Hello doctor, I have an issue with my tongue pain for about one month. I am having this issue where my tongue is red in the middle and painful when it is pushing around spit or food or when it is pushing itself to the roof of the mouth. I have a burning sensation. It is hardly noticeable in the morning but by evening it is irritating and it hurts again. The tongue is also much whiter than normal and it retains the colors of what is eaten. For example, something red stains the tongue. There is no pain when talking or when the tongue is simply resting. I have been to an ENT specialist recently for this. Diagnosis is median rhomboid glossitis caused by suspected candidiasis. This is pending culture. I am currently on Voriconazole 200 mg two times daily for 14 days. I am on the verge of completing the course, but I see no results. I had a similar issue last year but it did not look like this. I ended up having strep which may have caused the issue. So, I had a rapid strep test which came back negative. I have also been to a general practician and got Nystatin swish and swallow for seven days with no results. I was then put on Diflucan for 14 days, yet no results. I have a past history of ulcerative colitis which is controlled. I am currently using Humira for colitis (one pen) twice monthly. I am also on Zyrtec one daily, Prilosec 20 mg daily for heartburn, and a daily multivitamin. I am looking for a second opinion as my doctor is perplexed. I have attached pictures for your reference. Please help.
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