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Why are there white patches on the tongue after oral sex?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I received oral sex from someone whose status was unknown to me. I was not feeling well the day after, so I went to the doctor, and they said I had pharyngitis (group A Streptococcus), so they treated me with Amoxicillin, and the symptoms disappeared except for the white tongue. I have been under anxiety since then. I took three tests already within the following window period. RT-PCR(Reverse Transcriptase - Polymerase Chain Reaction) after 15 days. Fourth generation test (antigen/antibody) after four weeks. Another fourth generation test after six weeks (end of window period). They all came negative, but I am very concerned as my tongue has white patches. Are the results of the HIV test accurate? Kindly help.
Answered by Dr. Shah Sushma Kant

Education:

MBBS

Professional Bio:

Dr. Shah Sushma Kant is an experienced HIV/AIDS Physician with extensive expertise in managing HIV, AIDS, and related complications, as well as diabetes care. She provides comprehensive patient management, including counseling, treatment planning, and monitoring, to ensure optimal long-term health outcomes.

This doctor is not available for online consultations on the platform anymore.

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Hello, Welcome to icliniq.com.

I understand your concern. White tongue is not related to sex. It can be due to conditions like constipation, fungal infections, etc. You have done a lot of tests, and all are nonreactive. The chances of HIV are very low if the test results are negative. I would suggest some antifungal medications: Fluconazole 200 mg once daily for five days. Clean your tongue using a tongue cleaner.

Thank you.

Patient's Query

Hello doctor,

Thank you for your quick reply.

Are six weeks enough for conclusive results in HIV? I have attached a picture of my tongue.

Answered by Dr. Shah Sushma Kant

Education:

MBBS

Professional Bio:

Dr. Shah Sushma Kant is an experienced HIV/AIDS Physician with extensive expertise in managing HIV, AIDS, and related complications, as well as diabetes care. She provides comprehensive patient management, including counseling, treatment planning, and monitoring, to ensure optimal long-term health outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome to icliniq.com.

I had seen the picture of your tongue. You can use sodium bicarbonate with a gauze piece to clean the tongue. I had seen the picture of your tongue.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At August 8, 2022
Reviewed At July 2, 2025

Education:

MBBS

Professional Bio:

Dr. Shah Sushma Kant is an experienced HIV/AIDS Physician with extensive expertise in managing HIV, AIDS, and related complications, as well as diabetes care. She provides comprehensive patient management, including counseling, treatment planning, and monitoring, to ensure optimal long-term health outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shah Sushma Kant
Dr. Shah Sushma Kant

HIV/AIDS specialist

Consult this doctor

Education:

MBBS

Professional Bio:

Dr. Shah Sushma Kant is an experienced HIV/AIDS Physician with extensive expertise in managing HIV, AIDS, and related complications, as well as diabetes care. She provides comprehensive patient management, including counseling, treatment planning, and monitoring, to ensure optimal long-term health outcomes.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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