Tongue Issues: Cracks and Coating Explained - Traditional Chinese Medicine

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Tongue issues?


Hello, doctor.
I recently noticed that there are many irregular fissures on the middle and back of my tongue, along with a white coating.
Could this be related to excessive indulgence? If so, how long should I rest?

Mr. Zheng, 10~19 year old female. Ask Date: 2024/07/03

Dr. Gao Peiyi reply Traditional Chinese Medicine


If there are no specific discomforts, there is no need to worry; the cracks may also be congenital and simply went unnoticed before.
The white appearance is generally associated with higher humidity, which may be related to weather or dietary habits.
If there is no discomfort, there is no need to be anxious.

Reply Date: 2024/07/03

More Info


When it comes to tongue issues such as cracks and a white coating, there are several potential causes and considerations that should be taken into account. The presence of irregular cracks on the tongue, particularly in the middle and back areas, can be indicative of a condition known as fissured tongue. This condition is generally harmless and may be associated with genetic factors, dehydration, or certain nutritional deficiencies, particularly in B vitamins.
The white coating on the tongue can be attributed to various factors, including oral thrush (a fungal infection), poor oral hygiene, dehydration, or even the presence of dead cells and bacteria. It is important to note that while some individuals may associate these symptoms with lifestyle choices, such as excessive indulgence or sexual activity, there is no direct scientific evidence linking these activities to the development of tongue fissures or coatings.
If you are experiencing these symptoms, it is advisable to consult with a healthcare professional, such as a dentist or an ear, nose, and throat (ENT) specialist. They can conduct a thorough examination to determine the underlying cause of your symptoms and recommend appropriate treatment options.
In terms of lifestyle modifications, maintaining good oral hygiene is crucial. This includes regular brushing of the tongue, staying hydrated, and ensuring a balanced diet rich in vitamins and minerals. If you suspect that your symptoms may be related to stress or lifestyle factors, it may be beneficial to incorporate stress-reducing techniques such as mindfulness, meditation, or regular exercise into your routine.

Regarding your question about the relationship between these tongue issues and sexual activity, it is important to clarify that while certain behaviors can impact overall health, they do not specifically cause tongue fissures or coatings. If you are concerned about your sexual health or its impact on your overall well-being, discussing these concerns with a healthcare provider can provide clarity and guidance.

In summary, while tongue issues such as cracks and coatings can be concerning, they are often benign and can be managed with proper care and attention. Seeking professional advice is the best course of action to ensure that any underlying conditions are addressed and to receive personalized recommendations for your health.

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