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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dark Patches On Tongue, Mouth Sores, Throat Aches, Strep Throat ?

My toung has 1 big smooth dark red patch in the middle of it and 2 small smooth dark red patches on the tip od it. The rest of my toung is light pink (normal color) with the tastebud things still there where as the dark red spots are completely smooth. I noticed it yesterday because my whole mouth was sore. Now i only have a minor throat ach but my toung still looks funny. I looke it up and it could be mono geographic toung or strep . I dont want to go to the doctors because im deathly afraid of tests. Help?
Sun, 13 May 2012
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  User's Response
Hi
What you have is medically called Median Rhomboid Glossitis. As you have noticed it recently, is red and sore it is most likely fungal infection (candidiasis that is yeast infection). It looks smooth because the normal structures called papillae are missing there.
It is important to know if you smoke cigerette/beedies, you have pre-diabetes or diabetes, any dental problems, whether you have any immune suppressed state. Because these can have bearing in your tongue condition.
If you smoke, stop it.
You may need an antifungal oral gel for application to tongue. If the condition does not improve with that you may need systemic antifungal therapy.
If sore mouth is bothering, you can take pain killer tablet
You need to see a Dentist or an ENT specialist to determine the exact cause of your tongue problem and to treat it. If you are scarred of tests just get medicines prescribed by a doctor.
But if your problem is not solved with medicines alone you should not be afraid of tests as your health is very important.
Take care.
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Dark Patches On Tongue, Mouth Sores, Throat Aches, Strep Throat ?

Hi What you have is medically called Median Rhomboid Glossitis. As you have noticed it recently, is red and sore it is most likely fungal infection (candidiasis that is yeast infection). It looks smooth because the normal structures called papillae are missing there. It is important to know if you smoke cigerette/beedies, you have pre-diabetes or diabetes, any dental problems, whether you have any immune suppressed state. Because these can have bearing in your tongue condition. If you smoke, stop it. You may need an antifungal oral gel for application to tongue. If the condition does not improve with that you may need systemic antifungal therapy. If sore mouth is bothering, you can take pain killer tablet You need to see a Dentist or an ENT specialist to determine the exact cause of your tongue problem and to treat it. If you are scarred of tests just get medicines prescribed by a doctor. But if your problem is not solved with medicines alone you should not be afraid of tests as your health is very important. Take care.