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Suggest Remedy For Sore Throat With Burning Sensation In Tongue

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Posted on Tue, 5 Jan 2016
Question: Last week I went to emergency room with the worst sore throat, they said it was not all that red but swabbed me for strep and it coma back positive. Gave me 850mg amoxicillin twice daily. The throat is a little better but my tongue is raw cracked burns at anything I eat or drink. This morning I took a drink of water and it burned all the way down to the upper part of my chest. I gurgle with salt water nothing helps. wHat could it be? Sweet things burn, carbonated sodas really bad. This has been going on for over a week
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Answered by Dr. Bonnie Berger-Durnbaugh (2 hours later)
Brief Answer:
Possible oral thrush.

Detailed Answer:
Hello and welcome,

So I am gathering that you were given Amoxicillin the early part of last week (for strep), and the tongue rawness and burning began sometime after you started that?

And I am assuming you were given Amoxicillin for 10 days and are nearly to the end of the course of it?

Without the advantage of getting a look at your tongue and throat, I'd say one of the more probable causes of a burning tongue is thrush - an infection with the yeast candida. Having been on an antibiotic can do it (although it is more likely to happen if you have been on the antibiotic for awhile, but not always). And having had a bad infection can stress your immune system a bit and put you at more risk as well. Corticosteroids, including the sprays used for asthma, can put you at risk for candida as well.

Another, somewhat less likely possibility is a reaction to the antibiotic causing a sensitivity or allergic reaction. But as you didn't describe tongue swelling or skin itching I think this is less likely.

So what to do? It's time to go to your doctor or an urgent care clinic to have a good look at your tongue. If it is thrush, treatment is with an anticandidal such as oral Nystatin which is swished in the mouth and then swallowed.

I am wondering about that you said your throat is "a little better". Usually the throat feels a LOT better after just a few days of taking an antibiotic for strep. Either there is still some strep going on, or your throat feels sore from the candida (if you have Thrush). Amoxicillin is still 90% effective against strep - there isn't much resistance. Might be good to repeat the culture to see if the Amoxicillin is working.

I hope this information helps. Please let me know if I can provide further information or clarification.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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Suggest Remedy For Sore Throat With Burning Sensation In Tongue

Brief Answer: Possible oral thrush. Detailed Answer: Hello and welcome, So I am gathering that you were given Amoxicillin the early part of last week (for strep), and the tongue rawness and burning began sometime after you started that? And I am assuming you were given Amoxicillin for 10 days and are nearly to the end of the course of it? Without the advantage of getting a look at your tongue and throat, I'd say one of the more probable causes of a burning tongue is thrush - an infection with the yeast candida. Having been on an antibiotic can do it (although it is more likely to happen if you have been on the antibiotic for awhile, but not always). And having had a bad infection can stress your immune system a bit and put you at more risk as well. Corticosteroids, including the sprays used for asthma, can put you at risk for candida as well. Another, somewhat less likely possibility is a reaction to the antibiotic causing a sensitivity or allergic reaction. But as you didn't describe tongue swelling or skin itching I think this is less likely. So what to do? It's time to go to your doctor or an urgent care clinic to have a good look at your tongue. If it is thrush, treatment is with an anticandidal such as oral Nystatin which is swished in the mouth and then swallowed. I am wondering about that you said your throat is "a little better". Usually the throat feels a LOT better after just a few days of taking an antibiotic for strep. Either there is still some strep going on, or your throat feels sore from the candida (if you have Thrush). Amoxicillin is still 90% effective against strep - there isn't much resistance. Might be good to repeat the culture to see if the Amoxicillin is working. I hope this information helps. Please let me know if I can provide further information or clarification.