T
The Daily Insight

What causes a black tongue

Author

Mia Kelly

Published Mar 13, 2026

Black tongue usually occurs due to a buildup of the protein keratin on the tongue’s surface. However, an overgrowth of bacteria or fungi within the mouth can also cause the tongue to appear black. Black tongue is temporary and tends to clear up without treatment.

What vitamin deficiency causes a black tongue?

Black Tongue is the familiar name for the often fatal effects of a deficiency of the vitamin niacin (once designated Vitamin B3, now B5), found chiefly in liver, lean meat, poultry, fish, and beans.

What does a B12 deficiency tongue look like?

B12 deficiency will also make the tongue sore and beefy-red in color. Glossitis, by causing swelling of the tongue, may also cause the tongue to appear smooth.

Which drug causes black tongue?

Factors associated with BHT include drugs such as antibiotics (penicillin, cephalosporin, chloramphenicol, streptomycin, and tetracycline), corticosteroids, oxygenating mouth rinses, nonsteroidal anti-inflammatory drugs and psychotropics, as well as tobacco, vegetable dyes, radiation, and most importantly, poor oral …

Why did my tongue turn black overnight?

Black hairy tongue is caused by an overgrowth of dead skin cells, causing lengthening of the papillae, and staining from bacteria, yeast, food, tobacco or other substances in the mouth. Black hairy tongue is a temporary, harmless oral condition that gives the tongue a dark, furry appearance.

How does Pepto-Bismol get rid of black tongue?

The tongue usually goes back to normal after discontinuing Pepto-Bismol. Treatment involves helping the tongue shed the overgrown papillae by brushing the surface of the tongue with a toothbrush or tongue scraper.

What does a black tongue mean on a human?

Black tongue usually occurs due to a buildup of the protein keratin on the tongue’s surface. However, an overgrowth of bacteria or fungi within the mouth can also cause the tongue to appear black. Black tongue is temporary and tends to clear up without treatment.

What doctor treats tongue issues?

For tongue lesions such as changes in color, growths, or texture changes, an oral surgeon or an otolaryngologist (ear, nose and throat specialist, also known as an ENT specialist) can evaluate the area, perform a biopsy, and follow up or refer for appropriate treatment such as surgery or medication.

What are some tongue diseases?

  • Canker Sores.
  • Thrush.
  • Oral Lichen Planus.
  • Geographic Tongue.
  • Tongue Cancer.
  • Transient lingual papillitis.
  • Tongue Trauma.
  • Vitamin Deficiency.
What does the tongue look like with pernicious anemia?

Pernicious anemia causes the tongue’s surface to look smooth and appear red instead of the pinkish color of a normal tongue. The tongue might also appear thick or beefy in texture. Some tongues might even be swollen or seem to have cracks.

Article first time published on

How do you fix black tongue?

  1. Brush your tongue. Using a soft toothbrush, gently brush your tongue twice a day to help manually remove dead skin cells and bacteria.
  2. Use a tongue scrapper. …
  3. Brush after eating. …
  4. Brush after drinking. …
  5. Stop using tobacco products. …
  6. Floss before bed. …
  7. Schedule a cleaning. …
  8. Drink plenty of water.

Is Black Tongue contagious?

Black tongue syndrome itself doesn’t cause any general health issues and is not contagious.

Why does tongue turn black with Pepto Bismol?

The active ingredient in Pepto Bismol contains bismuth, and when it combines with the sulfur that is naturally present in your mouth and digestive tract, this can sometimes result in a black tongue or black poop.

Why is my tongue Discoloured?

The tongue’s papillae (tiny, rounded projections) may become discolored if a person smokes or chews tobacco, eats certain foods or vitamins, or has colored bacteria growing on the tongue. Black discoloration on the top of the tongue may occur if a person takes bismuth preparations for an upset stomach.

Why does my tongue look GREY?

Cyanosis occurs as a result of poor circulation or insufficient oxygenation of the blood. A grey tongue can develop due to intestinal or digestive problems. As bacteria builds up in the mouth due to digestive issues, it can create a greyish coating on the tongue.

What does a discolored tongue mean?

