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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Oral Thrush Be Treated While Experiencing Productive Cough For Over A Month?

I have had a wet cough for over a month now. This has been accompanied by (what I thought was) oral thrush. I had been taking antibiotics for acne before the white-coated tongue started; they were capsules and I opened them and took them in powder form for around a week. Once I started getting symptoms of oral thrush, I assumed it was from the antibiotic and took 3 or 4 rounds of fluconazole. This helped a bit, but the white was still there. I proceeded to take Nystatin oral suspension for a week and a half, 4 times a day. This didn t completely solve my problem. My doctor told me to start gargling hydrogen peroxide and water; I did this for a few days. 2 days ago, I gargled without water and just the concentrated dose of hydrogen peroxide. Today my papillae are extremely swollen and I have a horrible metallic taste in my mouth. Food also tastes more diluted. I also started taking nasal spray for the cough, which is still heavily-rooted in my chest. I am nervous that it could be strep - I am very prone to it. I had a case last year which actually turned into scarlet fever because I had no symptoms until I broke out in a rash that covered my entire body. My main concern right now is my tongue.
Mon, 17 Sep 2018
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Dentist 's  Response
Hi,



As you said you had concentrated H2O2 (Hydrogen Peroxide). That means 6 percent, this is the cause of your swollen tongue. Because of the heavy concentration of hydrogen peroxide you have got a chemical burn. The region where you have a chemical burn is prone to streptococcal infections.



For thrush you should have taken the tablets like Ketoconazole at least for two weeks. There is no need to change medication after every three days, anti-fungal infection like candidiasis takes 10 days to two weeks to subside permanently. Now don't use hydrogen peroxide, instead take Chlorhexidine mouthwash twice daily. You may need another course of antibiotics after consulting your doctor if streptococcal infection persists.



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How Can Oral Thrush Be Treated While Experiencing Productive Cough For Over A Month?

Hi, As you said you had concentrated H2O2 (Hydrogen Peroxide). That means 6 percent, this is the cause of your swollen tongue. Because of the heavy concentration of hydrogen peroxide you have got a chemical burn. The region where you have a chemical burn is prone to streptococcal infections. For thrush you should have taken the tablets like Ketoconazole at least for two weeks. There is no need to change medication after every three days, anti-fungal infection like candidiasis takes 10 days to two weeks to subside permanently. Now don t use hydrogen peroxide, instead take Chlorhexidine mouthwash twice daily. You may need another course of antibiotics after consulting your doctor if streptococcal infection persists. Hope I have answered your query. Let me know if I can assist you further.