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What Causes Black Coating On Tongue?

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Posted on Tue, 5 Aug 2014
Question: I have an acute onset of a black coating on my tongue this am. What could be the cause? I am a 72 yo male semi-retired Ob/Gyn. I am currently under Rx for Hypertension (Valsartin And maxzide), high cholesterol(statin), hypo thyroidism (synthroid) and Gout (Cholchicine and Allopurinol, and gerd (OTC omeprozol). Recent attack of gout has caused increase in allopurinol dosage. Recent blood tests otherwise normal. Do I need to call my Internist. My wife just advised she has a blackish color to her tongue also. Thanks, JD Wright, MD
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Answered by Dr. Vidya KR (10 hours later)
Brief Answer:
Diet changes or medications containing bismuth

Detailed Answer:
Hi, thanks for using Healthcaremagic.

I went through your query and understood your concerns.

Intake of bismuth containing medication and diet changes and coffee and tea intake results in black coating over tongue. Which usually disappears by change in bismuth content in medication or diet changes.

These are few measures which help to reduce your coating.

Brush your tongue daily with a soft-bristled toothbrush and toothpaste or a solution of 1 part hydrogen peroxide to 2 parts water.

Scrape the tongue with an upside-down teaspoon to remove the "furry" coating on the tongue.

Better to avoid tobacco products.

Hope I answered your query. Feel free to ask further related query.

Regards
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. Yogesh D
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Answered by
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Dr. Vidya KR

General & Family Physician

Practicing since :2011

Answered : 1664 Questions

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What Causes Black Coating On Tongue?

Brief Answer: Diet changes or medications containing bismuth Detailed Answer: Hi, thanks for using Healthcaremagic. I went through your query and understood your concerns. Intake of bismuth containing medication and diet changes and coffee and tea intake results in black coating over tongue. Which usually disappears by change in bismuth content in medication or diet changes. These are few measures which help to reduce your coating. Brush your tongue daily with a soft-bristled toothbrush and toothpaste or a solution of 1 part hydrogen peroxide to 2 parts water. Scrape the tongue with an upside-down teaspoon to remove the "furry" coating on the tongue. Better to avoid tobacco products. Hope I answered your query. Feel free to ask further related query. Regards