Dr. Shweta Mata, Dr. Shivshankar Rajput
Vol. 8, Jul-Dec 2019
Abstract:
Tongue is a most delicate part of the oral cavity and it shows us the status of the stomach (digestion). The upper surface of the tongue is called the dorsum and inflammatory condition of its mucous membrane is called Geographic tongue, Geographic tongue is usually an asymptomatic condition but occasionally associated with burning sensation and sensitivity to hot and spicy food. Geographic tongue is characterized by areas of atrophy and loss of papillae, leaving an erythematous and smoother surface than the unaffected areas. The depapillated areas are usually well-demarcated and bordered by a slightly raised, white, yellow or grey, snaking peripheral zone. The objective in presenting the case report is to discuss the clinical presentation, etiological factors,and associate symptoms and management strategies of geographic tongue.A 42 years old male patientvisited to the OPD of Central Ayurveda Research Institute for Cardiovascular Diseases, New Delhi with the chief complaint of burning sensation and sensitivity to hot and spicy food. During intraoral examination, it was diagnosed that he has geographic tongue. Patient was advised forYashtimadhu(Glycyrrhiza glabra Linn.) Churna 3 gm, Lodhra (Symplocos racemosa Roxb)Churna 1 gm thrice a day with honey, Chitrakadi Vati 500 mg twice a day and Manjisthadi Kwath 20 ml twice a day for fifteen days. After 2 weeks, the tongue was clear and having faded pink hue surface with elevated red papilla. Color and length of lesion were assessed by taking photographs of the affected part before and after treatment.