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Burning behind throat, ulcers on tongue, burning sensation. Throat swab shows respiratory flora. Treatment?

I had a throat swab done to see if i have oral thrush. I explained that i have burning in bak of throat with acidic taste and burning tongue with tiny ulcers coming and going looks like grapgic tongue feels like something stuck in throat. Swab came back with nothing but said i had heavy upper respitory flora....what dose this mean
Asked On : Sat, 9 Feb 2013
Answers:  1 Views:  5947
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ENT Specialist 's  Response

Welcome in H.C.M.

As said in your query that your throat swab report is indicating only heavy flora, and no other pathological bacteria is isolated but still you have burning behind the throat and at the same time you have an ulcer on tongue.

Your all these symptoms are favoring aphthus ulcer along with GERD ( gastro esophageal reflux disease ). There is another possibility of oral candidiasis.

To diagnose it properly and for treatment point of view you should do-

1- Culture for fungus in throat swab.

2- Examine the teeth adjacent to ulcer for sharp edge.

3- Upper G.I. endoscopy to rule out gastritis.

by above investigation and there co-relation with examination finding one may reach to correct diagnosis, that may be accordingly plan for treatment.

Answered: Wed, 28 Aug 2013
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