Hello XXXXXXX

Thanks for posting your query. Creamy tongue and bad smelling breath can be due to oral thrush which is a fungal infection caused by Candida fungus. Thrush appears as white patches in the mouth on the tongue, inside the cheeks, under the tongue, and in the back of the throat. I suggest you to get an examination done from your doctor and get a KOH examination of the scrapings done of these white coatings. This will confirm the diagnosis of thrush.

The other possibilities are of oral lichen planus or leukoplakia. Oral lichen planus appears as raised white lines on your tongue that has a lace-like appearance. Leukoplakia ia a precancerous condition that causes cells in the mouth to grow excessively which leads to the formation of white patches inside the mouth, including on the tongue. But this is the last possibility and should be thought of only when investigations come negative for thrush and lichen planus.

I suggest you to get a KOH examination from your doctor and till that time antifungal like nystatin liquid can be used for swishing a bit in your mouth several times a day and then swallowing the medicine. Throat lozenges can also be used. Thrush is not serious and is treatable with topical and oral antifungals.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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Hello,

Thanks for posting your query.

Oral thrush causes creamy white patches or small red spots on the tongue, roof of the mouth (also called the hard palate), gums or throat. Crusting on the corners of the mouth is also a symptom of thrush.

You can get the suggested products from your pharmacist. But it is advisable to take oral antifungals after a prescription from your doctor.

Hope this answers your query.

Wishing you good health.

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