Suggest Remedy For White And Hairy Tongue
HIV associated, epstein bar virus infection, medication
Detailed Answer:
Thanks for your query. I have gone through your query and image.
As far as the hairy leukoplakia is concerned, I have two possibilities. It can occur in association with HIV infection. The other possible cause can be Epstein bar virus infection in immunocompromised status. Since you are telling that, you have git HIV test as negative, nothing to be panic.
You can consult a oral physician and get it evaluated. Mean while you can take a course of antiviral drugs like acyclovir or zidovudine. You can also take topical podophyllum or topical retinoids(these drugs reduces the keratinization). Do thorough tongue cleaning.
If it is not reducing even after these medicines, then you can get it removed surgically.
I hope i have answered your query. If any queries are there, reply me back.
Lymphnode, bacterial infection, topical medication, biopsy
Detailed Answer:
Thanks for your reply.
Regarding the enlarged lymphnodes, it can be because of any infection in the teeth or gums. Since you are telling that it subsides on taking Z pack (though it doesn't go away completely), it indicates it is bacterial infection. So when you take antibiotics it might come down because antibiotics reduces the infection but its temporary. For the permanent solution, we need to treat the cause which is resulting in lymphnode enlargement. Once we treat the cause then the lymphnode enlargement will be solved permanently. So Consult a oral physician and get yourself completely examined and find out the cause.
The white patch is not exactly looking like hairy leukoplakia. It can occur in patients without HIV infection. To confirm the diagnosis you can get a biopsy done.
But right now i advise you to just observe the size of the white patch. You can also use topical antifungal agents like clotrimazole(since the fungal infection can also appear like this). You can use the medicines what i have told you in our discussion and use it for a week and let me know the response.
I hope i have answered your query.
Take care
Answered by
Dr. Mahesh Kumar T S
Dentist, Oral and Maxillofacial Surgery
Practicing since :2007
Answered : 3377 Questions