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What's wrong with my tongue?
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What's wrong with my tongue?
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Re: What's wrong with my tongue?
Your tongue looks like it has the typical biofilm of sufferers of intra-oral bad breath. Ver similar to mine, actually.
Unless you also have periodontal disease, I suspect smelly off-gases of oral bacteria, mostly on the tongue, especially at the back of the tongue, underneath the epiglottis, which is difficult to reach.
So, in addition to regular oral hygiene, you’d need to get a tongue scraper going on the tongue, and get to work with a toothbrush at the very back, even if it makes you gag. You’ll get used to it. It’s important.
You’ll also need a good mouthwash used afterwards, and perhaps several times during the day. I use Therabreath Plus Maximum Strength. Smartmouth is a good one as well. And Maybe, if you work close to people, cover up with gum or mints as needed during the day.
None of the above will cure inta-oral chronic halitosis, but it’ll help a lot in getting it under control.
If it’s intra-oral, as I suspect, it’d take a targeted antibiotic oral rinse to kill it off, followed by a course of chlorhexadine antibacterial mouthwash.
Usually that involves oral bacteria samples taken and sent to a lab for analysis, then formulation of a customized mouthwash to target those specific strains of bacteria.
My experience with North American dentists is most are woefully ignorant on all this, including my general practice dentist and my periodontist.
I tried oral-internal (swallowed pills) antibiotics a decade ago, but it came back. I really think the prescription oral rinse is a better approach.
There may be others offering this, but Dr. James Hyland in Toronto uses this approach, and you can contact him through his website oravital.com, or look up his business phone and leave a message. He may have trained associate practitioners in your area. You can look those up on his website.
That’s not exactly a plug for Hyland, because I haven’t used his services, but I’m thinking I will shortly.
Good luck. All you have to lose is your bad breath!
Re: What's wrong with my tongue?
I sort of lean towards the antibiotic oral rinse approach.
Re: What's wrong with my tongue?
Urea is what made all the difference for me. The cause of Hairy Tongue is a lack of shedding of the filiform papillae. I've been toying with keratolytics for almost ten years on and off as well as things like TCA peel. I had tried different approaches with urea but ironically I never tried the simplest thing--just put maybe half teaspoon on my tongue, close my mouth and let it dissolve in saliva, creating kind of a mouthwash. I don't really swish it around though, just try to give good contact to tongue and I leave it in my mouth for probably 5 to 10 minutes then spit it out.
When I did this my tongue kinda felt shriveled up and I didn't know if it would do any good or not. Anyways about 24 hours later it felt like there was a bunch of extra junk on my tongue. I stuck it out in the car mirror of all places and I was able to just scrape all of that shedded keratin of with my fingernail. Crazy stuff because those of us who have tried to scrape off a hairy tongue know that it just doesn't work. This didn't hurt the filiform papillae at all just allowed them to shed. I still have them on my tongue they're just little bumps instead of hairs.
Anyways I just did this the one time when it made all the difference. I still do it about once a week but it doesn't seem to do anything because the filiform papillae are not getting long again so there is no keratin to dissolve off of them. Either that or once a week is enough to keep it in check to where I don't notice anything.
I use feed grade urea and I can't find any evidence that it should be harmful to the mouth or body. Saliva is supposed to have a certain amount of urea in it anyways (which may be what I was lacking). People take 15 gram urea supplements for various medical conditions and what I used is just half a teaspoon (about 2.5 grams) (and certainly not daily) and spit it out when done anyways. If anybody is interested here is a link https://www.ureaaide.com/shop-ureaaide/
They even have mint flavor
![Smile :)](./images/smilies/icon_smile.gif)
This has made all the difference in the world in my fight against BB.
Re: What's wrong with my tongue?
Re: What's wrong with my tongue?
Re: What's wrong with my tongue?
Re: What's wrong with my tongue?
Urea by itself didn't necessarily get rid of BB. It got rid of the environment in which the bacteria could thrive but those organism still populate the mouth and it seems the body needs a little help to get rid of them (although with enough patience and the right diet and lack of stressful situations the mouth might straighten itself out without any mouthwash etc)
I wasn't really keeping a log of things since it all kind of took me by surprise, but I think that within 4 or 5 days a person could be mostly BB free (although every situation is different). The first time I would recommend doing the urea twice, back to back. For the next 24 hours (the first time only) there is probably going to be a fair amount of BB because of all the keratin loosening.
Mouthwashes. I do like therabreath once a day at least. On occasion it will leave kind of a bad taste in the back of my mouth and I will use diluted bleach. Maybe a person could use Tbreath in the morning and diluted bleach in the evening. As folks on here already know diet is important as well. I try to avoid sugary stuff. I do drink unsweet iced tea most of the day (helps keep mouth moist) and will often add a tiny bit of baking soda just to cut back the acid a little. I will drink coffee as well, especially if I eat something sweet.
I have a Tanita breath checker hc-312f and I consider it indispensable (it gets embarrassing having to ask people if my breath smells good or not). Certain foods/ mouthwashes/ beer/ etc. will give it a false reading but I mostly use it first thing in the morning because I can't get a false reading then. If I'm getting 0's or 1's then I am happy.
@Speranza I wouldn't say I am 100% BB free (nobody on this planet is lol). I am maybe 95% BB free
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Re: What's wrong with my tongue?
Stevian wrote: ↑Sun Jan 16, 2022 10:41 pm
You summed up Oravital perfectly. I just Hyland about 3 weeks ago, although it's his daughter who handles the breath patients now. She is very knowledgeable, they are very thorough and overall a great experience. That being said, I've tried my third round of Oravital Abx rinses and none have helped with the tongue coating.
In my case, I also have 3 different odours not counting food/stomach related odours after eating. The worst of the 3 is definitely tonsil stones. I get rid of those by using a water flossing. Hyland's daughter said it is the best way, along with potentially a metronidazole rinse twice a year. The other persistent smell is a yeast one from the back of the tongue. It's not nearly as offensive as the tonsil stone smell, but still unpleasant and definitely noticeable on my orabrush when I scrape my tongue. The third smell is somewhat intermittent, seemed to go away for the first week of the oravital abx rinse, but returned by the second. It is a sour type of smell and a have a feeling it comes from my sinuses, since I smell it more strongly in the morning and after I sneeze. I can smell it even with my mouth closed.
One other thing that in trying that may be helpful to someone, is isotretinoin cream. I'd read a paper in a medical journal somewhere that said it was an effective treatment for hairy tongue, and therefore I suggested it to my dermatologist who prescribed it to me. I was using it in between my oravital rinses but saw no effect after 2 weeks. I will try again after my 2 weeks of chlorhexadine/oravital ABX gum cream, as apparently abx are one of the more common causes of hairy tongue.
The urea thing also sounds promising.. I was going to try that myself first, but opted for isotretinoin as I assumed it was the more effective, stronger treatment as it required a prescription too.. I have had this persistent coating and long papilae for 3 years now and it is driving me nuts. It's accompanied by a burnt, dry feeling on my tongue and a persistent bitter taste that won't go away. My mouth was fine 3 years ago, no odd tastes, smells or sensations... also, do you have a clearer picture of your tongue now?
Here's mine:
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Re: What's wrong with my tongue?
Isotretinoin (synthetic vitamin A) is a new one to me. If its a gel that you apply topically and let sit on the tongue for a while I wouldn't be too optimistic. Being as it's not a keratolytic I would be cautious as to it affect on other tissues in the mouth. But I could be wrong if you decide to try it I hope it works!
I have tried many things over the years. TCA peel completely clears off the surface of the tongue, leaving it baby smooth, and can taste everything so clearly, but after a week or so the filiform papillae grow back and long again. I used to use urea topically, just holding my tongue out and leaving urea sit on it for as long as I could. It was moisturizing but other than that I just didn't notice much, and that was using it topically every day. Ironic that letting it dissolve in mouth and holding there for ten minutes or so before spitting out is a whole different animal. And I only had to do it a few times (may not need to again time will tell).
Also I am using pure urea, similar to what I posted a link to above. Most of the dental journals mention a urea gel, 30 to 40 percent. To be clear that is not what I am using, never have.
Re: What's wrong with my tongue?
These pics on here are great folks!! Should be very helpful to people
Re: What's wrong with my tongue?
Re: What's wrong with my tongue?
Re: What's wrong with my tongue?
I guess I hadn't mentioned geographic tongue but urea seems to have rid me of that too. I basically had a very hairy white tongue with red burning bald spots here and there. I think those red bald spots / "ulcers" are the body's attempt to fix the tongue. Now maybe it doesn't need to do that anymore.
Re: What's wrong with my tongue?
Actually the urea I used was an agricultural urea but was labeled feed grade and was for livestock.
Also lab grade I think should be more pure than feed grade. Maybe that would be an option?
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