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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 32121
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Swelling of tongue and lips, 3 or 4 months, no injuries. Has

Customer Question

swelling of tongue and lips
JA: Any recent injuries? How long have you been dealing with the swelling?
Customer: 3 or 4 months, no injuries. Has been ocuring in the middle of the night
JA: Anything else in your medical history you think the doctor should know?
Customer: no
Submitted: 13 days ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 13 days ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  Dr. Arun Phophalia replied 13 days ago.

What is your age and gender?

Are you on any medications?

Do you have heartburn?

Any sleep issues?

Customer: replied 13 days ago.
age 70 Male
Prostate and blood pressure
no heartburn
I don't sleep well
Expert:  Dr. Arun Phophalia replied 13 days ago.

Is the swelling significantly seen or you feel it more?

Could you post a picture of it?

Customer: replied 13 days ago.
I have a picture Where do I post?
Customer: replied 13 days ago.
Posted by JustAnswer at customer's request) Hello. I would like to request the following Expert Service(s) from you: Live Phone Call. Let me know if you need more information, or send me the service offer(s) so we can proceed.
Expert:  Dr. Arun Phophalia replied 13 days ago.

You can post it on this thread. You may do it as following;
1. Click the paperclip icon
2. Click the Browse icon
3. Click the Browse button
4. Select your file and click Open
5. Click OK
6. Click Insert
7. Click Save Changes on this page

Expert:  Dr. Arun Phophalia replied 13 days ago.

I cannot call you. I am extremely sorry.

Expert:  Dr. Arun Phophalia replied 13 days ago.

Does your voice change (hoarseness) in the morning?

Are you posting the picture?

Customer: replied 13 days ago.
Where is paperclip?
No voice change
Expert:  Dr. Arun Phophalia replied 13 days ago.

Paper clip icon is just above where we are replying.

Customer: replied 13 days ago.
not on my screen
Expert:  Dr. Arun Phophalia replied 13 days ago.

This is on firefox browser.

Shall I tell you the possibilities for the swelling?

Customer: replied 13 days ago.
Expert:  Dr. Arun Phophalia replied 13 days ago.

The possibilities of the diagnosis are;

1) Obstructive sleep apnea (OSA).

2) Gastroesophageal reflux disease (GERD)

3) Allergy; medications may be a reason, but you may need an allergy test (this is nowadays done by the blood; termed as in vitro allergy test).

Obstructive sleep apnea will require following investigations;

A) a sleep study, preferably polysomnography

B) lateral cephalometry,

C) endoscopy,

D) fluoroscopy,

E) computed tomography (CT) scanning,

GERD can be diagnosed by;

a) An endoscopy

b) 24 hours pH estimation of esophagus.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 13 days ago.

A chronic allergic or infective sinusitis may also cause swelling of lips and tongue. The other uncommon causes are;

1) Adrenal gland disorders.

2) Chronic cervical lymphadenitis.

Best wishes,
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Expert:  Dr. Arun Phophalia replied 11 days ago.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited and paid for my work.

Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future.

This additional service offer can be used for

- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.