Puffy, swollen tongue with red spots on tip. ALLERGY?

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For the last 3 days my tongue has been puffy, swollen and scalloped with red spots on tip. I have run blood tests recently and all is pretty much normal for me.
This started just over a year ago with my uvula getting wet and droopy and my tongue swelling but not to the stage of obstruction. Trachea also sometimes will feel sore and tight.
No problems swallowing. I was a little dehydrated upon measuring using a taint scale that measures all sorts of things. I have been drinking 1.25 gallons of water a day. Digestion is good. Sleep is ok. I do snore.
I do not drink or smoke.
I have seen allergist who tested for airborne allergens with dust being main allergen.
I have seen ENT specialists who have though drooping uvula is due to snoring, GERD, or mild sleep apnea. I do not have GERD and sleep apnea is extremely mild due to a home sleep study.
They suggested cutting out uvula...glad I didn't as that improved slowly but every now and then reverts back with the tongue most recently doing its little puffy routine.
These symptoms started october of last year and have been on and off throughout.
I took claritin for a short while (trying to address possible allergens, seemed to help a little but not seemingly anymore. I took a sublingual one yesterday.

Submitted: 4 Days
Category: ENT Specialist

Expert:  Dr. Sunil Jalan replied 4 Days.

Hello,

Thank you for your query at DoctorSpring.com

You are suffering from swellings of tongue, allergy, mild snoring.

In picture you have elongated uvula with minimal congested. Most likely this is due to vitamin deficiency causing glossitis.

You can start following medications

Triamsinolone(kenakort) ointment for local application on tongue, it will decrease swelling

Continue claritin

Add folic acid, folvite tablet one daily.

Hope this helps, feel free to ask further queries,


Best regards

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Patient replied :

Hello again,
I am writing to you in the hopes that you may be able to guide me further in the right direction….it’s been a 1 year struggle with its ups and downs but as I just mentioned the ast 3 days the downs…
It’s 3:30 am here in San Diego and I have awoken with a start, sinuses inflamed, heart beating fast, anxious, a little light headed. I took a sublingual Claritin ( I had taken one 10mg about 22hrs ago) plugged in to my oxygen bottle for a few minutes and tried to relax.
I took my vitals- bp 132/ 81 pulse 80 my o2 finger sensor reading 98%
Now 3:48, I am a little calmer as I am typing, I am lying on the sofa in a different room somewhat propped up, sinuses better but feeling like they are just at bay waiting for their chance to pounce. The throat externally feels more relaxed but when I drank some water and felt like doing a small surface burp just below the adams apple it seemed constricted. No problem swallowing or breathing but chest feels a little tight.
vitals again
bp 124/79 pulse 72 o2 98%
Seems to me like an allergic reaction to something unidentified as of yet whether it may have been food or smog from pollution or dust (perhaps in the room as I switched on a powerful air purifier that may have stirred up some dust, or I had worked on pulling carpets today for an hour)
Claritin seemed to help a little during the day wit a small noticeable size reduction in the tongue but only small.
Can this get worse? can I take 2 claritins so 20mg? or take claritin and in a little while zyrtec? (can I mix the 2)
What shall I do?
I have been taking b12 4000mg folate 400mcg d3 5000IU and drinking lots.
Thank you


Expert:  Dr. Sunil Jalan replied 3 Days.

Hello,

With all details, your vitals are in normal range every time. But you have symptoms of anxiety, restlessness, dryness of throat when you get up in night.

Your symptoms are not suggestive of allergic reaction , but you may have nasal, sinus allergy, which is improving by claritin.

Cause of this breathing difference, feeling of chocking may be sleep apnea, though you have mentioned, but still it can be reevaluated. Another thing it may be anxiety disorder, for that you need consultation of psychiatrist.

Hope this helps,
Regards.

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