{"id":20653,"date":"2023-07-16T12:57:43","date_gmt":"2023-07-16T17:57:43","guid":{"rendered":"https:\/\/www.zocdoc.com\/blog\/?p=20653"},"modified":"2023-09-06T07:24:45","modified_gmt":"2023-09-06T12:24:45","slug":"what-is-a-geographic-tongue","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/guides\/what-is-a-geographic-tongue\/","title":{"rendered":"What Is a Geographic Tongue?"},"content":{"rendered":"<h2><span style=\"font-weight: 400;\">Geographic Tongue: Understanding How Your Skin Can Affect Your Tongue<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As described by Medical News Today, <\/span><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/319342\"><span style=\"font-weight: 400;\">geographic tongue<\/span><\/a><span style=\"font-weight: 400;\"> is a condition in which patches of the tongue\u2019s surface are smoother, creating red \u201cislands.\u201d Further, these islands may be separated by lesions that intersect the tongue.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s an oral condition affecting only <\/span><a href=\"https:\/\/emedicine.medscape.com\/article\/1078465-overview\"><span style=\"font-weight: 400;\">3% of the general population<\/span><\/a><span style=\"font-weight: 400;\"> that can significantly impact daily life. Some folks may have lingering questions about geographic tongue because of how few people receive the diagnosis and little knowledge of its causes. Throughout this guide, you\u2019ll learn about the symptoms to watch for, the diagnosis process, causes of geographic tongue and treatment tips.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Signs and symptoms of geographic tongue<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While some folks may be asymptomatic, others see noticeable symptoms if diagnosed with geographic tongue. Not everyone will experience the same symptoms. The severity of each symptom will vary with each diagnosis, as well. Let\u2019s take a look at the most common signs of geographic tongue.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bald patches<\/span><\/p>\n<p><a href=\"https:\/\/www.snexplores.org\/article\/scientists-say-papillae\"><span style=\"font-weight: 400;\">Papillae<\/span><\/a><span style=\"font-weight: 400;\"> are little bumps on the tongue\u2019s surface used to grip your food while you eat and are home to thousands of tastebuds. Someone with a geographic tongue may experience loss of papillae in sporadic areas, leaving behind smooth red patches that give off a bald-like appearance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While bald patches may look severe, they\u2019re a rather harmless symptom resulting in an increased sensitivity to different tastes like sour or spicy flavors. Having multiple bald patches next to one another gives off the appearance of a rough texture, despite the lack of papillae.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tongue discoloration<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A healthy tongue is pink in color, ranging in shades from light to dark. If you notice red patches with a light-colored border, then you may be experiencing symptoms of geographic tongue. Be sure to contact a <\/span><a href=\"https:\/\/www.zocdoc.com\/procedure\/discolored-tongue-geographic-tongue-2693\"><span style=\"font-weight: 400;\">medical professional with experience in tongue discoloration<\/span><\/a><span style=\"font-weight: 400;\"> to determine whether or not this symptom is a sign of concern.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sudden sensitivity to foods, beverages and oral care products<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As mentioned above, papillae are home to your taste buds \u2014 without them, you\u2019re bound to encounter some sensitivity to foods, beverages and oral care products. Even those with damaged papillae, like an inflamed tastebud, may experience a sudden onset of sensitivities. It\u2019s difficult to predict the exact sensitivities you\u2019ll personally experience with a geographic tongue.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Be mindful of any sudden sensitivities to sweet, spicy or salty foods \u2014 for it could be an indicator of geographic tongue. You may experience increased sensitivities to oral hygiene products like toothpaste and mouthwash, as well. Be sure to stop consuming\/using anything that\u2019s giving you discomfort and talk to a doctor as soon as possible to figure out what\u2019s causing the sudden oral sensitivities.