmd :

good.

Coachrobmd :

If you found this information useful, please rate my answer – I hope you found it to be Excellent! This is how I get compensated for assisting you with your medical issue today.

Coachrobmd :

POSITIVE feedback is FREE for you to leave about our session today. It is very important for me to get feedback so I can help customers the best way possible. This is VERY different than an office setting where I can see if you're satisfied with our discussion. Please consider taking one minute to fill this out. Thank you.

Coachrobmd :

Thanks for coming to JustAnswer.com today. If you ever want me again for other medical issues, please type FOR COACHROBMD ONLY in the subject line. Have a great day.

Coachrobmd :

Are you stuck in the IM Chat room? If so, I can help you get out.

Coachrobmd :

hello?

Customer:

Yes it looks like I'm still stuck in the chat room. How can I save your advice, give you + feedback and leave?

Coachrobmd :

Just click accept and it will prompt you.

Coachrobmd :

To copy this, click at the top of this page with the mouse button, drag the cursor all the way down to the bottom (this will highlight the text), and then go to the edit menu and select copy. Then paste it to a text document.

Coachrobmd :

I'll also send you an email with the link in an email.

Coachrobmd :

It's all pretty straightforward.

Coachrobmd :

Are you still there?

Coachrobmd :

Hello?

Coachrobmd, Internal Medicine MD
Category: Medical
Satisfied Customers: 1785
Experience: •Fmr. Dir. Hep. C Clinic. •Fmr. Dir. Head Trauma Rehab Ctr.
Coachrobmd and other Medical Specialists are ready to help you
Expert:  Coachrobmd replied 2 years ago.
What Happens Now?

Your chat has ended, but you can still work with your Expert to get an answer to your question if you have not yet received one.

Come back to this page at any time to see additional information from your Expert.  You will also receive an email when your question is updated.  If you want to send a message to your Expert, use the box below.

If you have already received a satisfactory answer to your question, click the Accept button above.  Experts are credited for each accepted answer they provide.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 
Chat Now With A Doctor
Coachrobmd
Coachrobmd
Doctor
1785 Satisfied Customers
•Fmr. Dir. Hep. C Clinic. •Fmr. Dir. Head Trauma Rehab Ctr.