A male age 20 year h/o tobacco chewing, mouth open hardly two

a male age 20 year h/o tobacco chewing, mouth open hardly two fingers.c/o soreness , ulceration of mouth with burning sensation .white pach on tounge ?(fungal) infection.diagnosed and suggest treatment.z


Oral thrush with glossitis/ Rule out OSMF. Oral & topical antifungal, antibiotic, betadine gurgle ,multi vitamin, cap SM fibro : 1 cap bd for 6 months/ strictly no no to tobacco chewing

Tablet Candiforce 200mg once a day for 15 days Hexigel locally Tablet Biotin +Folic acid 500mg twice a day Betadine gargles Pain killers along with Clindamycin 15O mg twice a day for 15 days could be ca of tongue culture of ulcer

Oral thrush with OSMF Grade-3

Thrush :oral and local antifungal. HIV test must.

Glossitis with Thrush. Candid Mouth paint locally. Inj Polybion IM 5 days.

Oral thrush with glossitis

White plaque is oral candidiasis. Advice candid mouth paint. There is an elevated region or swelling at the centre of tongue. DD carcinoma of tongue. Confirm with biopsy. Check lymph nodes. Restricted mouth opening might be due to oral submucous fibrosis. Refer the patient to onchologist to rule out any malignancy. Stop tobacco chewing immediately.

Oral thrush

oral trush can be a association wt many presentation. if pt is not HiV positive, proceed to keep in mind ab8t possibilty of ca tongue. elevation in middle of tongue may nessicitate biopsy. less mouth opening is due to masseteric spasm which may be due to refered pain, inflamation.

There is oral thrush which needs to be managed conservatively. However, there appears to be a growth in the dorsum of the tongue (not very clear in the image). A biopsy needs to be taken and if it's positive for carcinoma, it needs to be managed as per guidelines.

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