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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes oral thrush and sore throat?

I have white patches on my tongue. My tongue is red and sore, so is my throat and roof of my mouth. My mouth feels like it is coated in something and the taste is so bad I cannot eat. I have insulin dep diabetes and because of how bad the food or drink, even water, I am not eating or drinking. I am recovering from gallbladder surgery last Tuesday.
Fri, 23 Feb 2018
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General & Family Physician 's  Response
Hi & Welcome.
I can understand your concerns.
Age, gender, not mentioned.
Based on the history given you seem to be suffering from oral candidiasis (oral thrush).

Candidiasis is a yeast infection (candida albicans) which tends to affect warm, moist areas of the body such as the mouth, pharynx, vagina, penis, and certain areas of skin.

It is more common in people with diabetes as high sugar levels and weak immunity which lead to better conditions for the yeast to grow.

I advise you to consult your doctor for proper clinical examination and your doctor will prescribe your topical antifungal medications like Nystatin or Clotrimazole which needs to be applied to the inside of the mouth for 7 to 14 days.

For severe infections the treatment is usually oral Fluconazole.
Beside medications you need to have certain preventive measures like:

hese suggestions may help during an outbreak of oral thrush:
1. Take insulin regularly and maintain the normal blood glucose level
2. Maintain good oral hygiene.
3. Brush and floss regularly.
4. Replace your toothbrush often until your infection clears up.
5. Don't share toothbrushes.
5. Disinfect dentures (if any) and
6. Try warm saltwater rinses.
Dissolve about 1/2 teaspoon (2.5 milliliters) of salt in 1 cup (237 milliliters) of warm water. Swish the rinse and then spit it out, but don't swallow.

Hope the advice given above would be useful in getting rid off oral thrush.

Best regards.
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