White tongue

[mat27x]

Ok this is my case...

My main problem is that I have something like tongue ulcers, white and dry tongue in the mornings. Like white lines most in the tip of my tongue, and they are worse in the mornings.

So I got a gastroscopy and was diagnosed with Pylori. They gave me Omez + amox + clarithromycin for 10 days...

So my "mouth problems" symptoms went away while I was taking clarithromycin for pylori but after I ended my treatment for they came back! Thats it.

I have had tongue cultures, and they are negative! Something like "normal tongue bacteria: High"

I´ve been having this problem for 10 months now... they get better or worse somedays and definitely they go away with clarithromycin, but I cannot take it forever.

Any opinion?

[Dr Santos]

Hi,
How are you? Are there other symptoms present? White tongue may be caused by a variety of conditions. Some are benign while others warrant further evaluation. Aside from mouth breathing and candida infection, it can be due to inflammation of papillae caused by dehydration, poor oral hygiene, medical conditions such as lichen planus,  or may be chronic for smokers. If it has been 10 months already, it is best that you have this checked or be referred to another doctor for  a second opinion. Take care and do keep us posted.

[mat27x]

Thanks for your answer, but the culture was for candida too...

[NadiMasalha]

whate tonge may be related to exessive use of antiboitic, antiboitic kill good germs beside bad germs, killing good germs will give a chance for candida  albicans (fungi) to live freely and colonize the place. the more clarithromycin you take the more it it prolonged even with transient remession. and u did the culture for bacteria not for candida. (after consulting your doctor) nystatin, micanozole, diflucan are options for treatment, high-protien-low carb diet is benificial along with probiotics. hope a good healt for you.