Thank you very much. The organism that leads to thrush is most cases is Candida albicans, which happens to be a commensal organism. Another interesting point you mention is the spectrum of antifungals you have been on without success. Diflucan is a very effective systemic antifungal agent that should easily be able to overcome a minor bout of candidiasis. What you have described sounds very much like coated tongue which is simply an overgrowth of the normal tongue papillae which then in turn serves as a trap for bacteria.
Smoking is a definitive risk factor for the development of coated tongue.
Treatment for this condition would be to gently brush your tongue every time you brush your teeth. Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither The Body nor any sponsor is the publisher or speaker of posted visitors' questions or the experts' material. Questions and messages posted to this forum are not statements of advice,opinion, or information of The Body, Body Health Resources Corporation or any sponsor of this forum. While neither The Body nor Body Health Resources Corporation regularly reviews posted content, we reserve the right to delete, move, or edit postings if we deem it appropriate under the circumstances.