Hi doctor,
For the last few days, there is a white or yellow coating in the back of my tongue. It has been hurting. My taste buds in the back are swollen and bleed when I use the tongue scraper, which is on my toothbrush. What could this be?
Hi,
Welcome to icliniq.com.
I have read your query.
- A coated or white tongue occurs when the surface is colonized by bacteria or fungi, and dead cells become trapped between the small nodules on the tongue.
- From the image (attachment removed to protect patient identity), that you have sent me. It looks like you have a fungal infection, oral candidiasis. This usually occurs when the immune status of a person is compromised.
- Is there any history of recent illness?
- Are you taking antibiotics for a longer duration or using a steroid inhaler. If there is history of taking a steroid inhaler, please stop taking it till this is treated.
- And whenever you use an inhaler, make sure to rinse your mouth after use.
- For the oral candidiasis, I advise you to take the following.
- Betadine (Povidone-iodine) gargle 2%. Rinse your mouth with this for at least 30 seconds each time for every 2 hours.
- Candid (Clotrimazole) mouth paint. Apply it to the affected areas in the mouth after the gargles. Use it every 2 hours.
- Tablet Fluconazole 200 mg once a day for 14 days.
- The symptoms should decrease within 4-5 days. But, it will take time to completely subside.
- If marked improvement is not seen please consult a nearby doctor who would evaluate you further for other causes of coated tongue.
Revert back with the information to a family physician online --> https://www.icliniq.com/ask-a-doctor-online/family-physician
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