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Dr.Tiwari, Doctor.
Category: Health
Satisfied Customers: 5256
Experience:  M.D.
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Inflamed tongue, under tongue blood vessels look blackish,

Resolved Question:

inflamed tongue, under tongue blood vessels look blackish, it happened when my medication Ramipril was increased, stopped taking medication 2 weeks ago, still inflamed
Submitted: 8 years ago.
Category: Health
Expert:  Dr.Tiwari replied 8 years ago.
   Will you please answer some questions-
1.Is there any history of diabetes?
2.Is there any other medications which you are taking?
3.Is there alternation of taste?
Please reply.
Customer: replied 8 years ago.
No history of diabetes - other medication taken Atenalol 50mg and Bendroflumethiazide 2.5mg - no alteration to taste
Expert:  Dr.Tiwari replied 8 years ago.
Except the drugs like ACE INHIBITOR like ramipril the common cause for inflamed tongue are-
1.Deficiency of vitamin B12.
2.Deficiency of niacin.
3.Iron deficiency anemia.
4.Alcohol intake.
6.Git disease sprue.
7.Deficiency of zinc.

If the inflamed tongue is persisting then there may be other reason except the drug.Two weeks is sufficient time for the recovery of inflamed tongue from the drug cause.I think you should get yourself checked by having estimation of serum level of vitamin B12.In meantime you should start following for relief-
1.An intake of supplement dose of vitamin B complex group may be helpful & remove the symptoms caused by deficiency of it.
2.Keep the oral hygiene good & check for any irritation from dentures.
3.Rinse mouth with 2% lidocaine viscous 1 hour before meal every 3 hourly if needed.
4.Use triamcinolone(kenalog) in oral paste.
5.Mouth wash of 1/2 tea spoonful of sodium bicarbonate in 240ml of warm water four times a day.

Hope all this will be helpful.
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