Fissured tongue

Hi Sandra,
I’m working at a SNF.  I just screened a new resident post CVA with noted aphasia in her record and some dysarthria.  On exam, her tongue had a fairly significant fissure at midline. Any recommendations for healing?  I’m pushing water but nursing said she is resistant. I’m sending a second email with a picture to show what I tried to describe.

Hope all is well :-)

Fissured tongue

Hi,

     I would be curious if your patient had the fissuring prior to the stroke.  Many times, it is within the normal range to have a fissure or fissures.  I also noticed that her tongue deviates to her right.

   I wasn’t sure if you were asking for some ideas about the fissure, about lingual training, or about the dysphagia.  Let me know  and I will respond more specifically.


 

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