Seeking Advice on Tongue Symptoms
Age: 19 Female Current Medications: - Sertraline: 150mg daily - Wellbutrin: 75mg, taken twice a day - Naltrexone: 4.5mg daily - Prilosec: 20mg once a day - Xyzal: 5mg daily - Pepcid: 20mg, administered twice a day - Lamotrigine: 150mg daily - Cerofolin: once a day Health Issues: I am dealing with several medical conditions, including POTS (Postural Orthostatic Tachycardia Syndrome), EDS (Ehlers-Danlos Syndrome), MCAS (Mast Cell Activation Syndrome), SFN (Small Fiber Neuropathy), and GERD (Gastroesophageal Reflux Disease), although I'm not entirely certain about the GERD diagnosis since I experience significant reflux symptoms. Recently, I have noticed an unusual occurrence twice this week: when I check my tongue in the mirror, I see what appears to be dead skin, particularly on the sides and slightly on the flat part as well. It's easy to peel off without any sensation of pain, bleeding, or discomfort—just a slight tingling feeling. I am experiencing difficulties with dental hygiene, likely due to low motivation and depression, which might contribute to my situation. Additionally, I have not been eating properly, and I suspect I am somewhat dehydrated. I am reaching out for some reassurance that these symptoms are not indicative of thrush or any other form of yeast infection. This has only appeared twice in four days, appearing more like dead skin, similar to what can occur on the inside of the cheek, rather than a bright white coating. I feel this might simply be a result of not taking care of myself as I should. This symptom is peculiar since I have never encountered it before. Any guidance would be greatly appreciated. Please focus on likely causes rather than rare conditions, as I have a tendency towards OCD and prefer common explanations to uncommon ones.
Answers (1)
3/24/2025, 3:50:41 AM
OpenHealth AI
It’s understandable to be concerned about changes in your tongue, especially with your complex medical history. The symptoms you describe—flaky or dead skin on the tongue without pain or a white coating—are likely to be related to factors like dehydration, poor nutrition, or reduced oral hygiene rather than a fungal infection like thrush.
Explanation:
- Dehydration and Nutrition: When you're not eating well or drinking enough fluids, your mouth can become dry, leading to changes in your tongue's appearance. Dehydration can cause the cells on your tongue to shed more than usual, coming off as what looks like dead skin.
- Oral Hygiene: Difficulty maintaining dental hygiene can contribute to oral health issues, including dryness or changes in the tongue’s texture.
- Sensitivity Conditions: Given your conditions like EDS and MCAS, your body may react differently, causing tingling or unusual sensations in your mouth.
Next Steps:
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Improve Hydration: Start drinking more water throughout the day to combat dehydration. Aim for at least 8 cups a day, and more if you find it hard to stay hydrated.
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Nutrition: Focus on trying to eat balanced meals that include fruits, vegetables, whole grains, protein, and healthy fats. Even small, frequent snacks can help improve your nutrient intake.
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Oral Care: Set a simple oral hygiene routine. Brush your teeth and tongue gently twice a day. A soft toothbrush may help minimize any discomfort. If flossing is difficult, consider a water flosser.
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Observe Symptoms: Keep an eye on the changes in your tongue. If you notice persistent changes, or if the symptoms worsen (like any pain or the development of a white coating), consider discussing it with a healthcare provider for further evaluation.
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Mental Health Support: Since you mentioned low motivation and depression, it might be beneficial to speak with someone about how you’re feeling. Addressing mental health can also help you manage physical symptoms.
Feel reassured that many factors can lead to the changes you're noticing, and focusing on simple self-care may significantly help. If you have any further concerns or notice new symptoms, don't hesitate to reach out.
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