You have a history of grade 2 hiatus hernia so it's suggest that you are suffering from GERD And its leads to above changes

It maybe due to acid reflux. You have to take antacids regularly. Avoid spicy and heavy diet.

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As you have mentioned a diagnosis of hiatus hernia, also the symptoms relieving following aantacid use associted with it, these are symptoms of acid reflux. Note for any oarticular food items or any medications which have caused the symptoms or have recently aggrevated them. Suggested medications for symptomatic relief:- ZYTEE GEL applied locally on sites of ulcers and red patches 2 to 3 times a day MUCAINE GEL 10 ml can be taken 3 times a day, especially during severe symptoms, take it without use of water, and don't consume anything following it for half an hour for 7 to 14 days CAPSULE SOMPRAZ D 40 two times a day 30 Mims before food morning and night for 7 to 14 days CAPSULE BECOSULES in afternoon after food for 1 to 3 months

It can be because of acid reflux or due to nutritional deficiencies. If you want to discuss in detail please contact me on practo.

Hello, I am Dr. Romain Rajan, General Physician. I understand your concern — red patches on the tongue with burning and gritty sensation, along with dry mouth and relief from antacids, can be related to several conditions, including acid reflux due to your grade-2 hiatus hernia, irritation from stomach acid, or less commonly, nutritional deficiencies or fungal infections. ✅ Advices • Avoid spicy, oily, and acidic foods that can worsen reflux and tongue irritation • Eat smaller meals and avoid lying down immediately after eating • Maintain good oral hygiene and rinse your mouth with plain water after meals • If dry mouth is persistent, sip water frequently and consider using a saliva substitute after consulting your doctor What to Monitor • Increase in burning sensation or spreading of red patches • Persistent dry mouth, difficulty swallowing, or change in taste • Signs of oral infection such as white coating, sores, or bleeding Management You may continue antacids for temporary relief, but it is important to evaluate the underlying cause of the tongue changes, as treatment differs if it is due to reflux, deficiency, or infection. Avoid self-medicating beyond antacids. When to Consult a Doctor Immediately • Severe pain or difficulty swallowing • Bleeding from tongue or mouth • Rapid worsening of symptoms despite treatment Every patient’s situation is unique. For accurate diagnosis and lasting relief, it is important to review your medical history, medications, and do a proper oral and gastrointestinal assessment. 👉 You can reach out to me directly for this case, and also connect with me in future for any medical consultation. I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where you’ll receive: A personalized treatment plan Safe medicine adjustments if required Quick follow-ups to track your recovery Take care, wishing you good health. Best regards, Dr. Romain Rajan General Physician

It looks like gerd..but need to know detailed history and do few tests before reaching a particular diagnosis..

Yup its GERD

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Consult with gastroenterologist.

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Yes it is because of acid reflux The best treatment is surgical kindly take a surgeon opinion

Yes u r right.   Silent  acid reflux. Spots r seen  locally apply zytee gel before food two times a day. Tab nexpro RD40 ONE IN EMPTY STOMACH FOR 7 days. Folic acid5 MG two times a day after food for ten days. Becosule z one at night for 7to 10days after dinner. Adv Assessment of vitamin d3 b12 mg,  Folet, iron May be fungal infection.

Discuss in detail past and present medical history details of medication and lab work and ultrasound

Hello! The red patches and burning sensation on your tongue, especially if they improve with antacids, can indeed be related to acid reflux (GERD) or silent reflux (LPR) — both of which are common in patients with a hiatus hernia. Acid or stomach contents can reach up to the mouth and irritate the tongue and oral mucosa, causing a burning or gritty feeling. Other possible contributing factors include: • Dry mouth (xerostomia) — often worse in the morning and can aggravate irritation. • Vitamin deficiencies (especially B12, folate, iron). • Oral candidiasis or glossitis. • Allergic or contact reactions (to toothpaste, mouthwash, spicy foods, etc.)

needs lifestyle modification along with medicine since kindly consult for further treatment

Need few more details Kindly consult

Take tab oraflora one morning and one evening for 15 days. Tab doxycycline 200mg one daily for 7 days. Apply orasore gel 2 to 3 times daily. Avoid spicy ,hot food take small frequent meals, more of fresh green vegetables,  fruits, drink more water.

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It might be GERD.

It's mainly due to vit b deficiency, take proper diet avoid outside food

Consult to Gastroenterologist

Yes it's bks  of acid reflux Take regular antacids Consult online Start neurobion forte injection weekly once Tab neurobion Apply kenocort oral paste Contact will guide you further

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Meconerv 1500 mcg once a day for 15 days Zytee l gel 1-0-1