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6 Common Tongue Problems: Causes and Symptoms

Most tongue problems are harmless and resolve on their own. Some may indicate a serious medical condition. Learn more about the causes and symptoms of six common tongue problems.

How is Your Tongue Health?

Is your tongue sore, painful, or swollen? Has it recently changed in size, color, or appearance? Does the condition of your tongue cause frustration and discomfort?

A painful sore tongue is a common problem. A minor infection or injury, such as biting your tongue, is the most likely cause. Most tongue irritations are harmless and resolve on their own.

In some cases, however, a tongue problem may indicate a serious medical condition such as a vitamin deficiency, oral cancer, or acquired immunodeficiency syndrome (AIDS).

For this reason, it is always a good idea to see a doctor or dentist if your painful sore tongue is an ongoing problem.

Most common tongue problems are harmless and resolve on their own.
See all 7 photos
Most common tongue problems are harmless and resolve on their own.
A diagram of human tongue anatomy.
See all 7 photos
A diagram of human tongue anatomy.
Source: Wikimedia Commons (Public Domain)

Human Tongue Anatomy

You may think your tongue is a single muscle. Some call it "the strongest muscle in the body." But your tongue is actually a group of muscles that allows you to taste, chew, and swallow food. These muscles also help you form words so you can talk.

Your tongue contains a moist tissue lining called a mucous membrane. Small nodules or papillae cover the upper surface. Your taste buds -- which number about 9,000 -- are scattered between the papillae.

A healthy tongue is smooth, moist, and pink. Many things can change its appearance and function. A discolored or painful sore tongue may relate to the tongue itself, or it may indicate a health problem. Here are six common tongue problems and their likely causes.

1. Painful Sore Tongue

Do you have a painful sore tongue? Trauma is a possible cause. Biting your tongue, or scalding it on a hot food or beverage, is a common tongue trauma.

Your pain may be due to habitual teeth grinding or inflamed taste buds. Inflammation can cause tiny bumps to form along the length of your tongue, resulting in pain and soreness.

Do you smoke cigarettes? Excessive smoking can cause numerous mouth and tongue conditions, as well as other health problems.

Your painful sore tongue may be due to stress, which may show up as canker sores. Although the cause of these mouth ulcers is unclear, stress seems to play a contributing role.

Burning tongue syndrome, also known as burning mouth syndrome, is a common menopause symptom. The painful, burning sensations can affect the tongue, gums, lips, and other parts of the mouth.

Sometimes, a painful sore tongue is a sign of anemia or diabetes. Chronic soreness and painful lumps may indicate oral cancer. Early detection is important for successful treatment.

Ask your doctor or dentist for an oral cancer screening if you notice any of the early warning signs, including persistent tongue problems.

Toxic shock syndrome and strawberry tongue.
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Toxic shock syndrome and strawberry tongue.
Source: Public Health Image Library

2. Strawberry Tongue

A strawberry tongue is named for its appearance: large taste buds dot the surface of the tongue. Many things can turn a healthy, pink tongue into a bright, red one that resembles a strawberry.

A vitamin deficiency is the most common cause. Your tongue may look red if your body is not getting enough vitamin B9 (folic acid), vitamin B12 (cobalamin), or other B complex vitamins. These nutrients help your body convert carbohydrates into energy.

Kawasaki syndrome, a rare childhood disease that affects the blood vessels, causes red skin rashes and a strawberry tongue. While the symptoms may scare parents, they can be treated with medications.

Scarlet fever, a once-feared childhood illness, also produces a strawberry tongue. The illness is uncommon today, and antibiotics can treat the fever and streptococcal infection.

White tongue caused by oral lichen planus.
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White tongue caused by oral lichen planus.
Source: Public Health Image Library

3. White Tongue

Is your tongue covered with white spots or a white coating? Many things can cause a white tongue, from yeast infections to medications to leukoplakia.

Common in tobacco users, leukoplakia causes excessive cell growth on the tongue, resulting in white patches. While it is not dangerous on its own, leukoplakia can be a precursor to oral cancer.

Candidiasis, also called oral thrush, is a yeast infection that causes white tongue patches with a "cottage cheese" consistency. Oral thrush is most common in babies and elderly adults. It may also affect people with diabetes, asthma, or lung disease.

Oral lichen planus causes raised, lace-like white lines on your tongue. The cause is not always known, but tobacco use and poor dental hygiene contribute to its development.

4. Yellow Tongue

Does the surface of your tongue look yellow? A yellow tongue may indicate jaundice, a skin-yellowing condition that points to a gallbladder or liver problem. Usually, however, a yellow tongue is harmless and temporary.

Changes to papillae on the surface of the tongue cause the yellow color. Enlarged nodes combine with mouth bacteria to produce yellow pigments on the tongue.

Good oral hygiene is the best treatment for a yellow tongue. Without proper care, the condition can develop into black hairy tongue.

Black hairy tongue caused by tobacco use.
See all 7 photos
Black hairy tongue caused by tobacco use.
Source: Wikimedia Commons (Public Domain)

5. Black Hairy Tongue

Despite its startling appearance, black hairy tongue is another harmless condition that involves the papillae.

Papillae grow on your tongue throughout your life. Daily mouth activities usually wear them down and keep them short.

Some tongues, however, have long papillae that normal activities cannot wear down. The overgrown nodes are more likely to harbor bacteria and give the tongue a hairy appearance.

Tobacco products, antibiotics, and cancer drugs contribute to black hairy tongue. Good oral hygiene usually resolves the problem without medical treatment.

An image of a geographic tongue.
See all 7 photos
An image of a geographic tongue.

6. Geographic Tongue

Is your tongue missing papillae? Does it have smooth, red patches with raised borders? You may have geographic tongue.

