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The doctor will perform a physical examination, look closely at the tongue, and ask question such as:
- When was it first noticed? Have you had similar symptoms before?
- Is there pain or swelling?
- Is there difficulty swallowing?
- Is there a tremor?
- What makes the problem worse? (Eating, drinking, swallowing, talking)
- Do you have dentures?
- What have you tried that helps?
- Are there problems with the teeth, gums, lips, or throat?
- Is the tongue bleeding?
- Is there a rash? Is there a fever?
- Do you have allergies?
- Are there problems with breathing, speaking, or moving the tongue?
- Have you noticed changes in taste?
- What medications are being taken?
- Do you smoke cigarettes, cigars, or a pipe?
- Do you use alcohol excessively?
Diagnostic tests will be determined by other symptoms. Blood tests may be used to confirm specific disorders, particularly systemic causes of tongue disorders. Biopsy of tongue lesions may be required in some cases.
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