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mild discomfort or burning sensations<\/span><\/p>\n<p><span style=\"font-weight: 400;\">People with prominent signs of a geographic tongue often experience some discomfort, like mild burning sensations, when consuming certain foods or using oral care products. This is to be expected because of the lack of papillae on your tongue&#8217;s surface. Stop eating\/using whatever it is immediately and rinse your mouth using a mouthwash with an antihistamine to avoid experiencing any further discomfort.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Oral health concerns that share similar symptoms<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s important to note that the above symptoms aren\u2019t only signs of geographic tongue. They could be indicators of other oral health concerns, too. Here are a few oral issues that share the symptoms above.<\/span><\/p>\n<ul>\n<li><b>Contact stomatitis<\/b><span style=\"font-weight: 400;\">: <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12622273\/\"><span style=\"font-weight: 400;\">Contact stomatitis<\/span><\/a><span style=\"font-weight: 400;\"> is an allergic reaction that causes inflammation and pain in the mouth. These symptoms stem from allergic reactions caused by ingesting foods, beverages or using oral hygiene products you\u2019re allergic to. Other signs you may be experiencing an <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/10-signs-youve-developed-a-food-allergy\/\"><span style=\"font-weight: 400;\">allergic reaction to food<\/span><\/a><span style=\"font-weight: 400;\"> include itchy throat or tingling in the mouth.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Candidiasis (oral thrush)<\/b><span style=\"font-weight: 400;\">: <\/span><a href=\"https:\/\/www.cdc.gov\/fungal\/diseases\/candidiasis\/thrush\/index.html\"><span style=\"font-weight: 400;\">Oral candidiasis<\/span><\/a><span style=\"font-weight: 400;\">, commonly known as oral thrush, is a fungal condition that causes an overgrowth of candida in the mouth.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Lichen planus<\/b><span style=\"font-weight: 400;\">: <\/span><a href=\"https:\/\/medlineplus.gov\/ency\/article\/000867.htm\"><span style=\"font-weight: 400;\">Lichen planus<\/span><\/a><span style=\"font-weight: 400;\"> is a skin and mucous membrane inflammatory disorder. It mainly affects the wrists, ankles and lower back. However, it can spread to your mouth, as well.<\/span><\/li>\n<\/ul>\n<p>Don\u2019t just assume it\u2019s something minor \u2014 <a href=\"https:\/\/www.zocdoc.com\/primary-care-doctors\">contact a primary care doctor<\/a> or visit the nearest <a href=\"https:\/\/www.zocdoc.com\/urgent-care\">urgent care center<\/a> if you begin experiencing any of the above symptoms to get an official diagnosis.<\/p>\n<h2><span style=\"font-weight: 400;\">What causes geographic tongue?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">To this day, no research can conclusively draw a connection between the cause of geographic tongue. Instead, there are a variety of co-occurring factors that may imply a cause. However, since some people never show any symptoms, they may not be able to draw a connection to the true cause of a geographic tongue. While others may experience sudden symptoms due to exposure to the below common causes of geographic tongue.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Food sensitivities\/allergies<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Not only are food sensitivities a sign of geographic tongue, but they can cause it, too. Because skin inflammation and irritation are often associated with allergic reactions, it could lead to irritation of the mouth, as well. Those with food allergies who eat something they\u2019re allergic to could expect a geographic tongue diagnosis in the near future. Be sure to contact your primary care physician immediately to see what over-the-counter medications\/products they recommend to help alleviate the symptoms and prevent the chances of geographic tongue.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Skin disorders<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Just as it sounds, a skin disorder is a disease that affects the skin \u2014 in some cases, including the tongue\u2019s surface. Some <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1578219019301489\"><span style=\"font-weight: 400;\">skin disorders that may manifest as geographic tongue<\/span><\/a><span style=\"font-weight: 400;\"> may include but are not limited to:<\/span><\/p>\n<ul>\n<li><b>Eczema<\/b><span style=\"font-weight: 400;\">: An inflammatory skin condition that can cause dry skin that might appear as scales across the body, including the tongue, which may appear as a geographic tongue.