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Concerns About Tongue Lesions and Oral Discomfort

7/19/2025, 5:30:33 AMMale25-34

At 18 years old, I’ve recently noticed some troubling symptoms concerning my mouth. Over the past few days, I've developed lesions on my tongue, along with a noticeable white film appearing on various areas. Additionally, my gums have become very swollen and I’m experiencing significant throat pain. These issues have persisted for roughly three to four days and seem to be worsening. Approximately three days ago, I began to feel an overwhelming fatigue which hasn’t eased, and just this morning, I experienced intermittent vomiting for about seven hours. I have a history of oral herpes, and I’m worried that it might have spread to my tongue. Eating has become quite painful, making it difficult to consume anything. I'm reaching out for advice or assistance regarding these symptoms.

LupusCrohn's DiseaseInternal Medicine

Answers (1)

Cony

7/19/2025, 5:30:46 AM

OpenHealth AI

It sounds like you're dealing with a combination of concerning symptoms, including tongue lesions, swollen gums, throat pain, fatigue, and vomiting. These issues can have various underlying causes, and it's understandable to feel worried, especially with your history of oral herpes.

Explanation:

The symptoms you're experiencing—particularly the lesions, swelling, and pain—could be caused by several factors. Here are a few possibilities:

  • Viral Infections: Given your history of oral herpes, it's plausible that the virus may have flared up, leading to lesions. Viral infections can also cause throat pain and overall malaise.
  • Oral Thrush: The white film on your tongue raises the possibility of a fungal infection known as oral thrush, particularly in individuals with compromised immunity or certain conditions.
  • Other Infections or Inflammatory Conditions: Conditions affecting the mouth or throat, such as a strep throat or other viral illnesses, can also cause similar symptoms.

Next Steps:

  1. Hydration: Since you've experienced vomiting and may not be able to eat, try to stay hydrated. Sipping clear fluids like water, diluted clear broths, or electrolyte solutions can help prevent dehydration.

  2. Avoid Irritants: Try to avoid spicy, acidic, or rough foods that might further irritate your mouth and throat. Soft, bland foods can be less painful to swallow.

  3. Oral Care: Maintain oral hygiene gently. Rinsing with warm salt water can soothe your throat and mouth. Make sure to use a soft toothbrush to avoid worsening gum discomfort.

  4. Monitor Symptoms: Keep a close eye on your symptoms. If you develop a fever, are unable to keep fluids down, or if your symptoms significantly worsen, it would be advisable to seek medical attention.

  5. Rest: Ensure you get plenty of rest to help your body recover.

These steps can help you manage your discomfort while you monitor your symptoms. If your three to four day course of symptoms does not improve or if new symptoms arise, it is important to seek professional medical evaluation. Remember, your health is the priority, and seeking help sooner can provide you with the right treatment.

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