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Overview

The sight of a white tongue reflected back at you in your bathroom mirror might look frightening, but this condition is usually harmless. White tongue refers to a white covering or coating on your tongue. Your whole tongue might be white, or you could just have white spots or patches on your tongue.

A white tongue is usually nothing to worry about. But on rare occasions, this symptom can warn of a more serious condition like an infection or early cancer. That’s why it’s important to keep an eye on your other symptoms, and call your doctor if the white coating doesn’t go away in a couple of weeks.

Keep reading to learn more about why this happens and whether you should treat it.

White tongue is often related to oral hygiene. Your tongue can turn white when the tiny bumps (papillae) that line itswell upand become inflamed.

Bacteria, fungi, dirt, food, and dead cells can all get trapped between the enlarged papillae. This collected debris is what turns your tongue white.

All of these conditions can cause white tongue:

Check out: Best practices for healthy teeth »

A few conditions are linked to white tongue, including:

Leukoplakia:This conditioncauses white patches to form on the inside of your cheeks, along your gums, and sometimes on your tongue. You can get leukoplakia if you smoke or chew tobacco. Excess alcohol use is another cause. The white patches are usually harmless. But inrare cases, leukoplakia can develop into oral cancer.

Oral lichen planus:With this condition, a problem with your immune system causes white patches to form in your mouth and on your tongue. Along with the white tongue, your gums may be sore. You might alsohave soresalong the inside lining of your mouth.

Oral thrush:This is aninfection of the mouthcaused byCandidayeast. You’re more likely to get oral thrush if you have diabetes, a weakened immune system from a condition likeHIVorAIDS, anironorvitamin Bdeficiency, or if you wear dentures.

Syphilis:Thissexually transmitted infectioncan cause sores in your mouth. If syphilis isn’t treated, white patches called syphilitic leukoplakia can form on your tongue.

其他条件,可能会导致包括白色的舌头de:

  • geographic tongue, or missing patches of papillae on your tongue that look like islands on a map
  • medicines such as antibiotics, which can cause a yeast infection in your mouth
  • mouthor tongue cancer

A white tongue may not need to be treated. This symptom often clears up on its own.

You may be able to remove the white coating from your tongue by gently brushing it with a soft toothbrush. Or softly run a tongue scraper across your tongue. Drinking lots of water can also help flush bacteria and debris out of your mouth.

If you do need treatment, which one you get will depend on the condition that’s causing your white tongue:

  • Leukoplakia doesn’t need to be treated.However, you should see your dentist for regular checkups to make surethe conditionisn’t getting worse. To clear up the white patches, stop smoking or chewing tobacco, and reduce the amount of alcohol you drink.
  • Oral lichen planus also doesn’t need to be treated.如果您的病情严重,医生可能会提前scribe a steroid spray or a mouth rinse made from steroid pills dissolved in water.
  • Oral thrush is treated with antifungal medicine.The medicine comes in several forms: a gel or liquid that you apply to your mouth, a lozenge, or a pill.
  • Syphilis is treated with a single dose of penicillin.This antibiotic kills the bacteria that causesyphilis. If you’ve had syphilis for more than a year, you might need to take more than one dose of the antibiotic.

If a white tongue is your only symptom, you don’t necessarily need to see your doctor. But if it doesn’t go away in two weeks, you might want to consider calling for an appointment.

Call sooner if you have these more serious symptoms:

  • Your tongue is painful or it feels like it’s burning.
  • You haveopen soresin your mouth.
  • You have trouble chewing, swallowing, or talking.
  • You have other symptoms, like a fever, weight loss, or skin rash.

It’s not always possible to prevent white tongue. However, there are a few things you can do to reduce your odds of getting this condition.

Practice good oral hygiene is key. This includes:

Here are a few other tips for preventing a white tongue:

  • See your dentist every six months for a checkup and cleaning.
  • Avoid tobacco products, and cut back on alcohol.
  • Eat a varied diet that contains lots of fresh fruits and vegetables.