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What Causes White Patches Covering The Tongue?

Posted on Mon, 12 May 2014

Question: Hi, I am choosing the dentist option here as I dont know which specialty I should be contacting. Please help. my tongue is covered with white patches which are painless, they dont hurt me while eating or chewing. I have been noticing this since a month now, they come and go. When I clean the tongue with tongue cleaner it goes away but I see that there are things like hair on the tongue ( white color). I don't have ulcers or soreness. Its been 2 months now that I have my wisdom teeth problem, It bleeds ( not blood) from left wisdom teeth and its like everyday issue now since 2 months. I took some anti bacterial tablets like Zifi 200 and dolenex DT 20 mg. Feel better when on medication but it comes back when I stop. Tired of taking tablets. Any permanent solutions to stop the discharge from the teeth? It tastes very bad. I am also using Clohex Plus mouthwash 3 times a day. Another thing, the tongue color changes many times.. I feel its funny Bcos sometimes I its white hairy kind of and sometimes white hairy kind of and sometimes I feel that its dark pink :(. When I wash the tongue with tongue cleaner, whole day I feel the burning sensation on the toungue, especially when I drink hot tea or coffee otherwise it doest hurt but the burning sensation is there. feel relieved when I drink cold water. I am damn scared sometimes when I see something on google about this. Another prob is my teeth are not straight unfortunately so when I wake up in the morning, my teeth will have the signs of teeth mark on the edges of the tongue. Very often I see blood from my gums when I brush but no blood from mouth after the brushing. I can eat a super spicy food no problem with that but have this burning sensation on the tongue mostly in afternoons. Can you tell me is this something scary and I am left with very less time to live? I am 31 year old with a 1.5 months baby boy. I may not be able to tell all this to the doctor I visit so writing in details. Its very scary. Looking forward for an genuine answer, I hope and pray that i dont have any scary disease!

Answered by Dr. Priyanka Tiwari (1 hour later)

Brief Answer: Oral thrush , Pericoronal abscess. Detailed Answer: Hi , XXXXXXX , Welcome to Healthcare magic. This Dr. Priyanka tiwari answering your query . I have gone through your query, there is nothing to scared XXXXXXX you dont have any serious problem, as you have given details you have oral fungal infection and as it is Scrapble lesion it can be Candidiasis. Dont worry XXXXXXX , Firstly can you send me a report ( photograph )of your tongue with white lesion and another photograph with clean tongue that will be more helpful to make diagnosis . For this Oral thrush you can apply ointment Candid gel local application three times a day. Avoid eating Spicy food , Hot coffee , Tea for few days . Do Antifungal mouthwash Nystatin twice daily . As you have given history of wisdom tooth discharge also I told you earlier in your query may be there is formation of Pericoronal Abscess so , for this permanent solution is Consult dentist and go for IOPA xray and if there is formation of Abscess go for Extraction of tooth . Hope I answered your query.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Priyanka Tiwari (49 minutes later)

Hi XXXXXXX Thanks again for picking my question here. I know you told me last time that its not scary thing but hope you understand my situation. So as of now I can just take Candid Gel and Nystatin mouth wash? Definitely, I asked the doc 2 times and requested him to extract the teeth but he says wisdom teeth pain is normal and we shd wait some more time... Tomorrow morning i will get the IOPA Xray and send you the soft copy? tongue pic is attached. Thanks again, you are a life saver definitely

Answered by Dr. Priyanka Tiwari (52 minutes later)

Brief Answer: oral thrush , Extraction of wisdom tooth. Detailed Answer: Hello , XXXXXXX , Welcome again to Healthcare magic. I have gone through your query ,and reference photograph you have attached also there is nothing to worry it is Oral thrush nothing to be scared so much , I understand your situation , God bless your child. For this I will suggest you can apply Candid gel local application 3 times a day for 15 days -Nystatin mouthwash twice daily for 15 days . - Vitamin B 6 , 12 supplements once daily . - Avoid spicy food , Hot tea , Coffee . Consult dentist and go for extraction of wisdom tooth for permanent releif , medication you are taking only give you temporary relief. Send me IOPA xray soft coy , waiting for your X-ray tommorrow. Hope I answered your query , If you have further query I will be happy to help .

