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Bad breath, creamy white tongue, acne over face - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Acne
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi i have a creamy white tongue with little red spots near back/Bad breath and acne over face and some on body, i am too embarrased to go to doctor.
Doctor :   Hi
User :   Hello
Doctor :   May i know your age and since when are you having these complaints?
User :   i am 23 now and had the acne from about 14, but the creamy tongue has been there for about 2-4 years
Doctor :   Ok
User :   i am too embarrased to go to my own family doctor but i also get white build up under my foreskin too but i shower everyday and always clean here
Doctor :   May I know your current weight and height?
User :   i weigh 10 1/2 stone and i am 5ft 11
Doctor :   Since when are you having bad mouth odour?
User :   i dont know if it is all connected but i also get stiff joints and sore joints for being a young physical guy
User :   around the same length of time, i brush my teeth and use tongue scraper but the smell is still bad
Doctor :   Ok
Doctor :   Let me explain,
Doctor :   Since I am unable to physically examine you, i cannot pinpoint the exact cause of your symptoms, however
Doctor :   I shall provide you with information that should guide you through in deciding the next steps of action.
Doctor :   1. Bad mouth odour are usually as a result of dental problems, throat infections
Doctor :   and gastritis/heart burns.
User :   I recently had my 6month dental check up and every is ok in that department with white fillings not the silver ones.
Doctor :   Tongue coating is a result of deposition of dead skin tissues. It forms a layer on the tongue causing the discoloration.
Doctor :   Other common cause for such coating is oral thrush and fungal infection of the mouth.
Doctor :   So, if I have to club your 2 symptoms together, then it could be either the oral thrush or gastritis/heart burns that could be possibly causing the tongue coating and bad mouth odour.
Doctor :   White precipitation under the foreskin is a nothing but smegma.
Doctor :   It is a completely harmless condition when it is regularly cleaned and your personal hygiene is excellent
Doctor :   Unhygienic condition can lead to invasion of infection in the smegma which can then lead to concerning problems.
Doctor :   So with these facts in mind,
Doctor :   I suggest you the following
Doctor :   1. The white particulate collections under the foreskin is completely normal and you need not worry about it.
Doctor :   2. Creamy white tongue can be treated easily by regular tongue cleaning along with brushing.
Doctor :   If they remain persistent see a doctor who can examine it confirm /rule out the possibility of oral thrush and treat it appropriately.
User :   i will go to my doctor. what about the spots?
Doctor :   3. Bad mouth odour could be possibly be due to persistent throat inflammation or probably due to heart burn.
Doctor :   Red spots with no symptoms of itching, rashes are benign condition too.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
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