Q. Are the lesions on the tip of my tongue canker sores or herpes?

Answered by
Dr. Bharat Joshi
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Oct 01, 2020 and last reviewed on: Feb 23, 2021

Hi doctor,

I am getting canker sores for the past two months. I am attaching the picture. I do not have anything on the lips or any other place on my tongue. It presents on the edge and head of the tongue. Before a day of getting this, I was trying to look inside my mouth using a spoon. I used the spoon to push my tongue down. Can I have herpes or bacterial infection? Sometimes I have a dry throat.



Welcome to

As per the picture, (attachment removed to protect patient identity) you seem to have canker sores. You can have it due to ingestion of hot foods or tongue bite. I think that you do not have a fever and so I rule out herpes. Please mention whether you have any drug allergy or any other associated symptoms so that I can give you a correct diagnosis and I can suggest you a treatment.

The Probable causes:

You have canker sores due to hot food ingestion or tongue bite.

Investigations to be done:

You do not need investigations now.

Differential diagnosis:

You can have a nutrional deficiency.

Probable diagnosis:

You have canker sores.

Treatment plan:

You can take medications.

Preventive measures:

Maintain your oral hygiene.

Regarding follow up:

Have a follow-up immediately to confirm the diagnosis and to start the treatment.

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