Patients with hairy tongue syndrome—which can also turn tongues black, brown, yellow, or blue—often report gagging, mouth dryness, or bad breath.
. The thick, plush mat of foul fur was a form of hairy tongue syndrome. The most common version of this condition is black—which is also pretty disturbing. But, in exceptional cases, the repulsive rug can also appear as tongue-colored, brown, yellow, blue, or green.
So, what causes this lingual wickedness? And why does it come in a variety of colors? Doctors don't entirely know, even though. Centuries later, the primary hypothesis is that some combination of oral disturbances prevents the tongue's top layer from completing its normal cycles of sloughing off old cells—aka defective desquamation. This leads to a buildup of epidermal debris that can form long, hairlike structures on the tongue.
Experts also don't know how this whole process begins, but there are clear patterns and associations in those who do develop the condition. Hairy tongue most often shows up in men and is associated with older age, smoking, alcohol use, excessive coffee or black tea consumption, poor oral hygiene, certain cancers, and use of certain medications, mainly antibiotics. Some combination of oral irritations related to these factors is thought to trigger the tongue's Technicolor nightmare coat.
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