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What Causes Tongue Soreness And Oral Thrush Post Sinus Surgery?

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Posted on Tue, 24 Nov 2015
Question: Hi I am 42 years old. I am a smoker . I have had sinus surgery and was just taking zpac for bronchitis. I currently take prednisone since july from my sinus surgery. I am.taking lexapro every day and have oral thrush in the back of my throat. I am currently using nystatin because I constantly get that from my advair. My concern is the last week my tongue has been sore . The soreness is a little better but now my tongue itches too. Could that be thrush on tongue or something more. ? My mouth always feels.dry too.
Thank.you
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (28 minutes later)
Brief Answer:
Could be thrush or it could be acid reflux.

Detailed Answer:
Hello and welcome,

I am sorry you are having these problems.

The tongue soreness could be from candida/thrush since you have thrush in your throat and have reasons for risk of thrush.

You also have risks for increased stomach acid (Prednisone, Lexapro, sometimes Zpac) and if this is coming up it could irritate your tongue.

Given that you are a cigarette smoker, you should probably have it looked at if it continues.

If the tongue is sore from thrush, the treatment is Nystatin for starters. And for the dryness, you can try an over the counter mouth moistener that you can get at a drug store such as Biotene.

I am sure you already know this, but please, please try to quit smoking. I know it is hard to do - maybe one of the hardest substances to quit. But tobacco use puts you at risk for infections (sinusitis, bronchitis), taxes and weakens your immune system, delays healing, and of course puts you at risk for many forms of cancer.

After you get these infections cleared up, consider talking with your doctor or visiting a smoking cessation doctor/clinic for help with quitting smoking. There are medications that can help make the process easier.

I hope this information helps. And I hope you are feeling better soon!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (5 minutes later)
Thank you very much. I also have a bloated stomach all.the time which my doctor.either thinks is.ibs.or gastritis. Has put me on nexium for that but still.dont see any results. Ive had that for years and had a endoscopy done but ny skin is.itching on the outside of my stomach now. Could that be from that
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (22 minutes later)
Brief Answer:
The itching could be from any of your meds - Z pack is possible.

Detailed Answer:
A sensitivity to any of your medications could cause itching skin, but the most likely culprit is the azithromycin (Z pack). If you are noticing a rash or hives there (or anywhere), let your doctor know as it could be a sensitivity to that antibiotic.
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
doctor
Answered by
Dr.
Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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What Causes Tongue Soreness And Oral Thrush Post Sinus Surgery?

Brief Answer: Could be thrush or it could be acid reflux. Detailed Answer: Hello and welcome, I am sorry you are having these problems. The tongue soreness could be from candida/thrush since you have thrush in your throat and have reasons for risk of thrush. You also have risks for increased stomach acid (Prednisone, Lexapro, sometimes Zpac) and if this is coming up it could irritate your tongue. Given that you are a cigarette smoker, you should probably have it looked at if it continues. If the tongue is sore from thrush, the treatment is Nystatin for starters. And for the dryness, you can try an over the counter mouth moistener that you can get at a drug store such as Biotene. I am sure you already know this, but please, please try to quit smoking. I know it is hard to do - maybe one of the hardest substances to quit. But tobacco use puts you at risk for infections (sinusitis, bronchitis), taxes and weakens your immune system, delays healing, and of course puts you at risk for many forms of cancer. After you get these infections cleared up, consider talking with your doctor or visiting a smoking cessation doctor/clinic for help with quitting smoking. There are medications that can help make the process easier. I hope this information helps. And I hope you are feeling better soon!