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Medical Forum / General / Dentistry / January 2005

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Lines on tip of tongue

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No One - 09 Jul 2004 12:01 GMT
I posted about this a looong time ago but I wanted to post again.

Ever since I had an antibiotic reaction (tongue turned white in the middle,
spitting up white stuff) several years ago my tongue has never been the
same. Granted, it's not nearly as bad as it was then, but it accumulates
debris from whatever I drink/eat.  I can brush/scrape it off, however it
always returns. In fact, when I clean my tongue, you can still see the part
of the tongue that collects debris is a little off color compared to the tip
of my tongue. The tip of my tongue is red/natural, and then it stops and the
rest of my tongue is an off color which eventually collects debris.

Also, in the morning when I wake up, the tip of my tongue has "white lines"
on it. Always shaped strangely, like in an outline of my teeth. It's usually
always in the same generally area and the same shapes. Saliva or something
is hardening and causing these lines, which then go away during the day as I
eat. Extremely strange.

Back when I first had my reaction, and a few months later, I saw a doctor
about it. He looked at me puzzled like nothing was really wrong. I even made
an appointment with a digestive doctor and said it was not thrush and did
not seem concerned at all. I was so paranoid about it one time that I even
had a HIV test when I thought it was thrush, before I saw that digestive
doctor. Negative of course.

I should note that when I jog, some food/acid comes up. I really think I may
have Gerd or esophagus issues. I've read that GERD or stomach acid can cause
all this stuff. When I had dental work done, my dentist never even commented
on my tongue.

Any suggestions? Why would I get white lines on the tip of my tongue in the
morning, and why can't I get rid of the part of the tongue that collects
items? Baking soda helps, cleans the tongue, but the "hairs" on the tongue
stay a little longer than normal, thus collecting these items.

thanks,
Mark
Joel M. Eichen, D.D.S. - 09 Jul 2004 13:55 GMT
>I posted about this a looong time ago but I wanted to post again.

Cool, I wanted to read it again too.

>Ever since I had an antibiotic reaction (tongue turned white in the middle,
>spitting up white stuff) several years ago my tongue has never been the
>same.

Oh I do not know about that.

Happens.

The technical term is, Black Hairy Tongue." I kid you not.

photo is here

http://tray.dermatology.uiowa.edu/DIB/BlkHairyTong01.htm

***

Black, hairy tongue  
 

Question:

What causes a black, coated tongue? Brushing the tongue removes the
substance. Is this a sign of something serious? Could it be some type
of fungus?
Melvin / Florida

Answer:

An overgrowth of bacteria normally present in the mouth may cause
discoloration of the tongue. These bacteria can accumulate on the
hairlike projections (papillae) of the tongue. Some types of bacteria
and yeast make red blood cell pigments (porphyrins), which give the
tongue a black color. Also, the papillae may sometimes grow profusely,
causing the tongue to look as though hair covers it.

The cause of this condition often isn't clear. But it may be related
to:

Fungus, following antibiotic treatment, which changes the normal
bacterial content of the mouth
Use of medications containing bismuth such as Pepto-Bismol.
Smoking or using chewing tobacco also may discolor the tongue.

You can remove the discoloration by gently brushing your tongue with a
toothbrush twice a day. Diluted hydrogen peroxide — one part hydrogen
peroxide to five parts water — also may help bleach the color. You can
rinse your mouth with it or apply it with a toothbrush. Avoid
swallowing the solution. Rinse your mouth with water afterward. If
this doesn't resolve the problem, consult your dentist or doctor.

Black, hairy tongue

Enlarge Image
Black, hairy tongue — Hair-like projections that grow profusely on the
tongue, giving it a hairy appearance. The tongue usually is not sore,
but the appearance can be alarming. Growths can be ...

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> Granted, it's not nearly as bad as it was then, but it accumulates
>debris from whatever I drink/eat.  I can brush/scrape it off, however it
[quoted text clipped - 28 lines]
>thanks,
>Mark
larry - 16 Jan 2005 23:26 GMT
Mark,
Are you sure this is a reaction to an antibiotic? In some people,
the filiform papillae are just longer than average. Could it be that
you've always had this condition and just noticed it when you had the
antibiotic reaction? If that is not the case, I'd say you're best off
talking to an ear, nose and throat doctor, rather than a specialist in
digestive diseases.
My experience as a person with this condition is that doctors and
dentists don't know much about it and don't care much because it is
medically benign. However, it is an esthetic/hygiene challenge that
ought to get more attention.
Here is how I deal with it. I make no medical claims because I am a
journalist, not a doctor or dentist.
Scrape the tongue once a day with a low-profile tongue scraper.
Rowpar Pharmaceuticals Inc. of Scottsdale, AZ, 85260 makes a good one.
Reach the scraper back as far as possible. You will overcome the gag
reflex after a few days or more quickly.
Brush your tongue each time you brush your teeth. Gargle with a
diluted solution of hydrogen peroxide once a day. Add two parts water
to each one part of 3% hydrogen peroxide. Hydrogen peroxide at 3% can
be irritating to tissues but I find this diluted strength both mild and
effective.
You probably will still notice some discoloration of the tongue by
food and drink, but some of this occurs on most tongues. It is
transitory. Just washing your mouth out with water several times will
reduce wine discoloration, for example. You will find that the routine
described above improves taste in the mouth and appearance of the
tongue. Debris accumulation is reduced greatly.
It would be nice if there were a cure for this condition (laser
surgery, for example). I haven't encountered one. However, if you use
this method I outline, the problem can be effectively controlled with
little difficulty.
It is psychologically important not to become too involved in the
appearance of your tongue, for example the lines you cite. The
appearance of the tongue changes throughout the day, and you should not
be alarmed about this.
Please let me know if you run across other information on this
topic, and I invite any others to share their knowledge.
Larry
Joel M. Eichen, D.D.S. - 09 Jul 2004 13:57 GMT
What is a digestible doctor? I have not heard this.

It could not have been thrush. You would notice if there were birds
nesting in your mouth. You can hear them singing.

DEF. Songbirds characteristically having brownish upper plumage with a
spotted breast

JOEL

>Back when I first had my reaction, and a few months later, I saw a doctor
>about it. He looked at me puzzled like nothing was really wrong. I even made
>an appointment with a digestive doctor and said it was not thrush and did
>not seem concerned at all. I was so paranoid about it one time that I even
>had a HIV test when I thought it was thrush, before I saw that digestive
>doctor. Negative of course.
No One - 09 Jul 2004 19:38 GMT
Digestive doctor. For people with acid reflux, etc.

> What is a digestible doctor? I have not heard this.
>
[quoted text clipped - 12 lines]
> >had a HIV test when I thought it was thrush, before I saw that digestive
> >doctor. Negative of course.
Joel M. Eichen, D.D.S. - 09 Jul 2004 20:41 GMT
THANKS!

JOEL

>Digestive doctor. For people with acid reflux, etc.
>
[quoted text clipped - 16 lines]
>> >had a HIV test when I thought it was thrush, before I saw that digestive
>> >doctor. Negative of course.
Joel M. Eichen, D.D.S. - 09 Jul 2004 13:58 GMT
We hope you jog alone ......

>I should note that when I jog, some food/acid comes up.
Joel M. Eichen, D.D.S. - 09 Jul 2004 13:59 GMT
OK buddy, get a tounge scrapper at the drug store for a buck or so.
Use it.

If you cannot find one get a tounge scraper.

JOEL

TONGUE scraper.

>I posted about this a looong time ago but I wanted to post again.
>
[quoted text clipped - 32 lines]
>thanks,
>Mark
 
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