What are the white spots on the sides of my tongue?

White spots on the side of the tongue is a common oral problem in people's daily life. The main cause of this situation may be glossitis or leukoplakia. When there are white spots on the tongue, it is necessary to understand the cause in time and then take effective measures to treat it to prevent more serious situations. Here we will introduce what is going on with the white spots on the side of the tongue.

This situation may be caused by glossitis due to a cold or leukoplakia on the mucosa due to a viral infection.

Treatment of glossitis:

[Treatment policy]

Treat the cause, actively treat systemic diseases, use antibiotics rationally, and supplement with adequate B vitamins.

[Drug treatment]

Use antibiotics rationally.

[Other treatments]

1. Treat the cause of the disease, check and actively treat systemic diseases, such as anemia, gastrointestinal dysfunction, etc. 2. Rationally adjust nutrition and diet, and supplement sufficient amounts of B vitamins, especially vitamin B2.

[Prognosis]

The prognosis is good with correct and active treatment.

Treatment of leukoplakia

[Treatment policy]

Remove local irritants and combine with drug treatment to improve skin lesions. If drug treatment is ineffective and pathological examination shows a tendency to cancer, surgical resection can be used for treatment.

[Drug treatment]

1. Systemic treatment: oral vitamin A, vitamin E, retinoic acid (retinoic acid), etc. 2. Local drug treatment (1) Skin lesions: Corticosteroid ointments such as neomycin ointment, mupirocin ointment, etc. can be used. (2) Atrophic changes in the vulva: Hormone ointments such as diethylstilbestrol ointment and benzoyl estradiol ointment can be used. Men can use 2% testosterone propionate ointment. (3) In case of infection: use antibiotic ointment such as neomycin ointment, mupirocin ointment, etc. (4) Keratosis hyperplasia: Fluorouracil (5-fluorouracil) ointment, retinoic acid ointment or vitamin A ointment can be used topically. (5) Vulvar pruritus: If it is obvious, give benzocaine cream or 1% miconazole cream.

[Surgical treatment]

For those with cancer, surgical resection can be considered. The operation should be thorough, with the cutting margin at least 0.5 cm away from the lesion. Regular follow-up visits were conducted every 3 to 6 months after surgery. Large areas of white spots can be excised and then covered with free skin grafts.

[Other treatments]

Treatment with freezing, laser, shallow X-ray, etc. If the white lesions have not subsided 2 weeks after the removal of the irritating factor, the diseased tissue should be removed and a histopathological examination should be performed.