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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could White Colored Tongue Be Due To Candida Infection?

I have a white covered tongue for four weeks now, after taking antibiotics for a skin infection. I am on treatment for oral thrush for two weeks (1 week Amphotericin oral and 1 week nystatin oral) and on candida-diet but doesn't improve. I have had no pain at all and the white thing is not brushed off by toothbrush and does not bleed.
Is this really candida?
Wed, 25 Feb 2015
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General & Family Physician 's  Response
Hello,
Welcome to HCM,
I understand your concern.
White patch on tongue which cannot be brushed nor scraped, suggests it's a leukoplakia(refers to a condition where areas of keratosis appear as firmly attached white patches on the mucous membranes of the oral cavity).
It is a diagnosis of exclusion(once all other causes are ruled out).
Oral leukoplakia more commonly occurs in those who smoke,chew tobacco.
Leukoplakia is a premalignant lesion, i.e. "a morphologically altered tissue in which cancer is more likely to occur than in its apparently normal counterpart". But the vast majority of oral leukoplakias will not turn malignant.
If thats the case it is recommended to recommendation that possible causative factors such as smoking and alcohol consumption be stopped.
If the size of patch increases in size, has to br reviewed by physician.
Hope this information was useful. Good Luck.
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Could White Colored Tongue Be Due To Candida Infection?

Hello, Welcome to HCM, I understand your concern. White patch on tongue which cannot be brushed nor scraped, suggests it s a leukoplakia(refers to a condition where areas of keratosis appear as firmly attached white patches on the mucous membranes of the oral cavity). It is a diagnosis of exclusion(once all other causes are ruled out). Oral leukoplakia more commonly occurs in those who smoke,chew tobacco. Leukoplakia is a premalignant lesion, i.e. a morphologically altered tissue in which cancer is more likely to occur than in its apparently normal counterpart . But the vast majority of oral leukoplakias will not turn malignant. If thats the case it is recommended to recommendation that possible causative factors such as smoking and alcohol consumption be stopped. If the size of patch increases in size, has to br reviewed by physician. Hope this information was useful. Good Luck.