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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Quit Smoking, Thrush On Tongue, High IgE Level. Worried

Hello, doctor..i have recently quit smoking but i have started to note thrush on my tongue , and on the sides, as well. I have very i IgE levels, last tested were 1100 u/ml but i am very worried about the oral thrush.I did a course on 20 days, of Nizral tablets, as i am also suffering from Seb Derm.Currently i am on AF 150 ( Fluconazole ) weekly.
Thu, 18 Jul 2013
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Emergency Medicine Specialist 's  Response
dear karan , hi.
oral thrush is a fungal infection of mucus membrane of mouth. it is mainly due to
-poor health
- diabetes
-HIV.
since your IgE levels seems to be raised which can occur in Immunodeficiency, please get the following tests done:-
1.CBC
2.Blood Sugar ( Fasting and PP )
3. Elisa tet for HIV.

Treatment you are taking is antifungal which will help in curing this fungal infection.
thanks.
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Dentist Dr. Anshumala Singh's  Response
Dear friend.

Thanks for sharing your concern

your history suggests towards immunodeficiency.Raised IgE level is seen in immunodeficiency,diabetes and HIV.

Therefore it is advised to get your complete blood work done.

Also the thrush on your tongue can be attributed to this.you can take systemic fluconazole after consulting your physician.

Meanwhile maintain good oral hygiene and take Healthy and nutritious diet.

Hope it helps.

Thanks.

Take care.
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3 Doctors agree with this answer

Dentist Dr. Bindiya Bhaskar's  Response
Hello,

Thanks for writing to us.

Cause of occurence of thrush has to be evaluated and treatment has to be planned based on that.

Take nutritious diet rich in fruits,leafy vegetables.

Avoid spicy foods.

Take antifungal antibiotics after consulting with your physician.

Maintain oral hygiene well.

Brush and floss your tongue as well as teeth daily.

Take care.
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Dentist Dr. Sapna Purwaha's  Response
Hello
oral thrush is caused because of fungal infection.you are on
correct medication .in addition to your medication i would
advice you to maintain your oral hygiene,do betadiene
mouth rinse twice daily and get a scaling of teeth done .
Regards
dr.sapna
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  User's Response
hi
High IgE levels along with long standing oral fungal infection especially on lateral borders of the tongue are one of the most SIGNIFICANT oral findings in states of IMMUNODEFECIENCIES like HIV infection/ Malignancies/ Uncontrolled Diabetes to name a just few.

Sir, you have n't mentioned your age and smoking history along with any kind of medical history or other drugs which you might be taking.

First of all you need to get Thorogh blood investigations, like CBC, Fasting and PP Blood Sugar Levels, ELISA test for HIV.

In addition, maintianing oral hygeine (Chlorhexidine mouthwash), using Kenacort Gel 0.2 % on tongue along with Good Nutritious food and B complex Vitamins at night can provide you with some rapid symptommatic relief
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Quit Smoking, Thrush On Tongue, High IgE Level. Worried

dear karan , hi. oral thrush is a fungal infection of mucus membrane of mouth. it is mainly due to -poor health - diabetes -HIV. since your IgE levels seems to be raised which can occur in Immunodeficiency, please get the following tests done:- 1.CBC 2.Blood Sugar ( Fasting and PP ) 3. Elisa tet for HIV. Treatment you are taking is antifungal which will help in curing this fungal infection. thanks.