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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Brown Coating And Black Patches On Tongue?

I have a brown coating on my tongue an also black bloches on my tongue .. I don t know what it is .. I brush an floss an use listerne to rinse my mouth . I been going to my doctor and been having pains in my arms an around my liver spline area , I don t no what it is . I wore a heart monitor an now he wants me to have a stress test done .. I had a problem for about two years with a tooth that was under my veneers . I was on an off of antibiotics for a couple years . I thought that was half the problem . I had a little flutter around my heart so that s why they put me on a monitor for a few days . He said nothing even when I reported I was feeling them . Nothing showed up .. He said could be a stress issue . I am tender where my liver , splean area is .. He gave me meds for indigestion .. But no difference in the area .. I m getting to the point I m scared to death .. Could you please help me find a answer thank you
posted on Wed, 18 Mar 2015
Twitter Fri, 10 Jun 2016 Answered on
Twitter Fri, 10 Jun 2016 Last reviewed on
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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 brown coating and black blotches 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 Brown Coating And Black Patches On Tongue?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain brown coating and black blotches 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.