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What Causes Tongue To Be Blue During Pregnancy?

Posted on Mon, 20 Apr 2015

Question: My wife is pregnant and having iron and calcium tablet since 1 month. Her tongue color is blue . I heard if you have blue tongue that's mean having baby is that correct or its due to some deficiency

Answered by Dr. Richa Agarwal (26 minutes later)

Brief Answer:
Need more information.

Detailed Answer:
Hi,

Thanks for trusting HCM for your health concern.

Yes, it is true that blue colour tongue is not a very good sign during pregnancy but before giving my opinion I want to ask few questions from you, so I will be able to give a better opinion to you.

Is she having any fruit which can change the colour of her tongue blue like blueberry?

Is she having iron deficiency anemia?

Have you done her ultrasound and your baby is not having any congenital heart disease?

Is she suffering from cold, heart disease, any blood disorder?

Is she having any associated symptoms?

How long she is having this problem?

Please revert back to me with my answers.

Hope to hear from you soon.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Richa Agarwal (6 minutes later)

No she doesn't have iron deficiency, No she don't eat any fruit like blue berry and all which make her tongue blue. Yes we recently done Level 2 ultra sound and triple marker test but every thing is fine and done some blood test like Thyriod that little bit high. No she dont have any heart and blood disorder. we already visiting one lady doctor in XXXXXXX for general pregnancy related checkup. we recently noticed that tongue is blue.

Answered by Dr. Richa Agarwal (2 hours later)

Brief Answer:
It is a symptom of cyanosis.

Detailed Answer:
Hi,

Nice to hear from you once again.

Thanks for your reply.

Usually blue discoloration of tongue is a symptom of cyanosis( insufficient blood supply to the tissue).

It can be due to respiratory causes like COPD, asthma, respiratory distress syndrome, pneumonia etc.

It can be due to heart disease and blood disorder.

So any condition which may cause decrease blood supply to the tissue may cause blue tongue.

In your case hypothyroidism may be the cause.

So keep watch on it and if it persist than please consult your treating doctor to rule out above mentioned cause.

Hope it is useful.

Regards

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

Follow up: Dr. Richa Agarwal (3 days later)

My regular doctor ask me to have TSH for my wife current TSH level is 3.19 and she is already completed 22 weeks. is there any risk or what should be TSH level.

Answered by Dr. Richa Agarwal (1 hour later)

Brief Answer:
TSH level less than 3mU/l.

Detailed Answer:
Hi,

Nice to hear from you once again.

TSH level during second trimester should be less than 3mIU/l and ideally it should be less than 2.5.

Can you please tell me her T3 and T4 reports?

Yes, thyroid level should be normal during pregnancy because it is very important for neurological development of baby.

Hope to hear from you soon.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Richa Agarwal (5 minutes later)

I have only done TSH currently and she is having Thyronorm 12.5 MCG since 2.5 months. what will be next step in this case.

Answered by Dr. Richa Agarwal (45 minutes later)

Brief Answer:
Increase the dose.

Detailed Answer:
Hi,

You should increase the dose of thyroxin after doctor consultation and repeat her TSH level every 4 weeks.

Dose of thyroxin increases till her TSH level reach below 3mU/l.

Hope it is useful.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar