What causes dark spots on tongue and what treatments will be best for it? (Photo)

Question

Since I was 5 years old I’ve started getting these dark spots. It never went away the doctors had no clue what it is. Now it’s the 21st century I’m really hoping someone will be able to tell me what it is and what treatments will be best for it.Thanks in advance.

Anna Chacon, MD, FAAD · Answer

Dark spots on the tongue can have various causes, and it's important to identify the underlying reason to determine the best treatment. Here are some potential causes and considerations:

Natural Pigmentation: Some people naturally have darker pigmentation on their tongues, which is harmless and does not require treatment.

Oral Melanotic Macule: These are benign pigmented spots that can appear on the tongue. They are generally harmless but can be evaluated by a dermatologist or oral specialist to ensure they are not something more serious.

Lingual Melanotic Macule: Similar to oral melanotic macules, these are benign and typically require no treatment unless for cosmetic reasons.

Hyperpigmentation: This can occur due to various factors, including genetics, medications, or smoking. Addressing the underlying cause, if identified, may help reduce pigmentation.

Other Conditions: Rarely, dark spots can be caused by more serious conditions such as oral cancer or systemic diseases. It’s crucial to have a thorough evaluation by a healthcare professional to rule these out.

Recommended Actions:

Consult an Oral Specialist: A thorough examination by a dentist or oral pathologist is recommended to accurately diagnose the cause of the dark spots.

Regular Monitoring: Keep track of any changes in size, shape, or color of the spots, and report these to your healthcare provider.

Avoid Irritants: If smoking or certain medications are contributing factors, discuss alternatives or cessation with your healthcare provider.

Seek a Second Opinion: If past consultations have been inconclusive, consider seeking a second opinion from a specialist with experience in oral pigmentation.

Ultimately, a professional evaluation is essential to determine the cause and appropriate treatment, if necessary.

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What causes dark spots on tongue and what treatments will be best for it? (Photo)

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