Geographic tongue is named for its map-like appearance. As one raised patch heals, the problem moves to a different part of the tongue. This causes your tongue's "landscape" to change frequently.

A geographic tongue may be sensitive to certain substances, but the condition is harmless. It is not linked to infection or cancer.

The cause of geographic tongue is unclear, but genetics may play a role in its development. The condition may persist for months or even years, but eventually it resolves on its own.

Your Turn

What does your tongue say about your health? Leave a comment below and join the conversation. If you enjoyed this article, please share it with your social networks.

Reference Sources

  • National Institutes of Health. (February 20, 2012). "Tongue Disorders." National Library of Medicine / Medline Plus. Retrieved April 30, 2012.
  • UMMC. (2012). "Tongue Problems Overview." University of Maryland Medical Center. Retrieved April 27, 2012.
  • Wyatt, Alfred D. Jr. (March 7, 2011). "Tongue Problem Basics." WebMD Medical Reference. Retrieved April 27, 2012.

Medical Disclaimer

The information presented in this article is not intended as medical advice, nor is it a substitute for professional diagnosis or treatment by a qualified medical professional.

Good oral hygiene may prevent a painful sore tongue and other common tongue problems.
Good oral hygiene may prevent a painful sore tongue and other common tongue problems.

© 2012 Annette R. Smith Last updated on October 7, 2013

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Comments 29 comments

Francesca27 profile image

Francesca27 2 years ago from Hub Page

What great information you've shared with us. Thank you so much for writing this hub.


Annette R. Smith profile image

Annette R. Smith 2 years ago from San Antonio, Texas Hub Author

Hello, Francesca27. What a pleasure to meet you! Thank you for reading my article on common tongue problems, and for leaving a comment too.


penlady profile image

penlady 2 years ago from Sacramento, CA

Wow! This is very informative, especially the information on black tongue. So much can go on with the body.

Thanks for this hub!


Annette R. Smith profile image

Annette R. Smith 2 years ago from San Antonio, Texas Hub Author

You're welcome, Penlady. Thank you for reading my article on common tongue problems and sharing the link on Twitter. You're the best!


Chris Hugh 2 years ago

Wow, I never knew tongues could be so interesting. I used to have geographic tongue, but now that I use an Orabrush, it's gone. I wrote a whole Hub on dental hygiene.

Black hair tongue is strangely compelling. I almost wish I had it so that I could cure it with my Orabrush. I am sort of a strange.


Annette R. Smith profile image

Annette R. Smith 2 years ago from San Antonio, Texas Hub Author

Hello, Chris! This IS an interesting subject, isn't it? Thanks for stopping by and sharing a word. I'll be sure to check out your hub on dental hygiene.


Oscarlites profile image

Oscarlites 22 months ago from Alabama Level 2 Commenter

Hmm.. ok I'm taking notes here. but yes, its important to take care of your tongue and know whats going on in there! Great hub!


Annette R. Smith profile image

Annette R. Smith 22 months ago from San Antonio, Texas Hub Author

It's good to meet you, Oscarlites. Thank you for stopping by, and for giving my hub a thumbs up. I hope your Christmas was blessed!


iguidenetwork profile image

iguidenetwork 22 months ago from Austin, TX

That black hairy tongue looks quite scary! But I'm glad that those all ailments can be treated easily. Thanks for posting. Voted up, useful and interesting.


Annette R. Smith profile image

Annette R. Smith 22 months ago from San Antonio, Texas Hub Author

Thank you, Chaz. I appreciate your read, comment and the votes up!


SaritaJBonita profile image

SaritaJBonita 21 months ago from Upstate New York

I suffered from chronic thrush for quite awhile due to long-term antibiotic use. I got tired of using the swish and swallow medicine four times a day, and was finally referred to an ear nose and throat specialist.

His advice was simple. Switch to a baking soda toothpaste. When you think you're getting a bit of thrush, make a paste with a few spoonfuls of baking soda and water, and swish it around for awhile, then spit it out.

Apparently the baking soda changes the pH of your mouth, because yeast thrives in an acidic environment. The baking soda "starves" the yeast from nutrients and the thrush cannot flourish.

Haven't had a case of thrush since then!


Annette R. Smith profile image

Annette R. Smith 21 months ago from San Antonio, Texas Hub Author

Hello, Sarah. Thank you for sharing your story with us. Your tip about baking soda toothpaste is a good one, and I'm glad to hear that it cleared up your problem with chronic thrush. Sometimes the simple solutions really are the best ones!


sherrell l 19 months ago

My togue Stay sour


Annette R. Smith profile image

Annette R. Smith 19 months ago from San Antonio, Texas Hub Author

Thank you for reading my article, Sherrell. A sore, painful tongue is no fun! I hope your problem is resolved soon.


FSlovenec profile image

FSlovenec 19 months ago from San Francisco, CA

Good article just had the second biopsy on my tongue ...looking forward to the results...thanks


Annette R. Smith profile image

Annette R. Smith 19 months ago from San Antonio, Texas Hub Author

Today is World Oral Health Day. Celebrate by taking care of your teeth, gums, mouth, and tongue!


Annette R. Smith profile image

Annette R. Smith 19 months ago from San Antonio, Texas Hub Author

Hello, Frank. Thank you for reading my oral health article. I pray that your biopsy results are good. Blessings to you!


smallbizloandepot profile image

smallbizloandepot 18 months ago from Atlanta, GA

great info. i just learned something new reading this.


Annette R. Smith profile image

Annette R. Smith 18 months ago from San Antonio, Texas Hub Author

@smallbizloandepot: Thank you for reading "6 Common Tongue Problems." I appreciate the comment!


mikielikie profile image

mikielikie 17 months ago from Texas

Great hub!! I have a geographic tongue.


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