Why is there an increase in the size of purple spots on the tongue with a burning sensation?

Question

Hi doctor,

I have got purple spots on my tongue, which gets highly irritated when I eat spicy food. It is there for the past seven months and has increased in size. I have vitamin B complex supplements for the past three months.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query and the attached image (attachment removed to protect patient identity). I am very sorry for the discomfort. As a Specialist, I am here to help you. Lesions on the tongue are sometimes widespread, and sometimes they need serious attention. Kindly answer these queries. - Are the patterns remain unchanged or random? - Are you sure you have not seen such patterns before seven months? - Kindly let me know if there is any history of chronic medication. - Do you feel these burning sensations throughout these seven months? I suspect geographic tongue with associated candidiasis. Nothing to worry about; I am here to help in every possible way. Kindly reply to the questions asked, and I will assist immediately and lead you through the management needed and prescribe necessary medication that will ease your discomfort. The exact cause is unknown; several factors such as emotional stress, psychological aspect, habits, and allergies might trigger. Nothing to worry; it is harmless and will not affect your health. But it is needed to be managed. I will be waiting for your reply. I will assist once I receive your answer. Thanks.

Answer 2

Hello,

Welcome back to icliniq.com.

Upon receiving your reply, I confirm that it is a geographic tongue with associated candidiasis. The geographic tongue needs no treatment; it is like small circular patches over the tongue. The exact cause is unknown; several factors such as emotional stress, psychological factors, habits, and allergies might trigger this. But the burning sensation is due to candidiasis. It is a fungal infection and results in a whitish appearance over the tongue. - Apply Candid mouth paint over the tongue after cleaning with a cotton ball. - ClenoRush troche (Clotrimazole) 10 mg chewable tablets one tablet once daily for five days. - Kenacort (Triamcinolone) ointment over the tongue. - Betadine (Povidone-iodine 2%) mouthwash, gargle in lukewarm water two to three times a day. - Tongue scraping habit whenever you brush. - Brush twice daily. Start the medications immediately. I hope it was helpful. These medications will help to ease your discomfort. Nothing to worry about in any kind, and I am here to help in every possible way. Let me know if any further query. Do come for a follow-up after a week. Thanks.