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Priyanka Tiwari (16 hours later)

Hi XXXXXXX Sorry could not get the Xray today, I have bought the becosule tablet, Candid gel but could not find the Mouthwash Nystatin but I have Clohex Plus can I use that? I will try to get the Xrays tomorrow. Thanks again XXXX

Answered by Dr. Priyanka Tiwari (56 minutes later)

Brief Answer: kamol mouthwash. Detailed Answer: Hello, XXXXXXX , Yes , you can use Chlorhexidine mouthwash but if you can get Kamol mouthwash that will good for you. Use Kamol mouthwash in 1 : 10 ratio twice daily . Apply Candid gel on tongue three times a day . Get IOPA xray of wisdom tooth and go for treatment Stop taking Antibiotics you are taking, Oral thrush can be drug induced also. Get xray reports as early as possible . Hope it will help you. Regards, Dr. Priyanka tiwari.

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Priyanka Tiwari (1 hour later)

Hi XXXXXXX Yes, I will get the xray done in the morning, I work in night shifts so was not able to go to lab today. I will also search for Nystatine or Kamol mouthwashes, should I swallow it or just rinse and spit? Thanks XXXX

Answered by Dr. Priyanka Tiwari (13 minutes later)

Brief Answer: Just rinse spit , dont swallow . Detailed Answer: Hello, XXXXXXX , Welcome to Healthcare magic again . This is Dr. Priyanka tiwari answering your query. Yes , you can go for X ray tommorrow . Dont swallow mouthwash , put it in mouth for 5 to 10 min after that you can spit it . For Kamol mothwash take in 1:10 ratio one part mouthwash liquid 10 part of water dissolve in it . Hope it will help you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Priyanka Tiwari (5 hours later)

Hi XXXXXXX sorry to disturb you but I am not able to find both Nystine and Kamol mouthwash in Bangalore. Any other alternate mouthwash? Thanks again.

Answered by Dr. Priyanka Tiwari (19 minutes later)

Brief Answer: Tantum mouthwash, Chlorhexidine mouthwash. Detailed Answer: Hello , XXXXXXX , Welcome again to Healthcare magic . There is nothing to feel sorry , I am available to answer to your query , dont worry if you wont find kamol mouthwash you can do Chlorhex mouthwash or one more you can see if available there Tantum mouthwash . Hope it will help you. Regards, Dr. Priyanka tiwari

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

Follow up: Dr. Priyanka Tiwari (13 hours later)

Hi XXXXXXX Please find attached x ray report. Unfortunately I am not able to find any of the mouth washes you suggested in Bangalore. Any other alternatives please?

Answered by Dr. Priyanka Tiwari (1 hour later)

Brief Answer: Mesioangular Impaction , Chlorhex mouthwash Detailed Answer: Hello, XXXXXXX , Welcome Again to Healthcare magic . This is Dr. Priyanka tiwari answering your query. I have gone through your query and OPG x ray reports you have attached , your both Right and Left lower wisdom tooth is mesialy tilted what we call it is Mesioangular Impaction . As you have bleeding from lower left wisdom tooth in that you have Soft tissue Abscess as your wisdom tooth is Mesialy tilted ( mesioangular impaction ) which is causing pressure on 2nd molar and causing pain . What I will suggest you should consult Oral surgeon and go for Extraction of wisdom tooth you will get Releif after Extraction. As you are asking about mouthwash you can do Chlorhex mouthwash twice daily. Apply ointment Candid gel on tongue three times a day for 15 day . Hope I answered your query . If you have further query feel free to ask I will be happy to help. Regards , Dr. Priyanka tiwari.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Priyanka Tiwari (30 hours later)

Hi XXXXXXX Sorry for the delay here, after using the candid for 2 days still my tongue is same as the old. :(.. its hard on the surface. I did my best to find the mouth washes you suggested by none of them are available in Bangalore. Please advise. Thanks again,

Answered by Dr. Priyanka Tiwari (2 hours later)

Brief Answer: Cytology , Biopsy Detailed Answer: Hello, XXXXXXX , Thanks for the followup. I have gone through your query and understand your concern , there no need to feel sorry , I always available to answer your query , as you wont feel comfortable and releif after application of Candid gel now I will suggest you to consult Oral surgeon for Clinical examination and evaluation , which help in making Exact diagnosis . You can consult your Oral surgeon and if needed go for Cytology and Biopsy to confirm the diagnosis . As no mouthwash is available in Bangalore you can do Chlorhex Once daily . Consult Dental surgeon to for clinical evaluation and diagnosis . Hope this will help you .

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Above answer was peer-reviewed by : Dr. Yogesh D