Dr. Akshay. B. K.
Otolaryngology (E.N.T)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have found a spot on the top of my gum. I first noticed a round shape two weeks ago, and there was no pain present. Now the round shape is growing in size and spreading its area with a white line around it. After some time, I found a small cut at the end of the gum of the tooth. I have been taking Neurobion Forte (Thiamine) once a day since then. As per my previous consultation with a doctor, it is a major herpetiform ulcer. I was wondering if I can do any tests and what is your recommendation. As well I had myokymia (eyelid twitch) that lasted for two weeks. Is there any antibiotic I can take?
Thank you.
Hello,
Welcome to icliniq.com.
I read your query and understand your concern.
I would like to advise you not to worry. I will help as much as I can. On the outlook, since you do not have pain, it looks like a simple oral submucous fibrosis with a bit of lichen planus. Although both conditions are not to be worried about. Do you have a history of tobacco chewing or smoking? If present, please stop the habits. Whenever possible, do the following investigations:
Get back to me with these reports. Since you do not have any symptoms, we will not start you off with any treatment. You can write back to me if you need any further information.
Take care.
Patient's Query
Hello doctor,
Thank you for the reply.
I wanted to know if there is anything I can do or take in the meantime.
Thank you.
Hello,
Welcome back to icliniq.com.
I would like to say that there is no meaning in suggesting vague medicines without knowing the exact reason. It would not be fair. Let us find the exact cause and then discuss it.
Hope I have answered your queries.
Take care.
Regards.
Patient's Query
Hello doctor,
Thank you.
I have done some tests you recommended. I could do the peripheral smear. Please see attached the report. I have just done the HIV screening, as it was included in the package. Nothing related to this issue. Could you please prescribe as per the report?
Hello,
Welcome back to icliniq.com.
As I said earlier, it is a minor vitamin deficiency that is treatable. There is a minor deficiency of vitamin D for which you can take a tablet of Sunbless (Cholecalciferol) 60K, one tablet every week for four weeks, and then one tablet every month for the next four months. Then folic acid is on the lower end, for which you can take tablet Hifolate (L-Methylfolate, Pyridoxine, and Mecobalamin) 1 tablet every day for a month and then twice a week for four weeks. I think this should take care of all the symptoms.
Revert in case of queries.
Kind regards.
Patient's Query
Hello doctor,
Thanks. Only this tablet was available in my country. Please see the attached image. Can I use this?
Hello,
Welcome back to icliniq.com.
Yes, I saw the attached images (attachments are hidden to protect the patient's identity). These two tablets will do the job. You can take these tablets and may repeat the test after three months and get back to me.
Kind regards.
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Otolaryngology (E.N.T)
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