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Nurse Milli, RN
Nurse Milli, RN, Nurse (RN)
Category: Health
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Experience:  20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
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i have had a white film on my tongue that i can peel off. i

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i have had a white film on my tongue that i can peel off. i called the dr. for an antibiotic and he called in amoxicillan. i have been on it for 4 days now and the film is back tonight, the skin on my neck on the outside is sore to the touch and throat is getting a little sore and the neck last week on one side got very painful and there were white bumbs on the back of my tongue. it felt like i had a acid sore when i swallowed on the back of my tongue. i get real hot off and on and just feel not great.
Submitted: 4 years ago.
Category: Health
Expert:  Nurse Milli, RN replied 4 years ago.

Hi there

 

This could be a couple of things going on.

 

Could possibly be a Strep infection in your throat or something like Thrush (or overgrowth of yeast in the mouth). However, in the absence of fever, most times, a white pasty tongue will signify an overgrowth of yeast on the tongue. Candidiasis (or oral thrush)....which commonly affects the tongue and mouth in this way. It has many causes ranging from antibiotic usage, diabetes, asthma medications, over consumption of sugar, and several other causes such as stress, birth control pills, and having a dry mouth can all lead to oral thrush.

 

It is not caused by a deficiency of any kind in the body but could represent a weakened immune system. To avoid reoccurance, you would have to know the cause. For example, if it's due to antibiotic usage, there is nothing you can do besides not taking the antibiotics. Antibiotics kill both good and bad bacteria, and thus always the overgrowth of yeast. Some cases of oral thrush has no known cause. So, sometimes, it cannot be avoided.

 

At home comfort measures (if your mouth is sore) include eating foods that are easy to swallow such as gelatin, ice cream, or yogart. Also, drinking cold fluids such as iced tea, flavored juices and ice treats--you can use a straw if the patches are too painful to drink fluids directly. You should also avoid anything that contains acid, as this can make the condition more painful and can further irritate the tongue. You can also rinse your mouth several times a day with a warm saltwater rinse. You can make the saltwater mixture with 1 tsp (5 g) of salt in 8 fl oz (0.2 L) of warm water. If it doesn't resolve on it's own in a few days, or you begin experiencing worsening of symptoms, you may need to call your Dr for a prescription of liquid Nystatin, which is very inexpensive and would clear up your thrush pretty fast. You can also ask for something called Magic Mouthwash (Magic Mouthwash is available only via prescription) that the pharmacy can mix up. It contains a mixture ingredients that will treat the symptoms, as it contains a numbing agent to help with the pain while the Nystatin heals the problem.

 

Other than thrush, Geographical tongue, or Glossitis can also cause a discoloration of the tongue.

 

You get more info on Geographical tongue here and Glossitis here.

 

 

Hope this helps!

 

 

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Customer: replied 4 years ago.
I AM FEELING A LITTLE FEVER. WHAT WOULD THAT BE WITH THE SORE WHITE FILM TONGUE AND MY EARS ARE HURTING A LITTLE ALSO.
Expert:  Nurse Milli, RN replied 4 years ago.
Hi

This could possibly be a Strep infection with the presence of fever. Could also be a viral illness but the only way to know for sure is to have the Strep culture performed via throat swab and CBC...white blood cell count.


Customer: replied 4 years ago.
COULD THIS BE CANDIDAS? IF THIS WAS STREP WOULDNT THE ANTIBIOTICS BE STARTING TO HELP. THEY SEEMED TO HELP FOR 3 DAYS . IT CLEARED UP AND I HAVE STILL BEEN TAKING THEM THREE TIMES A DAY AND TONIGHT IT IS COMING BACK
Expert:  Nurse Milli, RN replied 4 years ago.

Hi

 

Sorry for the delay, I had stepped away from my computer for a moment.

 

Typically oral thrush will not cause a fever. Strep does respond quite nicely to Penicillin type drugs such as the Amoxil but generally is not strong enough unless you receive either an injection of Penicillin (such as Bicillin) along with a high dose oral antibiotic....such as Augmentin (which is typically dosed at 875mg twice per day....you generally have to hit Strep pretty hard to get it to respond....and if you don't, it will come back.

 

 

 

Nurse Milli, RN, Nurse (RN)
Category: Health
Satisfied Customers: 4130
Experience: 20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
Nurse Milli, RN and 3 other Health Specialists are ready to help you
Customer: replied 4 years ago.

THANKYOU VERY MUCH, I WILL CALL FOR AN APOINTMENT FOR FURTHER TESTS WITH MY DR. MONDAY IF IT IS GETTING WORSE,.

Expert:  Nurse Milli, RN replied 4 years ago.

That sounds like an excellent idea. The swab test is probably going to be your best bet. If you do not have any improvement by Monday or your symptoms worsen in between now and then, you are correct.....you will most likely need to have this checked out.

 

Hope you feel better soon!

 

 

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