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What do whiteness on tongue and soreness on roof of mouth suggest?

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Posted on Mon, 11 May 2015
Question: My tongue is white…the inside roof is sore and certain other inide upper parts tender plus having headaches
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Answered by Dr. Erion Spaho (2 hours later)
Brief Answer:
Pictures of tongue needed.

Detailed Answer:
Hi, I have gone through your question and understand your concerns.

It is difficult to narrow the exact cause/ diagnosis of white tongue and mucosal mouth soreness, because there are many underlying conditions that may feature such symptoms.

Here are some probable causes:
1.papillae hypertrophy or inflamation from dry mouth, dehydration, mouth breathing, mechanical irritation from sharp teeth, smoking.

2. conditions that may be associated with white tongue include prolonged use of antibiotics can predispose yeast infection, leukoplakia, geographic tongue, and serious systemic infective diseases associated with immune system compromise, usually associated with fever and other organs symptoms.

Headache can be related to fever if any, or may be a independent symptom.

It is necessary to have a picture of your tongue, or have a check up by your primary care Doctor of tongue, mouth and related local lymph nodes, in order to have a correct diagnosis of your concerns.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Follow up: Dr. Erion Spaho (1 hour later)
Here is a picture of the tongue
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Answered by Dr. Erion Spaho (24 minutes later)
Brief Answer:
Most probably candidal infection.

Detailed Answer:
Hi again and thanks for uploading the photo.

Seems to me like candidal glossitis, a fungal infection, is the most probably diagnosis. This is confirmed if you scratch the tongue the covering layer will be scrapped.

It responds to anti fungal treatment (Nystatin eg.).

If no scraping, then tongue papillae inflamation by smoking, alcohol, dehydration is the cause.This condition doesn't need treatment, avoiding predisposing factors and good oral hygiene should improve symptoms.

Oral candidiasis can be related to insuficiency of immune system in some cases, so this possibility should be discussed with your primary care Doctor.

Hope I helped you.
Wishing you good health.


Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4269 Questions

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What do whiteness on tongue and soreness on roof of mouth suggest?

Brief Answer: Pictures of tongue needed. Detailed Answer: Hi, I have gone through your question and understand your concerns. It is difficult to narrow the exact cause/ diagnosis of white tongue and mucosal mouth soreness, because there are many underlying conditions that may feature such symptoms. Here are some probable causes: 1.papillae hypertrophy or inflamation from dry mouth, dehydration, mouth breathing, mechanical irritation from sharp teeth, smoking. 2. conditions that may be associated with white tongue include prolonged use of antibiotics can predispose yeast infection, leukoplakia, geographic tongue, and serious systemic infective diseases associated with immune system compromise, usually associated with fever and other organs symptoms. Headache can be related to fever if any, or may be a independent symptom. It is necessary to have a picture of your tongue, or have a check up by your primary care Doctor of tongue, mouth and related local lymph nodes, in order to have a correct diagnosis of your concerns. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.