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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swollen Ulcerated Area Under The Tongue, Dark Sore Jaw. Reason?

Hi, I have had a pain in my gum which has now spread, I have a swollen ulcerated area under my tongue my gum at the back of my bottom teeth is going a dark colour and is sore and under my Jaw into my neck is sore and swollen, I feel sick and hot. I had hysterectomy 3 weeks ago. I have had these occurances before but nothing for the whole of last year. What could be causing this?
Tue, 9 Apr 2013
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Dentist 's  Response
Hi,

Thanks for asking the query,

Swollen ulcerated area beneath the tongue can be ulcerations, cystic swelling, salivary gland swelling,cystic lesions, ranula, or some kind of infections arrising from the adjacent tooth or jaw bone.

I would suggest you to visit a Oral and Maxillofacial Surgeon and get a clinical evaluation done.
Take an OPG x-ray , which will give the periapical condition.
You can undergo Biopsy of the lesion.

Meanwhile go for symtomatic treatment with warm saline gargles, use antiseptic mouthwash gargles twice daily, maintain a good oral hygiene, avoid eating of hot and spicy food stuffs.

Hope this helps out.

Regards..
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern.

your history suggests that you have developed ulceration and pigmentation on under side of your tongue and gums.

here i would suggest you to visit your dentist as soon as possible,get a biopsy done for the lesion under the tongue.

Also if you have any jagged tooth it is better to get that treated at this stage only.
wait for your biopsy results.

meanwhile follow very good oral hygiene measures as it appears that you have gingivitis too.

if possible, it is better to get cleaning done(scaling).

please start with vitamin B FOR 15 days.

Later on after exact diagnosis treatment modalities can be planned.

hope it helps.

take care.
thanks
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Dentist Dr. Bindiya Bhaskar's  Response
Hello and welcome to hcm,

The swollen gums and under tongue may be due to gingivitis,
Also check for impacted wisdom tooth area whether infected or not.
Get your teeth cleaned.
Take vit.b12,iron ,folic acid and vit.c rich foods and supplements.
aLSO GET your decayed teeth restored.
Get your impacted teeth removed.
Apply gum tone gel to relieve pain.
Rinse your mouth after every meals.
Take care.
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello,
Thanks for writing to us.
Problems with the tongue can result from infections, tumors, chronic medical conditions, trauma, or toxins.
soreness or painful lesions on the tongue can have a wide variety of causes, treatment and outlook depend upon the particular condition that is responsible.
NSAIDs are used to treat inflammation, mild to moderate pain, and fever.
Hope this helps you
Wishing you good health...
Regards.
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Swollen Ulcerated Area Under The Tongue, Dark Sore Jaw. Reason?

Hi, Thanks for asking the query, Swollen ulcerated area beneath the tongue can be ulcerations, cystic swelling, salivary gland swelling,cystic lesions, ranula, or some kind of infections arrising from the adjacent tooth or jaw bone. I would suggest you to visit a Oral and Maxillofacial Surgeon and get a clinical evaluation done. Take an OPG x-ray , which will give the periapical condition. You can undergo Biopsy of the lesion. Meanwhile go for symtomatic treatment with warm saline gargles, use antiseptic mouthwash gargles twice daily, maintain a good oral hygiene, avoid eating of hot and spicy food stuffs. Hope this helps out. Regards..