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Dark Black Spots on Tongue: Causes and Treatments

by Wendy Wisner
June 8, 2025
in Health
Reading Time: 5 mins read
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A number of issues might trigger darkish black spots on the tongue, together with a benign situation known as furry tongue, some medicines, and a few well being situations. Darkish spots on the tongue may additionally be brought on by regular human tongue variations, that are frequent in individuals with darkish pores and skin.

Darkish black spots on the tongue might go away on their very own, or you may assist deal with them by addressing any underlying trigger.

There are a number of the explanation why you’ll have black spots in your tongue. Most will not be severe or dangerous. The commonest causes of darkish black spots in your tongue might embrace:

Regular Tongue Variations

The commonest explanation for black spots in your tongue are regular variations in how tongues look. This is named a benign (not dangerous) oral pigmentation variant. It implies that some individuals usually have extra pigment (colour) on their tongues.

This variant is extra prone to happen in individuals with darker pores and skin. The tongue might have darkish spots on it, however it could even have pink or purple spots. You could be extra prone to first see these spots in your 20s or 30s.

Furry Tongue

Furry tongue is a situation wherein darkish spots seem on the tongue. Small, hair-like growths may additionally seem on the tongue. Whereas the looks might be alarming, it isn’t dangerous.

A number of components might improve the chance of furry tongue. These embrace:

  • Poor oral hygiene
  • Fungal infections
  • Use of sure antibiotics
  • Smoking
  • Ingesting giant quantities of tea or espresso
  • Dyes in meals or medicines
  • Overuse of some mouthwashes
  • Receiving radiation remedy to your head or neck

Medicines

Some medicines may cause darkish black spots in your tongue. For instance, medicines that comprise iron or gold can have this impact. Different medicines that may trigger darkish black spots in your tongue embrace:

  • Some antibiotics
  • Pepto-Bismol (bismuth subsalicylate) and medicines that lower abdomen acid
  • Sure antipsychotic medicines
  • Sure medicines that deal with seizures
  • Medicine to deal with malaria

Underlying Well being Situations

Some underlying well being situations may cause darkish black spots in your tongue as a symptom. These situations embrace:

  • Addison’s illness (adrenal insufficiency)
  • Peutz-Jeghers syndrome (a uncommon genetic illness)
  • Hyperthyroidism (excessive ranges of thyroid hormones)
  • HIV
  • Tuberculosis
  • Candidiasis (fungal an infection)
  • Benign or cancerous growths on the tongue

Your tongue might have one or a number of spots that look darkish brown or black. These spots could also be on totally different areas of the tongue. Their look and site can range from one individual to a different. Normally, individuals haven’t any different signs moreover the black colour.

When you have furry tongue, which about 13% of all individuals will expertise of their lifetime, you’ll possible additionally discover a darkish coating in your tongue. This coating can usually look brownish or blackish, however it may well additionally seem white, pink, or inexperienced. In some instances, small hairlike growths will happen on the tongue.

When you have darkish spots in your tongue that don’t go away on their very own after a couple of days, take into account visiting your healthcare supplier for his or her steering. In case your tongue signs trigger you issue with consuming or respiratory, search care straight away.

At your go to, your supplier will possible study your tongue. They could ask you questions on once you first noticed the darkish spots, whether or not you’ve had them earlier than, and what different signs you may be experiencing. Your supplier might ask you about any medicines you are taking, in addition to your habits round smoking and oral hygiene.

A healthcare supplier might typically have to take a blood pattern or take away a small quantity of tissue out of your tongue for a biopsy.

Remedies for darkish black spots on the tongue sometimes depend upon the trigger. If a well being situation is inflicting the darkish spots, treating the well being situation will often trigger the spots to go away.

If the spots are brought on by a medicine you are taking, it could assist to cease taking the remedy or change to a special one. Discuss to your healthcare supplier for steering earlier than you cease or change prescribed medicines.

Typically, at-home care may also help deal with darkish black spots in your tongue. Some at-home care ideas embrace:

  • Brush and floss frequently
  • Use a tongue scraper
  • Go to a dentist for oral care ideas and cleanings
  • Eat a nutrient-rich, balanced food regimen
  • Give up smoking
  • Drink much less espresso or tea
  • Deal with bacterial or fungal infections

It is not all the time doable to forestall darkish black spots in your tongue, comparable to after they’re a traditional tongue variation.

In case your darkish spots are brought on by black furry tongue, you could possibly forestall the spots by altering a few of your habits. It might assist to make sure you brush your tooth frequently, drink much less tea and occasional, and lower out tobacco.

Some individuals discover that brushing their tongue with a toothbrush or utilizing a tongue scraper can forestall darkish spots on the tongue.

Regular human variations in tongue colour, in addition to a innocent situation known as darkish furry tongue, may cause darkish black spots on the tongue. Much less generally, medicines or well being situations may cause darkish spots on the tongue.

In case your darkish spots don’t go away on their very own in a couple of days, take into account visiting a healthcare supplier that will help you perceive what’s inflicting them and how one can greatest deal with them.



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