Tongue Coating: What It Reveals About Your Health - Family Medicine

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Tongue coating concerns?


Hello, I noticed that my tongue coating was thicker for a while, but recently it has decreased a bit.
Today, I observed that the middle and back parts of my tongue have more coating again.
When I scrape it off and smell it, there is a slight strange odor, but I don't have bad breath.
The tongue coating changes color depending on what I eat.
I looked it up on Google, and it mentioned that the tongue coating can reflect the condition of the stomach and kidneys, but I don't quite understand this.
Is this a cause for concern?

Niming, 10~19 year old female. Ask Date: 2017/08/18

Dr. Chen Taicheng reply Family Medicine


● The tongue coating may indeed change slightly over time, due to diet and individual health conditions.
However, these changes are often not significant issues and may improve on their own.
● Generally, observation is sufficient; if discomfort occurs, it is advisable to seek further evaluation from a dentist or an otolaryngologist.
Wishing you good health, Dr.
Chen Tai-Cheng, Family Medicine, Taoyuan Hospital.

Reply Date: 2017/08/18

More Info


Understanding tongue coating can provide valuable insights into your overall health. The tongue is a unique organ that can reflect various bodily functions, and its coating can indicate the state of your digestive system, hydration levels, and even the presence of certain health conditions.

Tongue coating is primarily composed of bacteria, dead cells, and food particles. A healthy tongue typically has a thin, white coating, while changes in the coating's color, thickness, or texture can signal underlying health issues. For instance, a thick white coating may suggest an overgrowth of bacteria or yeast, which could be linked to conditions such as oral thrush or a weakened immune system. Conversely, a yellow coating might indicate digestive issues, such as liver problems or an imbalance in gut flora.

In your case, the observation of increased coating on the middle and back of your tongue, along with a slight unusual odor, could suggest several things. The back of the tongue is often associated with the digestive system, particularly the stomach and intestines. If the coating is more pronounced in this area, it may indicate that your body is struggling with digestion or that there is an accumulation of toxins that your body is trying to eliminate.

The fact that you mentioned the coating changes color based on what you eat is also significant. Foods high in sugar or processed ingredients can lead to an increase in bacterial growth, resulting in a thicker coating. Additionally, certain foods can cause temporary discoloration of the tongue, which is usually harmless but can be indicative of your dietary habits.

From a medical perspective, while tongue coating can provide clues about your health, it is essential to consider it alongside other symptoms. If you are experiencing other issues, such as gastrointestinal discomfort, changes in appetite, or persistent bad breath, it may be worth consulting a healthcare professional. They can conduct a thorough evaluation, which may include a physical examination and possibly tests to rule out any underlying conditions.

Moreover, maintaining good oral hygiene is crucial. Regular brushing of the tongue, along with your teeth, can help reduce the buildup of coating and bacteria. Staying hydrated is also important, as dehydration can lead to a dry mouth, which may exacerbate tongue coating issues.

In summary, while changes in your tongue coating can provide insights into your health, they should not be viewed in isolation. It is essential to consider your overall health and any accompanying symptoms. If you have concerns about your tongue coating or any other health issues, seeking advice from a healthcare professional is always a wise decision. They can help you interpret these signs in the context of your overall health and guide you on the best course of action.

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