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Suggest Treatment For Symptoms Of Oral Candidiasis

Posted on Mon, 6 Apr 2015

Question: Hi I have this 3 ringed marks on one side of cheek. They are red and look inframed but are not really there. They don't look or feel like a ulcer. I have a picture. Only notice, it yesterday but I don't think there been there long

Answered by Dr. Dr. Kakkar (44 minutes later)

Brief Answer:
Possibility of Oral candidosis

Detailed Answer:
Hello. Thank you for writing to us

I have taken note of your query and I have also reviewed the Image.

I can see an inflammed, red patch on buccal mucosa and some whitish areas..

I suggest a likely possibility of oral candidiasis/ candidosis..

I would suggest a mouthwash/ oral rinse, twice or thrice daily preferably a chlorhexidine gluconate based oral rinse OR betadine oral rinse..

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (19 hours later)

Hi its still there this morning, maybe slightly less red. But another patch of red has come slighly near it closer to lip side. How long to you think this will take to go?
Just worried it doesnt look like cancer in any way. Just cant find anything similar on net.s

Answered by Dr. Dr. Kakkar (1 hour later)

Brief Answer:
Add clotrimazole mouth paint

Detailed Answer:
Hi.

Continue with antiseptic Oral rinse.
You may add a generic/ OTC clotrimazole 1% mouth paint. Clotrimazole is an antifungal agent and would help in faster resolution.
Use it after oral rinse, thrice daily.
Put in a few drops of antifungal mouth paint and smear it all over mucosa with your tongue.
The involvement should reduce considerably in 3-5 days.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (2 hours later)

I forgot to say I've had geographic tongue
For years. Could it be that that suddenly move to inside cheek as they are ringed shapes with normal white inside

Answered by Dr. Dr. Kakkar (33 minutes later)

Brief Answer:
Ectopic geographic tongue is a possibility though unlikely

Detailed Answer:
Hi.

Though geographic tongue commonly involves tongue, however, geographic like appearance can rarely involve other oral mucosa as well i.e ectopic geographic tongue.
However, the classical geographic appearance consists of a central erythematous area which is bordered by a well demarcated white raised rim. Whereas what you have is not exactly like this.
Nevertheless, it is another possibility. However, candida is still my first differential diagnosis.

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar