Why do I have little black dots on my tongue?

Hello,

Welcome to icliniq.com.

I went through your query, and I am very sorry for the inconvenience caused.

Kindly mention,

• Do you have any burning sensation felt upon eating spicy or normal food?
• Do you have any history of smoking?

Keratinization of fungiform papilla noted (attachment removed to protect patient identity) over the tongue with no other visible lesion. Tongue looks clean, and no fungal infection is noted.

Kindly answer the query so I can diagnose the issue and guide accordingly. I will be waiting for your reply. Kindly let me know as many details as possible. I will help you in every possible way, and no need to worry about in any kind.

Thanks a lot.

Hello,

Welcome back to icliniq.com.

As per your history, I am confident about the diagnosis. Nothing to worry about in any kind. The pigmentation over the tongue is generally seen in a patient with a darker complexion. So, it is not going to harm you, and it is not a concerning issue. Well, most people without such stains also feel discomfort using alcohol-containing mouthwash. So if you intended to use one, kindly choose alcohol-free mouthwash.

1. Capsule B complex (Multivitamin) one capsule once daily after meal for 15 days.

2. Rexidin-M Forte Gel (Chlorhexidine, Metronidazole, and Lignocaine) Or Orajel (Benzocaine) apply over the tongue if any burning sensation.

3. Brush twice gently and use an alcohol-free mouthwash.

4. Use a tongue scraper whenever you brush.

5. Avoid spicy food as much as possible.

You can start the Multivitamin, but I would like to be very specific, no medication can remove the tongue's pigmentation. It will not harm you in any way, and your tongue is normal. You have no restriction over the choice of food or drinks. Please do not try any home remedy or any medication claiming removal of pigmentation over the tongue; it would be dangerous and useless. Please do not worry about any kind. The burning sensation you told about is normal. You are fine, nothing to worry about. Let me know if any further query. I am happy to help in every possible way.