[50F] With itchy tonsils and oral thrush symptoms

Patient Description

A 50-year-old female presents with a sudden onset of itchy tonsils and a sore throat lasting one day. The patient reports having oral thrush, characterized by a yellow tongue, but denies difficulty swallowing, changes in taste, or hoarseness. There is slight redness in the tonsils. The patient has not been exposed to irritants or individuals with similar symptoms and has not recently taken antibiotics or steroids. Her medical history includes asthma and sinus polyps. She has tried using a cough drop for relief. No known conditions affecting the immune system are reported.

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Arora's Assessment

What might be happening

Based on your symptoms of an itchy tonsil, sore throat, and yellow tongue, along with your history of asthma and sinus polyps, here are some possible explanations:

  1. Oral Thrush (Candidiasis): This is a fungal infection in the mouth that can cause a yellow or white coating on the tongue and throat discomfort. It can occur more frequently in individuals with asthma who use inhalers, especially if they don't rinse their mouth afterward.

    • Treatment typically involves antifungal medications prescribed by a doctor.
  2. Postnasal Drip: This can occur with sinus issues and allergies, leading to throat irritation and a sore throat. It might also contribute to a coating on the tongue.

    • Treatment often includes managing allergies or sinus issues with antihistamines or nasal sprays.
  3. Viral Infection: A common cold or viral infection can cause a sore throat and changes in the tongue's appearance.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to alleviate symptoms.

What you can do

  1. Maintain Oral Hygiene: Brush your teeth twice a day and consider using a tongue scraper to help reduce the yellow coating on your tongue.
  2. Rinse Your Mouth: If you use an inhaler for asthma, rinse your mouth with water after each use to prevent oral thrush.
  3. Stay Hydrated: Drink plenty of fluids to help soothe your throat and keep your mouth moist.
  4. Use MDandMe: Consider using the MDandMe app to journal your symptoms, track your progress, and share insights with your healthcare provider.

What you should look out for

  • If your symptoms persist or worsen, it's important to see a healthcare provider for a proper diagnosis and treatment.
  • Seek medical attention if you experience difficulty breathing, severe throat pain, or if you notice white patches in your mouth that don't go away.

Remember, while I can provide information and suggestions, it's always best to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago


People Also Ask


What causes oral thrush and how can it be treated?

Oral thrush is caused by an overgrowth of the fungus Candida in the mouth. It can be treated with antifungal medications prescribed by a doctor. Good oral hygiene and rinsing the mouth after using inhalers can help prevent it.


How can postnasal drip lead to a sore throat and what are the treatment options?

Postnasal drip occurs when excess mucus from the nose drips down the back of the throat, causing irritation and a sore throat. Treatment includes managing allergies or sinus issues with antihistamines or nasal sprays.


Can a viral infection cause a yellow tongue and sore throat?

Yes, a viral infection such as a common cold can cause a sore throat and changes in the tongue's appearance, including a yellow coating. Rest, hydration, and over-the-counter remedies can help alleviate symptoms.


What are some preventive measures for oral thrush in asthma patients using inhalers?

Asthma patients using inhalers can prevent oral thrush by rinsing their mouth with water after each use, maintaining good oral hygiene, and possibly using a spacer with their inhaler to reduce medication residue in the mouth.


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