White tongue with dry and burning mouth.

Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion

Sure. It is oral thrush????? Or its anxiety. May be due to self medication. Kindly consult with me on 94 two six 86 seven eight 96.

1. Your HIV Risk From This Event Is Extremely Low The injection was given with a re-used syringe barrel, but the most important part — the needle — is what transmits HIV. Most local “Jholla chap” practitioners commonly change the needle but reuse the syringe, which does NOT transmit HIV. You did everything correctly afterward: Started PEP (Viropil) within 24 hours Completed full 28-day PEP HIV 4th-generation Duo on 22 Apr → NEGATIVE HIV 4th-generation Duo on 13 May → NEGATIVE HIV Tridot on 20 Sep → NEGATIVE HIV Tridot on 15 Nov → NEGATIVE These results are 100% conclusive. You DO NOT have HIV. There is no window period left. Your PEP worked, and your tests confirm no infection. 2. Oral thrush for many months is NOT due to HIV Because your HIV tests are repeatedly negative, this oral thrush has another cause. Most common causes of recurrent oral candidiasis in HIV-negative people: A. Antibiotic use Antibiotics disturb normal mouth bacteria → fungus grows easily. B. Steroid exposure You were given dexamethasone injection on 20 March. Steroids strongly suppress local immunity for weeks, increasing risk of fungal overgrowth. Even one steroid dose can trigger prolonged imbalance. C. PPI use (Pantoprazole, Penta DSR, etc.) These reduce stomach acid → fungal colonization increases in mouth + gut. You have taken PPI several times. D. Dry mouth / dehydration Common with fever, stress, acidity, anxiety. E. Vitamin deficiencies Especially: • Vitamin B12 • Vitamin D • Iron deficiency These are VERY common in people with thrush. F. Gastritis / reflux contacting the mouth Acid reflux irritates oral mucosa → easier for fungus to grow. G. Diabetes / prediabetes Sugar in saliva feeds candida. (Your HbA1c when last checked? If >5.7, this is a strong factor.) 3. This pattern of thrush DOES NOT match HIV HIV-associated thrush: • Persistent white plaques • Deep painful ulceration • Weight loss • Fever • Lymph nodes • Recurrent infections • Happens when CD4 < 200 You have NONE of these features and you have multiple NEGATIVE tests. Your problem is due to local immunity imbalance, gastric issues, and vitamin deficiency, NOT HIV.

How to Treat Your Oral Thrush Properly Step 1 — Medicines • Fluconazole 150 mg every 72 hours, total 3 doses • Clotrimazole troches 10 mg, 4–5 times/day for 7–10 days • Miconazole oral gel 3–4 times/day (Choose either troches or gel + fluconazole.) Step 2 — Correct the underlying cause You MUST check: • Vitamin B12 • Vitamin D • HbA1c (diabetes screening) If you already have these values, share them — I’ll explain. Step 3 — Lifestyle • Avoid tea/coffee for 7–10 days • Reduce sugar • Drink plenty of water • Salt-water gargles twice daily • Stop unnecessary PPI unless really needed

Metrogyl 200 two times after food for 5to 7 days. Fluconazole150 one per day after food for 3to5 days. Folic acid5 MG two times a day after food for 2 weeks. Becosule z one at night for 2 weeks after dinner. Locally apply  zytee gel locally by ear bud two times a day.  Nothing by mouth till 30min.

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

Oral thrush is usually due to overgrowth of Candida and is not related to HIV in your case since both Tridot and Duo tests are negative. Common triggers include recent antibiotic use, asthma medications, uncontrolled sugars dry mouth and Iron or B12 deficiency

Check ur Blood sugars, serum Iron, serum ferritin and Vitamin B12 levels

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Avoid fried and spicy food Water intake kore Do connect and consult