Mary: I want to know about mouth ulcers. I am 80 and I have an ulcer on the left hand side of my tongue. I’ve had it for several weeks now. My GP treated it for a while and then I went to a surgeon and he’s been treating it now for several weeks.
Prof Harry: A sub-acute or a chronic ulcer anywhere in the mouth, but particularly on the tongue, usually is in the province of the surgeon.
Mary: He did a biopsy.
Prof Harry: That’s very important.
Mary: The biopsy was benign. Then he took a little piece out and it was a bit swollen and he said just wait until the stitches have dissolved. But then after a couple of weeks it came back. And then I had an infection and it worries me.
Prof Harry: Having established that it is a benign ulcer did he tell you what the possible cause was?
Mary: Yes, it was a fungus.
Prof Harry: A fungus has to be confirmed by a laboratory examination. Did he treat you for the fungus?
Mary: Yes, he gave me anti-biotics and an ointment. It worked to a certain extent but it is still there and I am getting so worried I am getting myself into a state.
Prof Harry: Is it improving?
Mary: Slightly, yes.
Prof Harry: Perhaps you should then give it a bit of time. Don’t be too impatient. I think it would be reasonable to wait another week or two. Is this not related to dentures?
Mary: No, I’ve got my own teeth.
Prof Harry: Marvellous. Congratulations.