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Warning-sign checks

Cancer of the tongue: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency help for breathing difficulty, choking, inability to swallow saliva, severe dehydration with fainting or confusion, or uncontrolled bleeding.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    These concerns can usually be discussed through routine or prompt outpatient contact unless they are severe or rapidly worsening.

    Contact the care team promptly for a new neck lump, a persistent mouth or throat lesion, increasing pain, fever during active cancer treatment, or a sudden decline in eating and drinking.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up visits are important after treatment because tongue cancer can return, and people who have had one head and neck cancer may develop another.

    Visits usually include questions about symptoms and an examination of the mouth, throat, and neck.

    Imaging or other testing may be used when clinically appropriate.

    Follow-up also addresses recovery.

    Tell the care team about persistent pain, new mouth sores, a neck lump, weight loss, worsening swallowing, voice changes, dental problems, shoulder stiffness, or emotional distress.

    And for anyone, someone who:

    • has noticed a lump, a mole that has changed, or unexplained weight loss

The article also says

People treated with neck radiation may need periodic thyroid blood tests because radiation can reduce thyroid function over time.

Ongoing dental care is especially important after radiation involving the mouth or jaw.

Before having a tooth removed from an irradiated area, ask the dentist and radiation team whether special planning is needed.

Rehabilitation may continue for months.

Speech and swallowing exercises are most useful when performed as directed.

Nutrition support, physical therapy, tobacco cessation services, and counseling can also remain helpful after cancer treatment ends.

Every sign above is quoted from the sofidex article on Cancer of the tongue. If you are not sure, err upward — it is always reasonable to be checked.