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Is it thrush or not????
Jun 26, 2000

For the past six or seven months I have had a thick white coating on the back of my tongue along with a thin film that I have to wipe out of my mouth daily or it will make its way onto my lips where it is very noticeable. I went to two different doctors who said nothing was wrong and that some glands were working overtime. But now after sharing a drink with someone in my family they have the same symptoms? Neither one of the doctors did any kind of culture and just looked at me like I was crazy. I have read about thrush and I know what I have is not as bad as some I have read but something is wrong and it is really stressing me out. I have never had this problem before in my life. I also had a HIV test done to be sure it wasn't that...it was negative. What am I to do?

Response from Dr. Reznik

The most important comment I can make here is that casual contact, such as sharing drinking glasses, eating utensils, kissing, etc are not means by which HIV can be spread.

Second, the symptoms you have described do not sound like thrush (candidiasis). What does appear to be happening is that you have thick, milky, saliva which is causing the film referred to. Thick saliva is not nearly as good when it comes to cleansing your mouth, hence it is not surprising that you have a coating on the back of your tongue.

My advice: make sure you stay hydrated, in other words drink plenty of fluids. Check with a dentist who is experiences in oral pathology/oral medicine to ensure that there are no salivary gland issues. Remember, a thickening of saliva may be nothing more than a symptom of xerostomia (dry mouth) which can be caused by literally hundreds of medications.

Take care,

DR


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