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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Bactrim Cause Sores In Mouth?

I took Bactrim for a few days for a UTI. Since then I ve noticed that the underside of my tongue is sore and peeling. The outer layer of the skin looks dead and tan or brownish. my tongue bleeds like its a wet scab if I peel it. Could this be a side effect of the antibiotic or do I need to go to the dentist? I don t see anything else in my mouth. My tongue always has kind of a colored coating on it unless Ive just brushed. I don t see any other spots in my mouth. It s very concerning because it does hurt to eat certain foods that are acidic or spicy and my tongue does feel alittle swollen. Thanks!
Thu, 10 Dec 2015
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Dentist,  's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concern.

As per your complain small sores and peeling under tongue seems to be due to side effect of taking the antibiotic Bactrim while coating over the tongue that is tan or brown seems to be due to Hairy tongue and it can occur due to poor oral hygiene leading to accumulation of dead cells, bacteria and fungus over the skin surface, overgrowth of papillae, long term intake of soft diet, taking medication containing bismuth like Pepto-Bismol..
I would suggest you to do warm saline gargles..
Gargle with 1:1 solution of hydrogen peroxide and water..
In case if there is pain gargle with a numbing mouthwash containing Lignocaine..
Suck ice pops..
For coating over tongue clean your tongue using a tongue scraper..
You can also brush your tongue gently by dipping in hydrogen peroxide and water solution..
Chew raw foods and fruits as it helps in cleaning the tongue with frictional motion..
Gargle with antiseptic mouthwash..
Limit the intake of tea and coffee..
In case if still there is no improvement in 15 days consult an Oral Physician and get evaluated..
Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora.
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Does Bactrim Cause Sores In Mouth?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concern. As per your complain small sores and peeling under tongue seems to be due to side effect of taking the antibiotic Bactrim while coating over the tongue that is tan or brown seems to be due to Hairy tongue and it can occur due to poor oral hygiene leading to accumulation of dead cells, bacteria and fungus over the skin surface, overgrowth of papillae, long term intake of soft diet, taking medication containing bismuth like Pepto-Bismol.. I would suggest you to do warm saline gargles.. Gargle with 1:1 solution of hydrogen peroxide and water.. In case if there is pain gargle with a numbing mouthwash containing Lignocaine.. Suck ice pops.. For coating over tongue clean your tongue using a tongue scraper.. You can also brush your tongue gently by dipping in hydrogen peroxide and water solution.. Chew raw foods and fruits as it helps in cleaning the tongue with frictional motion.. Gargle with antiseptic mouthwash.. Limit the intake of tea and coffee.. In case if still there is no improvement in 15 days consult an Oral Physician and get evaluated.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.