I have a painful throat and tongue condition, which do not resolve with a salt water rinse. Please help.

Q. Can painful throat and tongue be caused due to night guard?

Answered by
Dr. Basuki Nath Bhagat
and medically reviewed by Dr. Preetha J
This is a premium question & answer published on Dec 11, 2021 and last reviewed on: Dec 14, 2022

Hi doctor,

I have a painful throat and tongue condition called thrush. I tried with a saltwater rinse. It is also present in the back of my throat. I had this many years ago, and I recognize its symptoms. I am embarrassed about it and hope to cure it without delay. A few weeks of tablets Fluconazole 200mg x 2 weeks would be helpful. I used to have a nightguard that might be responsible for this infection. Currently, I am taking Levoxyl (Levothyroxine) 75 mg.

Please give your suggestions.



Welcome to icliniq.com.

I have read your query. I am sorry for such discomfort you are having.

You already know the diagnosis that it is oropharyngeal candidiasis.

Symptoms consist of:

White patches on the inner cheeks, tongue, throat.

Loss of taste.

Pain while eating or swallowing.


If you above symptoms, then it is most likely oropharyngeal candidiasis.

It is uncommon in healthy adults.

The occurrence of thrush in otherwise healthy-appearing persons should prompt an investigation that decreases immune systems like diabetes, corticosteroid use, etc.

Treatment includes topical application of antifungals.

For severe infection, tablet Fluconazole 200 mg PO (by mouth) on Day 1 followed by 100 mg PO per day for atleast two weeks to decrease the likelihood of relapse.

I hope you find this helpful.

Thank you.

Hi doctor,

Thank you for your reply.

May I please get a prescription for the tablet Fluconazole? Kindly for telling me how to obtain a prescription through iCliniq.



Welcome back to icliniq.com.

On iCliniq, we can only suggest medicine, investigations, help diagnose the medical condition, etc. We are not allowed to prescribe as our prescription is not accepted in other countries and vice versa. Also, according to telemedicine guidelines, antifungals cannot be prescribed through chat queries. It needs video mode consultation. I hope you understand the rules.


Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
I have a very painful tongue with red and white sores after oral sex. Why?

I had oral sex with my boyfriend, and as soon as it was over, my throat closed up the very next day, and my mouth was white ... The most probable possibility out there is you have oral thrush or   Read full

I have headache, nausea, sore throat with pain and rashes on my tongue. What does it indicate?

From your history, you likely have oral candidiasis ... 2) Use Nystatin oral drops 2 to 3 drops gargles thrice daily ... Oral   Read full

I have a whitish lesion on the lateral side of tongue. Is it leukoplakia?

This white lesion could be leukoplakia, fungal infection called oral candidiasis, lichen planus or plaque ... It looks like oral candidiasis which is a   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.