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Suggest Treatment For White Spot On My Lingual Frenulum

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Posted on Tue, 10 Feb 2015
Question: I have a white spot on my lingual frenum, high up closer to my tongue (not near the floor of the mouth). A number of months ago I had an encounter outside my relationship where I sucked the breast of a prostitute. I have been worried that I didnt see a syphilitic sore and I know have secondary syphilis. Could this be a mucous patch of secondary syphilis

I tried taking pictures but could not get a good one

n my first question I wrote "know" it should of been "now"
doctor
Answered by Dr. Sumit Bhatti (34 minutes later)
Brief Answer:
Unlikely to be syphilis. There is no cause for undue worry.

Detailed Answer:
Hi,

Thank you for your query.

1. You are well past the normal incubation period for primary and secondary syphilis since it has been many months since the exposure. As such, you had a low risk exposure. Hence it is unlikely that you missed a primary syphilis lesion and now have secondary syphilis.

2. Latent Syphilis can also be ruled out by a repeat blood test, a swab and a excision biopsy if the lesion under the tongue is increasing in size.

3. A close-up image would have helped. The other way out is a direct examination by an ENT Specialist. These lesions are more likely to a apthous ulceration , submandibular salivary duct papillae or a blocked minor salivary gland.

4. There is no cause for undue worry.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Sumit Bhatti (5 hours later)
I have attached a picture of my frenum. It's not the best but you can see the white spot. It is not a canker sore. I have no pain from it ( I have had many cankers before)
doctor
Answered by Dr. Sumit Bhatti (16 hours later)
Brief Answer:
Not a syphilis lesion.

Detailed Answer:
Hi,

Thank you for writing back.

1. That is definitely not a canker sore or a syphilitic lesion.

2. You can wait and watch for a few weeks.

3. If there is any doubt an excision biopsy is a simple way out.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (13 minutes later)
It seems to be going away for the most part, I know you said it does not look like a syphilitic lesion...did you mean a primary lesion or a secondary? Or both, and clue what it could be/ of been
doctor
Answered by Dr. Sumit Bhatti (4 minutes later)
Brief Answer:
Neither primary nor secondary syphilis.

Detailed Answer:
Hi,

Thank you for writing back.

1. The lesion is neither primary nor secondary syphilis.

2. This is most likely a minor salivary gland infection.

3. No treatment is necessary if it is healing.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (2 hours later)
Beyond the spot of my frenum I have also noticed a white spot on my tongue which I originally thought was an inflamed taste bud. It is both painless and a little hard, it is small and a little faint but sits below the lateral border of my tongue where there seems to be no other taste buds. I am connecting a picture I had put an oval around the spot. I am trying to put my fears of syphilis behind me...Please advice if this looks anything like a lesion of primary of secondary syphilis. The picture also may have uploaded upside down. tell me what you think
doctor
Answered by Dr. Sumit Bhatti (50 minutes later)
Brief Answer:
Looks like a tongue bite/ leukoplakia.

Detailed Answer:
Hi,

Thank you for writing back.

1. The lesion on the lateral border of the tongue looks like a tongue bite.

2. The image is not very clear. Do you see any white batch anterior to it? IIf so it is an early lekoplakia, but nowhere near a primary or secondary syphilis.

3. Get it examined id it does not subside in a week or two.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (3 hours later)
I'm not sure what you mean by whit batch, but I don't see anything odd near it
doctor
Answered by Dr. Sumit Bhatti (11 hours later)
Brief Answer:
Might be reflection of light.

Detailed Answer:
Hi,

Thank you for writing back.

1. It may be just reflection of light on the moist mucosa.

2. The image is not very clear. Hence it is always better to get a direct examination.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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Suggest Treatment For White Spot On My Lingual Frenulum

Brief Answer: Unlikely to be syphilis. There is no cause for undue worry. Detailed Answer: Hi, Thank you for your query. 1. You are well past the normal incubation period for primary and secondary syphilis since it has been many months since the exposure. As such, you had a low risk exposure. Hence it is unlikely that you missed a primary syphilis lesion and now have secondary syphilis. 2. Latent Syphilis can also be ruled out by a repeat blood test, a swab and a excision biopsy if the lesion under the tongue is increasing in size. 3. A close-up image would have helped. The other way out is a direct examination by an ENT Specialist. These lesions are more likely to a apthous ulceration , submandibular salivary duct papillae or a blocked minor salivary gland. 4. There is no cause for undue worry. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.