From: anonymous@aol.com
Subject: white tongue
Posted-By: xx108 (ENT Clinic Moderator)
Organization: Organization For Community Networks
Date: Tue, 8 Apr 1997 11:10:38 -0400 (EDT)
Newsgroups: ofcn.clinic.ent

Can you please tell me what might cause a white coating on my tongue? My doctor told me she did not think it is yeast, but did not provide me with any other explanation. Thank you.

Please sign this from anonymous.

Reply: ----------------------

The most likely cause for such a finding is indeed most probably a yeast infection commonly referred to as thrush. It is known as candidiasis and can occur in certain immune-compromised states, hormonal conditions such as diabetes, following infections treated with powerful or long-term antibiotics, etc. It may also occur in association with various conditions which are treated with steroids such as asthma or rheumatologic disorders. Such a finding warrants a culture to prove the existence of candida. Unless the cause is obvious (eg recent antibiotic treatment, steroid therapy, known systemic conditions which might predispose one to candida infection), a thorough physical examination by a primary care specialist is initially in order. The usual treatment is with anti-fungal medication such as Nystatin, Mycelex, Diflucan, etc.

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Steve Dankle, MD
Otolaryngology-Head and Neck Surgery
Milwaukee, Wis

NOTICE: OFCN is not engaged in the rendering of professional medical services. The information contained on this system or any other OFCN system should not supplant individual professional consultation. It is offered exclusively as a community education service. Advice on individual problems must be obtained directly from a professional.

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