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Is this oral thrush
Having this on tongue and dry lips. 10 days after hiv expoure. Also on Pep( got pep 12 hours after exposure). - tdf/emitracitabine + dolitegravir..
Answers (7)
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It looks like what we call Oral Hairy Leukoplakia
Do the following:
1. Blood tests - HbA1C, HIV, MonoSpot test, Hepatitis B and Hepatitis C
2. Five days of oral nystatin drops
All the best.
J G S R clinic
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It's not thrush.
Don't worry at all as u r on.pep very early continue it. Pep gives u protection. If u see toung it gives u anxiety. It will go slowly. Nothing to worry.
You can go with
Folic acid5 two times after food for 2 weeks.
Locally apply zytee lotion two times before meals apply with ear bud..two weeks.
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Based on the photo and history, this does NOT look like oral thrush. Oral thrush usually appears as thick, creamy white patches that can be scraped off and leave a red/raw surface underneath. Your tongue shows a diffuse coating and surface dryness, which is more consistent with benign tongue coating, dehydration, anxiety, or medication-related changes. At 10 days post-exposure, HIV-related oral thrush is extremely unlikely, especially since you started PEP within 12 hours, which is highly protective.
Next Steps
• Continue PEP exactly as prescribed and do not miss doses
• Maintain good oral hydration; drink plenty of water
• Gently clean the tongue once daily (no aggressive scraping)
• Use plain mouth rinses (salt water); avoid antiseptic overuse
• Lip dryness can be managed with a simple moisturizer or petroleum jelly
• Proceed with routine HIV testing as per PEP protocol for reassurance
Health Tips
• Do not self-start antifungal medicines unless advised
• Anxiety and PEP side effects commonly cause dry mouth and tongue coating
• Seek review only if there are painful ulcers, thick removable white patches, bleeding, fever, or difficulty swallowing
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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These tongue changes and dry lips are not suggestive of HIV. You started PEP within 12 hours, which is excellent and highly protective. At 10 days post-exposure, HIV symptoms are extremely unlikely. The findings are more consistent with PEP side effects, stress/anxiety, dehydration, or a benign tongue coating, all of which are common.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.