Conversation: The conversation between human and AI assistant.
[|Human|] My four year old has had a sore throat for 5 days with no fever. She woke up this morning and had a thick white coating on her tongue. Some of the coating we were able to wipe off but some of it not. This white stuff smells awful. Could this be thrush or strep?
[|AI|]  Hello, I can understand your concern. The white patch over the tongue that can be scrapped off can be considered as thrush and not due to strep throat. It is possible that due to the throat pain, the child is not able to clean his oral cavity and tongue well and this is causing this candidiasis. I would advise you to visit a dentist for the clinical examination of the tongue and if candidiasis is confirmed, then treatment with prescription antifungals can be started. I hope this information helps you. Thank you for choosing Chat Doctor. I wish the child feels better soon. Best,