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Why does my 23-month-old niece have red tongue patches?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My niece has red islands or patches on the tongue surface. She is 23 months old. This has been there for the past one year. Please help.

Thank you.

Hello,

Welcome to icliniq.com.

These patches are related to vitamin B deficiency and gastric discomfort. Sometimes, they also have superadded infection of bacterial or fungal origin. I would advise you to start a multivitamin syrup, deworm the child, and apply mouth paint (Candida mouth paint) for four to five days.

The treatment plan includes:

  1. Syrup A to Z (multivitamin), one teaspoon once daily for 30 days.

  2. Syrup Zentel (Albendazole) two teaspoons single stat dose.

  3. Enterogermina suspension (probiotic), one teaspoon twice daily for three days.

  4. Candida mouth paint local application for four to five days.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

Treatment plan

The treatment plan includes: 1. Syrup A to Z (multivitamin) one teaspoon once daily for 30 days. 2. Syrup Zentel (Albendazole) two teaspoons single stat dose. 3. Enterogermina suspension (probiotic), one teaspoon twice daily for three days. 4. Candida mouth paint local application for four to five days.

Patient's Query

Hi doctor,

Thank you for your reply.

Is there any preventive measures to be taken while preparing the dishes and sweets? What has to be done?

Please guide.

Thank you.

Hi,

Welcome back to icliniq.com.

Avoid spicy food, cold drinks, ice cream, and chocolates for some days.

Please let me know if you want some help.

Thank you.

Medically reviewed byiCliniq medical review team
Published At March 25, 2019
Reviewed AtOctober 30, 2025

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