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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 55458
Experience:  GP in the United States
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I have dark spots on the tip of my tongue...I have dark

Resolved Question:

I have dark spots on the tip of my tongue...
I have dark spots on the tip of my tongue and along the sides of my tongue. I also have a deep crack that has appeared down the centre of my tongue which travels from the middle of my tongue to the tip. What are the possible issues?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Phil, MD replied 1 year ago.
Any other medical issues?
Customer: replied 1 year ago.
Bloating and swollen left ankle. Occasional rectal bleeding after poop. Fatigue.
Customer: replied 1 year ago.
Sometimes partial numbness in some of my toes / pins & needle sensation
Expert:  Dr. Phil, MD replied 1 year ago.
Do you take any meds?
Customer: replied 1 year ago.
No meds
Expert:  Dr. Phil, MD replied 1 year ago.
This is concerning. It looks like bruising.with this and the rectal bleeding you may have some type of clotting disorderI would see your doctor and ask for a workup for a clotting disorder
Expert:  Dr. Phil, MD replied 1 year ago.
I noticed you rated negative
I'm sorry I didn't help further.
Can we continue?
Expert:  Dr. Phil, MD replied 1 year ago.
I receive no credit unless you rate 3 stars or more
please don't forget a positive rating. I appreciate it
If you have more questions, just reply
Customer: replied 1 year ago.
I do not have a blood clotting disorder and found this to be an odd diagnosis. The other doctors suggested it's pigmentation which sounds more realistic.
Expert:  Dr. Phil, MD replied 1 year ago.
Yes, but if it were pigmentation why would it come all of a sudden? that is not commonplus you have fatigue indicating anemia and bleeding elsewhere.perhaps they are missing the clues to a bigger diagnosis
Expert:  Dr. Phil, MD replied 1 year ago.
even if my diagnosis isn't correct, I gave this a lot of thought and did my best to help youI would appreciate at least a 3 star rating
Customer: replied 1 year ago.
Perhaps but I looked up blood clotting disorders on the Internet and I don't have issues with
My blood clotting. I do bruise easy and any injuries I have do last for a long time but I don't have issues with cotting?
Expert:  Dr. Phil, MD replied 1 year ago.
What I meant was an issue with the blood successfully clotting. Not a disorder that causes clotsFor example, von willebrands disease. Very common in the population and causes bleeding and bruising but is considered a clotting disorder
Customer: replied 1 year ago.
Sorry I'm not convinced. The rating is my choice and I should not feel pressured about it. If I felt like you had suggested something likely then it would have increased the rating.
Expert:  Dr. Phil, MD replied 1 year ago.
Okay. That's ok. No worries. I simply wanted to make sure you knew what I was suggested. I still recommend you get checked out. Merry xmas :)
Customer: replied 1 year ago.
Yes but checked out for what? Perhaps if you reviewed my symptoms you could come up with some alternative suggestions. I would then be happy to reconsider my rating. Happy Christmas to you too.
Expert:  Dr. Phil, MD replied 1 year ago.
I would get the following1)platelet level2)clotting time3)bleeding time4)PT/PTT/INRThat should be a good screening for a clotting issue. If this is normal, you are fine and I agree that it is pigmentation
Dr. Phil, MD and 2 other Medical Specialists are ready to help you
Expert:  Dr. Phil, MD replied 1 year ago.
thank you for the rating. I hope you have a happy new year as well :)