What causes burning sensation and white patches on tongue?
Patient: hello my husband had been having this burning sensation and white patches on tongue..doc thought candida gave meds for it helped some but same time ive been making him gargle with lemon juice....has helped a bit but now doc thinks its not candida....i also make him scrape it off after he swishes....doc also said doesnt look like cancer at all pharm. said same thing he said looks like dry mouth.....he also does smoke Doctor: Thanks for your query, I have gone through your query.The burning sensation along with the white patches  occurs in candidal infection and erosive lichen planus. or it can be two separate lesions like leukoplaki(white patch since you are giving history of smoking) and erythematous candidiasis(redness and burning sensation).consult a good oral physician to rule out these two conditions. If it is candidiasis then you have to take topical antifungal like candid mouth paint.If it is leukoplakia, you have to stop the habit of smoking and take antioxidants like capsule lycopene.if it is lichen planus then you have to take topical steroids like triamcinolone acetonide (0.1%) 4-5times daily for 1 week. You can also take topical anesthetic and analgesics like anabel gel for the pain. I hope my answer will help you, take care.