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Geographical Tongue
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Geographical Tongue

Recently I saw a dental patholgist for a chronic tongue problem.  He said I have geographical Tongue.  It flares up every now and then.  Sometimes my tounge gets so irritated that it may bleed slightly.  Can this be associated with GT?
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Thank you for visiting the Family Practice Forum.
Geographic Tongue may bleed on occasion. Geographic tongue is a relatively common tongue problem that normally responds to topical steroids.  We do not know the cause of geographic tongue and treatment does not permanently cure it.  It does however, provide significant improvement of symptoms.

The safest treatment is topical Lidex gel applied about 4 times daily, just after meals and at bedtime.  Your dentist or doctor should be able to prescribe it for you.  There are stronger steroids available but they have side effects.  Some patients with geographic tongue have Zinc deficiency and your doctor could run zinc blood levels for you.  If you are deficient,  zinc supplementation really helps.


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I have recently been diagnosed with Pemphigus Vulgaris ( an autoimmune blistering disease) and have been discussing my disease with other PV patients. Several of us have geographic tounge or have children with geographic tounge. Is there a connection?
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My one year old son is always getting painful sores in the mouth. There was a time (when he was about five months) he really took a lot of antibiotics and since then, he always gets sores in the mouth.  We have seen several paediatricians who give him oral gels to apply for a week or two. This help a lot but as soon as we stop applying them, the condition comes back. We have been informed that he has a geographical tongue.  He gets a fever every time this conditions recurs.  Our query is, does a child get a fever (especially at night) when he has a geographical tongue?  Could he be suffering from something else and how can we help him as this condition really affects his feeding habits.
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