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Tongue condition
How will it go I'm having feelings not to eat.can any doctor tell me what the condition is something serious or not ?
I m taking tablet
trimethoprim/sulfamethoxazole
Answers (16)
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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From your photos and history, what I see on your tongue looks like an inflamed, coated tongue (glossitis) â most likely from a fungal/candida overgrowth or an irritant reaction, and the fact that you are currently on trimethoprim/sulfamethoxazole is very relevant. That antibiotic commonly disturbs normal oral flora and also interferes with folate, both of which can leave the tongue red, sore, coated and make you lose the desire to eat. Less commonly, B12/iron/folate deficiency or a drug reaction can look identical. In my opinion this is not something dangerous at this moment, but it should not simply be ignored either, because a sore tongue with reduced food intake in a 31-year-old man on antibiotics can quickly become a nutrition and hydration problem.
Next Steps
1) Do not stop the trimethoprim/sulfamethoxazole on your own â first confirm with the doctor who started it whether the full course is still needed. 2) Start a simple oral care routine: clindamycin-free saline or sodium bicarbonate rinses 3-4 times a day, gentle tongue cleaning with a soft brush, and stop smoking, tobacco, pan masala, very hot and spicy food. 3) An antifungal (clotrimazole mouth paint / oral candid gel) applied after food is usually what settles this, but it should be prescribed after a doctor actually looks at the tongue. 4) Get basic bloods done: CBC, serum B12, folate, ferritin/iron studies, and a random blood sugar/HbA1c â an undiagnosed high sugar is a common reason for recurrent oral thrush. 5) Keep eating: cool, soft, bland food (curd, khichdi, banana, milk) and plenty of fluids so you do not get dehydrated. 6) You can consult me on Practo for a detailed online review of your photos and your current medicines, or if you are in or around Miraj/Sangli you are welcome to see me in person at Synergy Multispeciality Hospital, Miraj, where the tongue can be examined properly and the blood tests arranged the same day.
Health Tips
Word of caution: sulfamethoxazole can rarely cause serious skin/mucosal reactions. If you develop fever with a rash, blisters or peeling anywhere on the skin, ulcers in the eyes or genitals, swelling of the lips or difficulty breathing or swallowing, stop the tablet and go to an emergency department immediately. Also see a doctor without delay if a white patch cannot be wiped off and keeps growing, if there is a non-healing ulcer or lump on the tongue lasting more than 2-3 weeks, or if you are unable to eat/drink at all. Please do not self-medicate with steroid mouth applications.
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Infected
Tan supradyne two times 2 weeks.
Tab folic acid5 MG two times 2weeks. Locally zytee gel before food with ear bud.
Wait a lil
After food
Candid lotion
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It’s Glossitis
Kindly consult for detailed evaluation & personalised treatment
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This is glottitis .plz connect for treatment
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Take tab beplex forte one daily for 2 weeks, Tab livogen one morning and one evening for 2 weeks.
If it pains, apply orasore ointment over it for 3 to 4 days.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Take b complex vitamins and iron tablets
This is glossitis
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Continue
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Stop these medicines. Kindly consult with me on 94 two six eight six 78 nine six.
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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