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Psoriasis<\/b><span style=\"font-weight: 400;\">: A disease that is characterized by inflamed skin that typically affects the joints. However, 10% of patients with psoriasis have geographic tongue symptoms, leading many experts to believe that geographic tongue is an oral manifestation of psoriasis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Atopic dermatitis<\/b><span style=\"font-weight: 400;\">: As a type of eczema, atopic dermatitis shares many similarities \u2014 both are inflammatory skin diseases that can manifest across the body and in the tongue and both can be triggered by external factors. Many experts believe that the connection between atopic dermatitis and geographic tongue is psychosomatic \u2014 meaning that both conditions may be exacerbated by psychological conditions.<\/span><\/li>\n<\/ul>\n<p>Of course, not every skin disorder exhibits oral symptoms, but certain studies have found that this may occur when patients have higher levels of immunoglobulin E.<\/p>\n<p><span style=\"font-weight: 400;\">Talk to your dermatologist at your next appointment if you have any of the above skin conditions to see if you\u2019re at risk of a geographic tongue.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vitamin and mineral deficiencies<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Vitamin and mineral deficiencies \u2014 whether caused by an underlying medical condition or lack of nutritional intake \u2014 can lead to several ailments. This includes a geographic tongue. According to the National Library of Medicine, <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6904920\/\"><span style=\"font-weight: 400;\">folks who don\u2019t receive enough b vitamins, iron, folic acid or zinc<\/span><\/a><span style=\"font-weight: 400;\"> are more susceptible to the geographic tongue. Other signs of vitamin deficiency include fatigue, dizziness and weight loss.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Stress and anxiety<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some industry experts <\/span><a href=\"https:\/\/www.aaom.com\/geographic-tongue\"><span style=\"font-weight: 400;\">suspect stress and anxiety to be a factor of geographic tongue<\/span><\/a><span style=\"font-weight: 400;\">. At this time, there has been no research to back up this claim of a causational relationship between stress and geographic tongue. However, stress and other psychological symptoms can co-occur with the disease. If you find yourself dealing with stressful life events or a diagnosable anxiety disorder, you may also find yourself dealing with symptoms associated with a geographic tongue.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Diagnosing geographic tongue<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">There are multiple medical professionals you can visit to diagnose you with geographic tongue. This includes your <\/span><a href=\"https:\/\/www.zocdoc.com\/dentists\"><span style=\"font-weight: 400;\">dentist<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.zocdoc.com\/dermatologists\"><span style=\"font-weight: 400;\">dermatologist<\/span><\/a><span style=\"font-weight: 400;\">. While all options are safe for a thorough diagnosis, you may need to <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/when-should-you-really-go-to-the-dentist\/\"><span style=\"font-weight: 400;\">see your dentist<\/span><\/a><span style=\"font-weight: 400;\"> if it affects more than your tongue for it may require a further analysis. Be sure to research trusted professionals in your area if you don\u2019t already have at least one of those mentioned.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The diagnosing process itself is generally easy and requires little time. Either your doctor, dentist or dermatologist will assess your tongue for the above symptoms during a routine exam. In rare cases, they may send you for a biopsy fur further analysis. This biopsy will typically rule out different disorders such as leukemia which may manifest as oral lesions \u2014 similar looking to the geographic tongue.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Treating geographic tongue<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Those with geographic tongue may experience symptoms for a few days or weeks. In severe cases, even years. Luckily, there are multiple options for treating geographic tongue. Remember to seek an official diagnosis from a medical professional for guidance on which treatment option is best for you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Natural treatment options<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you\u2019re wanting to go the more natural route for healing, then it\u2019s important to avoid any foods, beverages or products you\u2019re sensitive to to prevent worsening side effects. Add nutritious foods to your diet rich in the vitamins and minerals above to assist with the recovery process. This may help if you\u2019re deficient in any vitamins and may assist with other co-occurring skin disorders. Additionally, ensure to drink plenty of water to ensure your skin stays hydrated.