I feel current sensation in tongue while sleeping. What is the reason?

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1. Does this happen daily or occurs as on and off?
2. Do you have any digestive problems like incomplete evacuation, constipation, a lot of gases problem?
3. Do you notice this before going to sleep or middle of night and morning only?
4. Have you tried any medicines for it?
5. Do you also get genital sores or ulcer?

You should apply Tess (Triamcinolone 0.1 percent) gel two times a day to the affected sites for 7 to 10 days depending upon the response. Also, have Tablet Zevit (Biotin and Calcium Pantothenate) once a day before lunch for 10 days.

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Please upload the picture of white patches. I guess you do not smoke or use tobacco, etc. Also, in digestive problems, is it constipation? As I mentioned, you have Tess gel and Zevit for 10 days. I think, there is also some psychological component and you are worrying too much about it. You should not think much about it and try to divert your mind. If this does not respond to above medicines then you will need to be started on tablet Amitriptyline 10 mg bedtime for three weeks.

If having constipation then you should eat high fiber diets like fruits apple, banana, oranges, green leafy vegetables like spinach, and raw cucumber. Avoid refined food, fatty, and oily food. You should have plenty of fluids and regular exercises. Also, syrup like lactulose 15 to 30 ml bedtime to maintain your stool soft.

For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

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I have gone through the picture. It is leukoplakia. You should visit ENT specialist for biopsy of the lesion and confirmation. At present, no need to apply Tess gel (Choline salicylate). Just have Zevit (multivitamin and zinc supplement) for four weeks and apply Mucopain gel (Benzocaine) twice a day. If there is a relief, then continue for two weeks. Otherwise, we have to start tablet Amitriptyline 10 mg bedtime.

I guess you do not do tobacco or betel nut, etc. Also, make sure there is nothing in the mouth which irritates the local mucosa like any dentures or broken teeth. Also, maintain oral hygiene very strictly. Daily use chlorhexidine mouth wash to halt its progression.

For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

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A biopsy may be deferred and not absolutely necessary. However, if you notice any change in its nature, a rapid increase in size then you should get it. Usually, it is not dangerous, but there remains a risk of cancer in it. There is a risk of 1 to 10 percent of transformation in malignancy. There is some role of vitamin A supplementation in its regression. So discuss with your ENT doctor for starting vitamin A supplementation.

For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

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Since it is a long-standing lesion for many years without obvious reasons, I think, it is better to go ahead with biopsy of the lesion to asses the degree of dysplasia. This means, how bad the lesion is and if it is bad enough then better to get it removed by a minor procedure. It is important to keep watch over the lesion, observing carefully once in 15 days or so. You should have some snapshot of it for comparison on later dates. With any rapid and significant change, a biopsy needs to be done. You should also take Vitamin A supplementation for it like Vitamin A tablets or Beta-carotene capsule as it has shown some benefit in regression.

For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician

Hi,

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If the current is limited only to the tongue and at the site of lesion then it can be due to leukoplakia. But, if the current is occurring at different positions as well as other parts of the face then it likely related to other problem likely neuralgia for which you will need nerve stabilizers like Amitriptyline or Pregabalin. Fine, if you are not able to sleep for three years then better to get prescribed tablet Amitriptyline 10 mg bedtime which may be increased according to response.

You should not take undue stress due to it. There is a risk associated with it and does not mean you have got some serious illness now. Also, nothing to be afraid of biopsy. It is a minor procedure, minor pain. Reduce alcohol consumption, if any.

For more information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician