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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes white plaques and spots on tongue?

My tounge for the past couple of days started developing spots on the front portion of my tounge on top. The back has had a thick white plaque type substance in the back. I had an infection that started a month ago and from time to time still cough up mucus. I was wondering if this is results from sucking on cough drops and the infection?
Thu, 4 Jun 2015
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Dentist 's  Response
Can understand your concern..

As per your complain it seems that you have yeast infection known as "ORAL CANDIDIASIS" which is characterized by thick white cheesy plaques on the tongue.

It can occur due to due to a number of reasons in which there is decreased immunity in the body like Diabetes,HIV , Steroid intake or if there is disturbance in the microbial flora present in mouth like during infections or intake of anibiotics for a long time.

In your case infection can be a cause as Candidiasis is an opportunist infection and the fungus flourish where there is decreased resistance found against it.

I would suggest you to consult a dentist and get evaluated for the cause of the plaques as the dentist will take a sample by scraping the plaque and send for laboratory investigation, although at times no investigation is needed and only clinical checkup is sufficient to diagnose..

In case of candidiasis Anti-fungal medicines oral and topical can be helpful.

Nystatin drops , fluconazole tablets etc are given to the patient..

Taking probiotics like Yoghurt daily many time a day can help in clearing off the plaques.

Hope your query is solved..

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Thanks and regards..
Dr.Honey Nandwani Arora.
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