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What Causes Swelling And Yellow Patches On Tongue?

Posted on Thu, 21 Jan 2016

Question: Hi, I have had a dry sore tongue with yellow coverage (at rear) for near 6 months now. I have tried oral anti fungals (nyastatin and daktarin) 3 months ago and also tried oral fluconazole. None of these had any effect. I practice good oral hygiene, tongue scraper etc. I have used probiotics and eat a clean vegetable and chicken (no dairy, sugar, gluten), not soft foods. The tongue is sticky and dry feeling at the back but the soreness/stinging is concentrated at the front. I do not mouth breath or snore at night. The issue started when I took oral antibiotics called phenoxymethylpenicillin for 7 days. The tongue does not appear hairy, but does have some elongated vertical growths in yellow areas.

Answered by Dr. Hariom Sharma (6 hours later)

Brief Answer:
Most probably due to the side effect of phenoxymethyl penicillin

Detailed Answer:
Hi Sir,
I have gone through your query; and it suggests that white or yellowish patches over the tongue and swollen tongue most probably may be due the side effect of phenoxymethyl penicillin.

In this condition, I personally suggest diluted hydrogen peroxide and hexidine mouth gargles twice a day if you do not have.

After 7 days if the condition persist then go for the scraping of tongue for culture of bacteria and fungi with sensitivity test for antibiotic and anti fungal and the further treatment according to test result.

Regards
Dr Hariom Sharma MS, XXXXXXX

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Hariom Sharma (12 hours later)

Thank you. I have had a culture test and it came back negative but did show very mild candida detected. I have tried antifungals but no change. Tongue scraping makes no difference also.'

In addition to the tongue, after I took antibiotics i developed very dry and often blocked nose, and pressure in my forehead. My face sometimes feels like i am bending over but i am just sitting. I will attach a picture of my mouth.

Answered by Dr. Hariom Sharma (4 hours later)

Brief Answer:
Try candid mouth paint with above mentioned gargle

Detailed Answer:
Hi,
I have gone through your follow up query and image; and suggest you that you may try the candid mouth paint with above mentioned gargle.

I also suggest you that you may also go for CT scan paranasal sinuses to rule out the cause of nasal obstruction.

Regards
Dr Hariom Sharma MS, XXXXXXX

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Hariom Sharma (14 minutes later)

What is a candid mouth paint? Also, I have attached image of CT scan.

Answered by Dr. Hariom Sharma (11 hours later)

Brief Answer:
Candid mouth paint is an anti-fungal oral medication

Detailed Answer:
Hi Sir,
I have gone through your follow up query and CT scan image; and for your kind information candid mouth paint is an anti-fungal oral medication. Its active ingredient is clotrimazole, an anti-fungal agent. The medication also contains glycol and glycerin.

Your CT scan image suggests that your nasal blockage most probably due to the deviated nasal septum and inferior turbinate hypertrophy.

Regards
Dr Hariom Sharma MS, XXXXXXX

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. Sonia Raina