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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Patches On The Tongue?

hey doctor, i have a two yr old girl and she sucks her paci still..i have a concern about her tongue.she has been to the doctor about it and they say its bacterial infection in her mouth and prescribe her some nystatin 2ml on each side of mouth til placks disappear..but everytime shes done with the med, they come back.im scared i think it could be herpes.what do you think..no mother wants that for her child, and i think i may have passed it to her through birth without ever knowing i had it..i think i also have genital herpes..im unsure..please help me..there seems to be no answers
Thu, 22 Sep 2016
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Dentist,  's  Response
Hello,

I can understand your concern. The medication Nystatin that is prescribed to your daughter is an antifungal medication and as the patches respond to the medication, the child is suffering from fungal infection only and not herpes. Please do not worry about herpes.

As the infection recurs after end of the treatment, I would advise you to go for a tongue swab and culture that can identify the exact organisms causing the patches and medications that have effects on the organisms. A dentist can take such swab and send to the laboratory. Based on the test report, such treatment can be started that the infection does not recur.

In addition to that, care should be taken that the oral hygiene of the child's oral cavity is maintained.

I hope this information helps you. Thank you for using HealthcareMagic. I wish your daughter gets well soon.

Best,
Dr. Viraj Shah
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What Causes Patches On The Tongue?

Hello, I can understand your concern. The medication Nystatin that is prescribed to your daughter is an antifungal medication and as the patches respond to the medication, the child is suffering from fungal infection only and not herpes. Please do not worry about herpes. As the infection recurs after end of the treatment, I would advise you to go for a tongue swab and culture that can identify the exact organisms causing the patches and medications that have effects on the organisms. A dentist can take such swab and send to the laboratory. Based on the test report, such treatment can be started that the infection does not recur. In addition to that, care should be taken that the oral hygiene of the child s oral cavity is maintained. I hope this information helps you. Thank you for using HealthcareMagic. I wish your daughter gets well soon. Best, Dr. Viraj Shah