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Article

What Color is Your Tongue? Does it Matter?

Friday, December 29th 2023 10:00am 2 min read
Dr. Jessica Peatross dr.jess.md @drjessmd

Hospitalist & top functional MD who gets to the root cause. Stealth infection & environmental toxicity keynote speaker.

If eyes serve as mirrors to one’s soul, then the tongue can be likened to the body’s dashboard warning light. Its appearance offers insights into certain facets of one’s health, with its hue being a key indicator.

What’s the normal appearance of a tongue?

Ideally, the tongue should exhibit a round and balanced shape. Predominantly, it has a light pink hue, but slight tinges of purple or brown might be observed in individuals of African, Asian, and Mediterranean descent. A faint white layer might also be present.

This whitish layer stems from a durable protein named keratin, which protects the tongue from potential abrasions during consumption.

Upon closer inspection, you’ll notice minuscule protrusions (papillae) on the tongue. They serve a threefold function:

  1. They detect temperature and tactile sensations.
  2. They house taste buds, letting you discern sweet, salty, sour, bitter, and umami flavors.
  3. They aid in food mastication, helping you mold a digestible bolus.

Can what you eat influence tongue color?

Certainly. Your dietary habits can occasionally alter your tongue’s natural shade. The papillae are prone to absorbing pigments from what we consume. For instance, consuming a blue candy might give your tongue a vibrant blue tint. Beverages like coffee and tea, as well as some foods, such as curry rich in yellow turmeric, can discolor the tongue.

However, these color changes are often short-lived. Staying hydrated and practicing proper oral hygiene will help rid the tongue of any lingering dyes or residues.

When should you be concerned about tongue discoloration?

Certain tongue shades and patterns signal underlying health concerns. Seek medical advice if you observe:

  • A brown or black hue, which could be indicative of “black hairy tongue.” This arises when the papillae elongate unusually, trapping bacteria and food particles, which result in the discoloration. Contributing factors encompass the consumption of certain medications, tobacco use, excessive coffee or tea drinking, or inadequate oral care.
  • Thick white regions or sores may be signs of oral yeast overgrowth (oral thrush). Underlying causes include conditions like diabetes or HIV, certain medications, denture usage, tobacco consumption, and other factors. Occasionally, white patches might denote oral cancer.
  • Red or yellow painful sores might suggest canker sores, thrush manifesting as red areas, or in isolated instances, oral cancer.
  • A pronounced red hue might point to a vitamin B12 deficiency or scarlet fever. If you notice shifting red spots that are painless, it could be the benign “geographic tongue” condition.

How should you clean your tongue?

Maintaining oral health involves daily flossing and brushing your teeth twice. Don’t forget your tongue – give it a quick brush too.

For a thorough clean, stretch out your tongue and brush from the back to the front, covering the center and both sides. This aids in eliminating bacteria lodged within the papillae.

While some advocate for tongue scrapers, some dentists remain neutral. The verdict on their efficacy is still debated. It truly depends on one’s personal oral hygiene routine.

Concerned about your tongue’s appearance?

If your tongue’s condition is a source of anxiety, particularly if accompanied by other symptoms, it’s prudent to consult your general physician or dentist. They can:

  • Evaluate your symptoms.
  • Recommend alleviative measures such as medicated rinses.
  • Advocate for enhanced hydration and oral hygiene.
  • If warranted, they can direct you to a specialist for a comprehensive examination.

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