Childhood Diseases

Question
Posted by: sam | 2009-03-29

Q.

Tongue issue

Dear Dr.
We adopted our son at 5 months. He has eczema, but receives good help for it. The problem is his tongue. I looked at pictures on the web and can’ t find a picture that looks like his tongue. The GP prescribed Dactarin gel, but we already used 3 tubs, with no relieve. His tongue appears normal, but then a little circle starts forming in the centre and grows larger and larger until it spread over his entire tongue. Then his tongue appears normal for a day or two and then the whole episode starts again. It also has a strange smell, not bad, but not normal. It’ s not an oral hygiene related problem, he is 1 year and still do not have a single tooth. The rest of his mouth is in perfect condition with no sores or bumps or whiteness. Nothing seems to work and I don’ t think its pain free for him either, although he eats well. Please advise if there is help. We tried Dactarin gel, yogurt, glycerin… . with no effect.

Expert's Reply

A.

Paediatrician

This is rather common and is called 'geographic tongue' .The changes you describe are simply the tongue surface. It is not due to an infection. It is an inherited condition with no danger at all. It is more common in allergic children. No treatment is needed or should be tried.The unusual patterns get less and less with time.

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