In some instances, though, a discolored or painful tongue can indicate more serious conditions, including vitamin deficiencies, AIDS, or oral cancer. For this reason, it is important to seek medical advice if you have any ongoing problems with your tongue.

Which antibiotic causes black hairy tongue?

We see it most often with antibiotics in the tetracycline family, including minocycline, the medication my patient was taking to cure an infection of her accident-related wounds sustained in a car accident. Other factors that may cause black hairy tongue include poor oral hygiene and smoking.

Can I drink water after taking Pepto-Bismol?

Do not take Pepto Bismol for more than two days. 3 Be sure to drink plenty of water while taking Pepto Bismol to replace fluid lost from diarrhea episodes.

Why did I wake up with a brown tongue?

A black or brown tongue typically is due to the overgrowth of bacteria that normally are present on the tongue. This, too, can be caused by the killing of some bacteria with antibiotics so other bacteria overgrow. But the most common cause of discoloration of the tongue is the overgrowth of a fungus.

Does your tongue look weird with Covid?

For a while we’ve been noticing an increasing number of people reporting that their tongue doesn’t look normal, particularly that it is white and patchy. Professor Tim Spector, COVID Symptom Study lead, tweeted about this in January and got a lot of responses – and some pictures!

How do you know if your tongue has an infection?

a change from the normal color of your tongue or patches of color that are white, bright pink, black, or brown. pain either all over the tongue or only in certain spots. a burning sensation either all over the tongue or only in certain spots. white or red patches, which are often painful.

Can you get a bacterial infection on your tongue?

Bacterial and viral infections on the tongue and mouth are relatively common, and in most cases can be taken care of with proper diagnosis and treatment. Several infections that may affect the mouth and tongue include: Tonsil Stones – Also known as Tonsilloliths, are bacterial infections that affect your tonsils.

How does normal tongue look like?

A healthy tongue is typically pink in color, but it can still vary slightly in dark and light shades. Your tongue also has small nodules on the top and bottom. These are called papillae.

Can a dentist treat tongue problems?

Increasingly dentists and physicians work together in treating conditions related to airflow including obstructive sleep apnea and upper airway resistance symptoms. In addition, as experts in oral health dentists are often the first to notice issues with the tongue, mouth and surrounding areas.

What are 3 functions of the tongue?

The tongue is vital for chewing and swallowing food, as well as for speech. The four common tastes are sweet, sour, bitter, and salty. A fifth taste, called umami, results from tasting glutamate (present in MSG). The tongue has many nerves that help detect and transmit taste signals to the brain.

How do you know if your B12 is low?

  1. Weakness, tiredness, or lightheadedness.
  2. Heart palpitations and shortness of breath.
  3. Pale skin.
  4. A smooth tongue.
  5. Constipation, diarrhea, loss of appetite, or gas.
  6. Nerve problems like numbness or tingling, muscle weakness, and problems walking.
  7. Vision loss.

Does B12 deficiency affect the mouth?

Vitamin B12 is one of important nutritional components that affect oral health. Individuals with decreased levels of vitamin B12 have been reported to exhibit various oral manifestations such as glossitis, glossodynia, recurrent ulcers, cheilitis, dysgeusia, lingual paresthesia, burning sensations, and pruritus [4–8].

Can B12 deficiency symptoms come on suddenly?

It can also come on relatively quickly. Given the array of symptoms a vitamin B12 deficiency can cause, the condition can be overlooked or confused with something else. Vitamin B12deficiency symptoms may include: strange sensations, numbness, or tingling in the hands, legs, or feet.

How do you get rid of discolored tongue?

  1. Brush your tongue. Give your tongue a gentle brushing whenever you brush your teeth to remove dead cells, bacteria and food debris. …
  2. Brush after eating. …
  3. Floss at least once a day. …
  4. Visit your dentist regularly. …
  5. Maintain good nutrition.

Does acid reflux cause black tongue?

But it can also go dark after you take an antacid with an ingredient called bismuth. For some people, it stains black when it mixes with saliva. It’s harmless and goes away once you stop taking the medicine.

Can diabetes cause black stool?

If a person has recently consumed any of these and their stool is black, there is likely no cause for concern. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) state that bleeding in a person’s gastrointestinal tract can also cause black, tarry stools.