HomeAnswersMicrobiologyfungal infectionWhy does my tongue have a white and yellow coating?

My tongue has a white and yellow coating. Is it due to yeast overgrowth?

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My tongue has a white and yellow coating. Is it due to yeast overgrowth?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Vinay Kumar

Medically reviewed by

Dr. Divya Banu M

Published At November 9, 2015
Reviewed AtJanuary 29, 2024

Patient's Query

Hello doctor,

I was wondering why my tongue has a white and yellow coating? Do I have a yeast overgrowth? If so, when I take antimicrobial or anti-fungal herbs, it gets worse as well as when I take garlic or oregano, it gets worse which makes me think it is not a candida overgrowth. In fact when I eat Dextrose, it gets better, my stomach deflate and I do not have a nasty taste in my mouth. My hydrogen, methane breath test utilizing glucose nade lactulose showed virtually no hydrogen or methane in my breath. Should I continue the anti-microbial and anti-fungals?

Thank you for your help. I have been through all the test, endoscopy, colonoscopy, gastric emptying, gastric mucosa, X-ray, CT scan but the only thing they have said I have is GERD and IBS constipation. Any help or advice would be greatly appreciated.

Answered by Dr. Vinay Kumar

Hi,

Welcome to icliniq.com.

I have noted your concerns.

Having treated similarly presenting patients at my practice, I want to tell you that it is not a cause for worry. Most often this condition is seen in individuals who have a geographical tongue, or as an early sign of jaundice or some other liver disorder. It has been noted at times due to the collection of skin cells that bind herbal pigments as in smokers. Most such patients do not need any treatment except for good oral hygiene.

You only need to have your serum bilirubin levels checked and be cautious if such discoloration extends to the white portion of the eyes or other skin areas. For proper restoration of normal color, one may use Hydrogen peroxide solution in diluted form for rinses and a good tongue cleaner. Please be assured that your problem has a good probability of getting better with simple measures as the coating is piled up surface cells and needs no treatment unless some other features like those listed above appear. You might consider eliminating any medication for this purpose.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vinay Kumar
Dr. Vinay Kumar

Dermatology

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