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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Oral Infection

Age: 28(in a few days)
Height: 5'8"
Weight: 185
Bp normal, but has been high in the past
Concerned about being at risk for Diabetes

Can allergy medication mask an oral infection?
I've been battling an oral infection for quite a few weeks now (Four to be exact), and I believed it to be thrush (yeast infection). I first went to Planned Parenthood and received fluconazole (Diflucan), which I've had before, and a week's worth of metronidazole (Flagyl), just in case Bacterial Vaginosis went undetected. The Diflucan I've taken before, but at this particular visit was the only time I've taken Diflucan in two consecutive weeks. The white spots cleared up, following the treatment, as well as using geranium violet, gargling with warm salt water (after eating), eating 2 cups of pro-biotic yogurt a day, and taking at least 3 heaping spoonfuls of wet garlic a day and letting it sit in my mouth for a few minutes before swallowing. And, brushing my teeth before using garlic, disinfecting the toothbrush before and after brushings. My diet consisted of hardly any breads, but when I did, toasted wheat bread was consumed. I went to urgent care for a check up and, since I've been trying home remedies and there are no visible signs, I was sent home untreated and without tests done. A few days later (and after going to a very smoky rave), I developed a sore throat. I went in and was prescribed Nazonex. It left a stinging sensation in my throat, and decided to take Claritan-D instead. That helped with the the sore throat and nasal congestion, but now I'm out of the 5-day medication and concerned if the meds are masking a real issue, or have I not been taking them long enough? With the Claritan, I've been trying to remember to take acidophilus pills, 500mg, twice daily.

My question is, can allergy meds mask an oral infection? I'm concerned that I may have some other bacterial infection. Each time I go to urgent care, they don't take any cultures, they only do a visual inspection. I don't have health insurance and can't afford the $80 visit to urgent care, if they aren't going to properly treat me. As a side note, I have been tested for other sexual diseases, and the results are all negative (HIV, herpes, syphilis, gonorrhea, chlamydia). When they looked in my mouth, they just said it looked a little red, and that my nose was draining, and gave me the Nazonex. At the moment, it feels like there is a some sort of small blockage at the base of the throat ("Adam's" apple area) and nasal airway, and there are sores on the tip of my tongue and the base of my lower and upper teeth in the same area; however, I'm not certain if its from the yeast coming back or if I just simply burned my mouth on yesterday's lunch :-/ The bumps look small, round, red, and flat, and are mostly located on the perimeter of the tongue near the front teeth.
On the positive side, my vagina stopped itching (first time in five months), but I haven't so much as kissed my man since the oral outbreak :-(
Mon, 30 Jun 2014
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Dentist 's  Response
Hello,
I have read your inquiry and appreciate your details to assist in treatment recommendations. You describe a constant on going irritation that sounds more like the allergy condition causing oral symptoms. The allergy medications have a drying effect which may give you a dry mouth. Dealing with allergies causes you congestion, breathing through your mouth, post nasal drip which is irritating to the throat and causes an acidic oral environment. If you do not remove the irritant, you will have a constant battle. These conditions and taking antibiotics can make you prone to Thrush. Stress can cause ulcerations. Bumps can be a reaction to irritation with swollen papillae on the tongue.
I recommend keeping extremely well hydrated. Proper nutrition with balanced vitamins is important. Make sure you have aequate vitamin B complex to assist healing. Avoid all irritants such as smoking, alcohol and acidic foods. There are dental products for treating dry mouth including rinses, toothpaste and sprays. These may be effective for you. You will need to try them and decide if you notice a difference. Practice excellent oral hygiene including brushing your tongue.
You should visit your dentist and have a routine exam and cleaning. Rule out any dental conditions that need treatment. A clinical exam will allow diagnosis of any oral infections that should be addressed.
If you still suspect a respiratory or sinus infection source, you will have to return to a physician for treatment. Consider visiting an allergist to determine exactly what your sensitivities are. Have you ever considered allergery shots?
I understand that you are uncomfortable and frustrated with an ongoing condition. I hope my recommendations offer some relief. Thank you for your inquiry.
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Suggest Medication For Oral Infection

Hello, I have read your inquiry and appreciate your details to assist in treatment recommendations. You describe a constant on going irritation that sounds more like the allergy condition causing oral symptoms. The allergy medications have a drying effect which may give you a dry mouth. Dealing with allergies causes you congestion, breathing through your mouth, post nasal drip which is irritating to the throat and causes an acidic oral environment. If you do not remove the irritant, you will have a constant battle. These conditions and taking antibiotics can make you prone to Thrush. Stress can cause ulcerations. Bumps can be a reaction to irritation with swollen papillae on the tongue. I recommend keeping extremely well hydrated. Proper nutrition with balanced vitamins is important. Make sure you have aequate vitamin B complex to assist healing. Avoid all irritants such as smoking, alcohol and acidic foods. There are dental products for treating dry mouth including rinses, toothpaste and sprays. These may be effective for you. You will need to try them and decide if you notice a difference. Practice excellent oral hygiene including brushing your tongue. You should visit your dentist and have a routine exam and cleaning. Rule out any dental conditions that need treatment. A clinical exam will allow diagnosis of any oral infections that should be addressed. If you still suspect a respiratory or sinus infection source, you will have to return to a physician for treatment. Consider visiting an allergist to determine exactly what your sensitivities are. Have you ever considered allergery shots? I understand that you are uncomfortable and frustrated with an ongoing condition. I hope my recommendations offer some relief. Thank you for your inquiry.