Tongue Problems - Please help

[andy75]

I have a quick question for members on the forum and would appreciate your response.

A few weeks back, I seem to get a feeling that my tongue was "cut", it looked bumpy from couple of places. I dont take any medicine, but was going through a period of high annxiety/stress. Dint get anything else in my mouth, lips or cheeks. At the same time I was having tongue troubles I was having some burning/pain like sensation that extended from my thoart and went all the way down till where my throat ends. It was worse sometime and OK at other times. This too went away on its own after some time and the tongue also felt better in a couple of days. I am wondering if someone can tell me what could be going on?    

What is worrying me now is that the tongue seems badly "cut" again (near the tip of the tongue) from 2 places (close to each other). I got some burning like pain for sometime but felt OK other times. I looked at my tongue and there is a very mild white coating that is not coming off. It seems worse towards the end of the tongue. I can also see some bumps, but they dont pain. Despite all this I dont have any canker sores in my mouth or any other symptoms anwhere in my body. Its been more than 2 weeks and the cuts dont seem to be getting better. I was wondering if someone can help and let me know what is going on. I cant seem to find a good source to solve this.

Is this Thrush? Or is it Stomatatis? What is it?
Are there any tongue issues related to stress?
Finally, please tell me when someone says "oral ulcers" as a means for clasifying symptoms, do they include tongue issue or not?

Thanks for your help

[andy75]

great... can you exapnd on "no vesciles present before ulceration". I am less worried about my ulcers and more worried about the cuts, is there something that I can do for it?

[scottma]

assuming your past medical history is non-contributory other than possible exposure to hiv, No constitutional symptoms present, My working diagnosis would be aphthous ulcer, if there is no vesicle present before ulceration.Topial application of topical corticosteroid preparation on affected area4-6 times /day, for a week,

[andy75]

thanks scottma.

i really apprecaite your interest in my case and helping me out. i am going to wait for a couple more days to see if these cuts become better and then try to take an appointment with an oral specalist.

i dont have any other issues with my overall health except this HIV scare (which is not yet confirmed). as per what i have read and consulted with other HIV specalists i am past the time that most new HIV patients fall sick or develop any health problems. Also this tongue issue is not accompanied with other symptoms. Is there other symptoms that i should be looking for? Also, does the presence of oral ulcer along with my tongue cut any sing of things getting worse?

[scottma]

Opportunistic infection refers to an infection is caught by immune compromised subject, such as diabetes, tuberculosis, hiv,etc.Sorry I can't explain in common verbal language. You are probably aware that English is not my mother tongue.Common things occur commonly. It appears that you have a more complicated past medical history, Comprehensive medical evaluation is advised.

[andy75]

since my troubles are limited to my tongue and i am only within 3 months of my exposure, i dont think i could be getting the opportunistic infections. correct?

also, in the primary hiv stage or ARS, that is 2-4 weeks after exposure, does the broad category of "oral" ulcers include tongue ulcers and tongue cuts also or are they seperate?

finally, just today it seems like i developed my first oral ulcer near the gum in lower lip. its still not full blown, but seems like it can burst open any moment. the cuts dont seem any better, just that they are not paining or burning. do you have any hypothesis of what could this be. is this something serious?    

[scottma]

common oral manifestations of hiv infections are oral ulcers resembling aphthous ulcer,hairy leukoplakia on lateral border of tongue, opportunistic infections such as candida albicans, herpes simplex. If you have an open wound, viruses have an easier access to circulation. Ulcer is certainly an open wound. However, if the ulcer is not contacted by pathogen, systemic infection is not likely to happen. I generally do'nt recommend my patient to use mouserinse, unless mechanical cleaning of tooth is not available. It appears that the ulcer is related to the sharp edge of lower front teeth. However, the healing time is unusual. Comprehensive medical work up is recommended. Seeing an oral pathologist is advised.