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What Causes Black Spots On Tongue?

Posted on Mon, 14 Dec 2015

Question: Hello, I am 39 years old female. have developed small black spots on the tip of my tongue initially,lately i observed that it is spreading(a little). they are very mild color dot spots, with a feeling that i have consumed something very hot and hence the burn feeling, have a creamy texture on tongue very often, little difficulty sometimes in swallowing. I have been smoking for the last 10 years however have been on quit mode from very recently. please advice if it is a yeast infection . one humble request, I have been though a bad miscarriage recently, please let me know if this can be the reason. can you please advice a medicine.

Answered by Dr. Hariom Sharma (3 hours later)

Brief Answer:
Apply candid mouth paint

Detailed Answer:
Hi Mam,
I have gone through your query; and in this condition I suggest you
1. Apply candid mouth paint two times a day to the affected area.
2. Gargles with hydrogen peroxide and hexidine two times a day.
3. Tablet Itraconazole 100mg once a day for atleast 10days.
After consulting with your doctor.

Regards
Dr Hariom Sharma XXXXXXX

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Hariom Sharma (7 hours later)

Could you please suggest what condition is this? You have suggested to consult the doctor, should i take the medicine prescribed or not?
Is there any other precaution i need to take? Any changes in diet?

Answered by Dr. Hariom Sharma (4 hours later)

Brief Answer:
Better to consult with doctor before taking the medicine

Detailed Answer:
Hi Mam,

I have gone through your follow up query; it suggests that you may be suffering from the fungal infection of oral cavity. If you can provide a photograph of the lesion I will be better able to help. It is better to consult with your doctor before taking the medicine.

No need to take special precautions and change in diet. Smoking should be avoided.

Regards
Dr Hariom Sharma XXXXXXX

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Hariom Sharma (2 hours later)

Thanks Doc

I have attached two pictures, right on the tip, blackness started a few years ago i thought it would go off slowly. Also, when I touch the nape of throat, it kind of hurts and gives a swell feeling. i have developed bad breath as well.
hope this is not alarming?
shall I go to visit a dentist or an ENT like yourself. sorry to bother you so much on it, i am greatly hassled by it.

Thanks
the picture has not quiet captured the blackness however it exists on the tips and sides.

thanks

Answered by Dr. Hariom Sharma (14 hours later)

Brief Answer:
You shoul go to visit an ENT Specialist

Detailed Answer:
Hi Mam,
I have gone through your follow up query and images you should go to visit an ENT specialist for further management and to rule out other diseases.

No need to worry.

Regards
Dr Hariom Sharma MS XXXXXXX

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Hariom Sharma (8 hours later)

I cant visit any medic before monday, is that alright? What diseases are you referring to, please be straightforward so that i am prepared.

Answered by Dr. Hariom Sharma (13 hours later)

Brief Answer:
Fungal infection of oral cavity

Detailed Answer:
Hi Mam,
Again welcome
Most probably you may be suffering from the fungal infection of the oral cavity. This is not the medical emergency and you can visit after Monday.

Regards
Dr Hariom Sharma MS XXXXXXX

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Prasad