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Apr 15, 2007

Hi Doc,

been poz for about 4 years now, im doing really well, i wake up some mornings with a tiny white spot on the same part of the gum,( i picked at this a lot , i know i shouldnt have.), i comes off easily, leaving no mark or no pain. my doc said it was nothing to worry about and said it sounded like bacteria that accumulates when you sleep, he also said that around 90% of his patieents with thrush usally always oocur on the soft palate or tongue and then spread to places like the gum?

i know i should trust him, but just wnated to know your thoughts on this?

Would you say it is more common to start on the soft palate and tongue and then spread? does this sound like thrush to you?


Response from Dr. Holodniy

You don't indicate what your CD4 count is or whether you are on HIV meds. The lower the CD4 count the greater the likelihood that mouth problems such as this could be thrush. It would be unusual for this to be thrush and only be in the one spot. It is usually easily recognizable, so I would have to take your doctor's word that it probably is not thrush.

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