While white patches on the tongue are generally benign, in rare cases they can be a sign of a more serious condition. It is important to contact a healthcare professional to get any questions answered and to receive proper treatment if it is needed. Show
 Martin Barraud / Getty Images Causes of White Patches on Your TongueIn general, a white tongue or white patches on the tongue is caused by poor oral hygiene. When there is white on the tongue, it is typically covered by a coating that can extend over the entire surface or appear as patches in certain areas. Some people might notice redness, bad breath, or a bad taste in the mouth. This condition can show up in an instant if there is an infection or irritation, or it can build up over some time. There are different causes for a white tongue, such as:
Conditions That Can Cause White PatchesThere are conditions that can cause white patches on the tongue. These include: Oral ThrushOral thrush is a fungal infection in the mouth that is usually located in the lining of the mouth and tongue. The cause of thrush is an overgrowth of Candida. This growth has raised white lesions on the inner cheeks and tongue and can cause:
Thrush is usually diagnosed by taking a throat culture or an X-ray of the esophagus. It's important to check with a healthcare provider to get the proper diagnosis and treatment. LeukoplakiaLeukoplakiahappens when one or more lesions or white patches form inside the mouth. This condition is known to develop into oral cancer. The two types of leukoplakia are:
Diagnosis is usually from a biopsy. It is important to speak with a healthcare professional to get a proper diagnosis, treatment, and plan that will give the best outcome. SyphilisSyphilisis a sexually transmitted infection that can occur and spread through sexual contact with someone who has the condition. If the infection is left untreated, syphilis can lead to serious health issues, including:
This condition also includes white on the tongue. The symptoms are dependent on the stages. It typically starts as a small sore that is painless, then a bumpy rash may appear on the body—typically the hands or soles of the feet or palms. Other symptoms include flu-like ones such as muscle aches, fever, sore throat, or fatigue. It is important to speak with a healthcare professional to get the proper treatment and education regarding the infection. Oral Lichen PlanusOral lichen planus is a condition that appears in the mouth. It stems from lichen planus, a chronic disease that affects the mucous membranes and skin. This happens when mucus is secreted from the thin layers of tissue that line the body cavity. This is not contagious, and it usually affects people who are more than 50 years old. Symptoms include white patches on the inside of the cheeks that are slightly raised or the look of web-like threads. If it is excessive, the gums are bright red. If it is severe, ulcers tend to develop on the gums of the mucosal tissue. There is no definite known cause of this condition, although research suggests that genetics and the immune system play a part. Some medications and diseases can also cause oral lichen. These include nonsteroidal anti-inflammatory drugs and beta-blockers. The diseases include primary biliary cirrhosis and hepatitis B. Certain medications such as antibiotics and muscle relaxers are known to cause white patches. Antibiotics create yeast, which can lead to the occurrence of white patches in the mouth. How White Patches on the Tongue Are TreatedIn general, white patches don’t require treatment, but the condition that caused them may need to be treated. Oral ThrushThe typical treatment for oral thrush is a prescription of antifungal medication. This can come in the form of lozenges, tablets, or liquid. This treatment is usually prescribed for 10 to 14 days. Treatment also depends on:
Your healthcare provider can give you the proper treatment and also rule out if there are other medical conditions that are a result of what is presented. LeukoplakiaWhen treating leukoplakia, the goal is to prevent cancer. Although the lesions can be removed, they can also return. If a patient smokes and drinks alcohol regularly, it is important that they stop. Treatments include:
Another option is surgery to remove the lesions. Although a patient may opt for surgery, there is a 10% to 20% chance that the lesions could return. SyphilisSyphilis is typically treated with antibiotics. Your healthcare provider will test your blood after the entire course of treatment is complete. It is important to get tested regularly and to practice safe sex. Oral Lichen PlanusIf oral lichen planus is mild, it may go away on its own over time. A healthcare professional will monitor the condition, and treatment may not be needed. In the event that the symptoms worsen, the doctor may recommend treatments. Some of the medications used to treat oral lichen planus are:
When to See a DoctorIt is important to see a doctor if you notice anything unusual in your mouth, including:
It is better to catch something early, take preventive measures, and get the best plan and treatment possible. Preventing White Patches Prevention of any condition is the goal. Proper mouth hygiene, avoiding tobacco and alcohol, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
By Yvelette
Stines Thanks for your feedback! What does a white spot on the tip of your tongue mean?White tongue is usually caused when bacteria, debris (like food and sugar) and dead cells get trapped between the papillae on the surface of your tongue. These string-like papillae then grow large and swell up, sometimes becoming inflamed. This creates the white patch you see on your tongue.
What is the white spot on my tongue that hurts?Canker Sores
If you have a white spot on your tongue surrounded by a red, inflamed halo, it's probably a canker sore. These common and recurring lesions can range in size and appear as a single white spot on your tongue or in a group. Canker sores are often painful, and scraping doesn't remove them.
What causes sore spots on tip of tongue?Triggers include hypersensitivity, infection, hormones, stress, and not getting enough of some vitamins. Also called aphthous ulcers, canker sores can show up on the tongue, cheek, even your gums. They usually last a week or two.
How do you get rid of painful white spots on your tongue?How are lie bumps treated?. rinsing and gargling with salt water.. brushing your teeth at least twice daily, and using mouthwash to rid the mouth of harmful bacteria.. avoiding irritating foods (eating blander, smooth foods may be beneficial). |
Sore white spot on tip of tongue
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