Welcome to OCF!

We have a few sayings around here.... Any spot, sore, patch, red or white area, etc that someone has in their mouth that does not heal on its own within 2-3 weeks should be checked by a medical professional. By "professional" I meant an ENT who specializes in treating oral cancer (OC) patients.

When asking for help in getting a diagnosis for what you have going on, please understand our site is made up of OC patients and caregivers... not medical professionals. We are most familiar with OC, its diagnosis, treatments, and recovery from treatments. Only a very few of our members are here for something other than oral cancer. We are not able to diagnose you or anyone else over the internet, to do so without the qualifications would be unfair to the patient. We do not have many years of medical school, patient clinical experience, medical degrees, your entire medical history, or you to physically examine and ask clarifying questions of right in front of us. Even if you were present or showed us photos and told us your entire medical history we still would not be able to tell you what you have or even give you a guess as we are not medical professionals.

Heres some very basic, limited info that might help you.... I suggest you return to your original physician who gave you the prescription drug you had been putting under your tongue. The doctor who prescribed it should be most familiar with all the side effects it could cause. Hopefully the same doctor is who prescribed the nystatin. Did you follow the directions and take the full course of the nystatin? If not, theres a very good possibility thrush is what you have going on. Nystatin is frequently given to patients who have thrush. When you are talking about being able to easily scrape the white patch off it sounds like you are describing thrush which is actually a fungal infection. Often people who have thrush have it in more than just a spot under their tongu, most of their mouth is covered in the white film. All directions for nystatin must be followed or the thrush will just return. This includes finishing the medicine which (from what I have observed OC patients go thru) is more than only 4 days of nystatin. Go back to your original physician and ask about the original under tongue medication, ask about thrush and leukoplakia, nystatin and if you should be on something different than putting medicine under your tongue (especially if it is what caused you to get thrush). Heres also a link from our main OCF site about leukoplakia.

Main OCF Site, Leukoplakia and other premalignant lesions

Im sorry but thats about all we can do to help you here. Hopefully you do not have anything serious going on and it will be easily and quickly taken care of.