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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes black discoloration on top of the tongue?

The top of my tongue ( my taste buds ) is black . I had a tooth pulled that was very badly absesed I was on amoxicillin 825 mg for 10 days after it was pulled I started taking penicillin 500 mg to make sure infection would'nt set in today i notice my tongue I have'nt ate or drank anything dark to cause it
Tue, 15 Nov 2016
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Dentist 's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain black coating on tongue is due to a condition known as Black hairy tongue and is caused due to improper cleaning of tongue leading to accumulation of debris and bacteria over the tongue that leads to dark stained tongue surface..
It can also occur due to long term intake of only soft meals, taking any medication that stains the tongue like Bepto-Bismol, reduced cyclic shedding of the tongue papillae that accumulates debris and bacteria, excess intake of tea and coffee..
Nothing to worry as it is harmless and not indicating a sign of any serious illness as you did not have any abnormality with investigations for your tenderness in spleen and liver area..
I would suggest you to start cleaning your tongue with a tongue cleaner/ scraper/
Gargle with 1:1 solution of hydrogen peroxide and water.
You can also chew hard foods as they clean tongue by friction.
Always gargle after eating anything.
Clean your tongue using a tongue cleaner..
Drink plenty of water..

If still does not improve within a month consult an Oral Physician and get evaluated..

Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora.
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What causes black discoloration on top of the tongue?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain black coating on tongue is due to a condition known as Black hairy tongue and is caused due to improper cleaning of tongue leading to accumulation of debris and bacteria over the tongue that leads to dark stained tongue surface.. It can also occur due to long term intake of only soft meals, taking any medication that stains the tongue like Bepto-Bismol, reduced cyclic shedding of the tongue papillae that accumulates debris and bacteria, excess intake of tea and coffee.. Nothing to worry as it is harmless and not indicating a sign of any serious illness as you did not have any abnormality with investigations for your tenderness in spleen and liver area.. I would suggest you to start cleaning your tongue with a tongue cleaner/ scraper/ Gargle with 1:1 solution of hydrogen peroxide and water. You can also chew hard foods as they clean tongue by friction. Always gargle after eating anything. Clean your tongue using a tongue cleaner.. Drink plenty of water.. If still does not improve within a month consult an Oral Physician and get evaluated.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.