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medications<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your doctor may suggest you take over-the-counter (OTC) pain relievers or a mouth rinse with an anesthetic to temporarily relieve pain until the symptoms go away. Depending on the cause of your symptoms, you may receive prescription medication, like methotrexate, acitretin, or cyclosporine to heal your geographic tongue.<\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a682019.html\"><span style=\"font-weight: 400;\">Methotrexate<\/span><\/a><span style=\"font-weight: 400;\"> is a medication prescribed to treat psoriasis, for it helps reduce the production rate of skin cells.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a601010.html\"><span style=\"font-weight: 400;\">Acitretin<\/span><\/a><span style=\"font-weight: 400;\"> is a prescription medication used to treat psoriasis. It is a retinoid that helps stop the abnormal growth of skin cells.\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK482450\/\"><span style=\"font-weight: 400;\">Cyclosporine<\/span><\/a><span style=\"font-weight: 400;\"> is an immunosuppressive prescription that effectively treats psoriasis. It could be prescribed to treat organ rejection post-transplant, as well.<\/span><\/li>\n<\/ul>\n<p>You may be given a <a href=\"https:\/\/www.zocdoc.com\/blog\/common-dental-prescriptions\/\">prescription mouth rinse<\/a> to use, too. Your doctor will prescribe you the best option to treat your symptoms if a medication is right for you. Be sure to be honest when communicating your symptoms, regardless of what you\u2019re in for, to ensure you receive the best treatment possible.<\/p>\n<p><span style=\"font-weight: 400;\">Supplements<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Eating a well-balanced diet isn\u2019t the only way to increase your vitamin and mineral intake. You can take supplements for zinc and the other vitamins mentioned above to replace the lack of nutrients you\u2019re not getting from your diet. There may also be supplements that may help with any co-occurring causes. For example,<\/span><a href=\"https:\/\/www.aad.org\/public\/diseases\/eczema\/childhood\/treating\/oils-probiotics-vitamins\"><span style=\"font-weight: 400;\"> taking vitamin B12 cream or vitamin D may help relieve symptoms<\/span><\/a><span style=\"font-weight: 400;\"> associated with skin disorders like eczema. Likewise, <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4134971\/\"><span style=\"font-weight: 400;\">fish oil may be effective for treating symptoms of psoriasis<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">No matter what kind or the intention, <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/how-to-talk-about-supplements-with-your-doctor\/\"><span style=\"font-weight: 400;\">ask your doctor if taking supplements<\/span><\/a><span style=\"font-weight: 400;\"> to treat and prevent geographic tongue is right for you.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Tips for preventing geographic tongue<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">One of the most effective ways to prevent getting a geographic tongue is to avoid the things you know you\u2019re most sensitive to including the food you ingest and the oral hygiene products you use. Being mindful of your oral care not only prevents geographic tongue, but helps <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/why-good-oral-health-can-reduce-the-chance-of-serious-illness\/\"><span style=\"font-weight: 400;\">reduce the chance of serious illness<\/span><\/a><span style=\"font-weight: 400;\">, too. Additionally, maintaining your tongue and <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/5-reasons-gum-health-is-so-important\/\"><span style=\"font-weight: 400;\">gum health<\/span><\/a><span style=\"font-weight: 400;\"> through healthy habits may improve your overall quality of life. Healthy habits to consider include, but certainly aren\u2019t limited to:<\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/www.zocdoc.com\/blog\/best-and-worst-foods-for-healthy-teeth-and-gums\/\"><span style=\"font-weight: 400;\">Avoiding foods and beverages that damage your teeth and gums<\/span><\/a><span style=\"font-weight: 400;\">;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Brushing your teeth twice a day;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Creating and <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/the-unexpected-connection-between-physical-fitness-and-oral-health\/\"><span style=\"font-weight: 400;\">maintaining an exercise routine<\/span><\/a><span style=\"font-weight: 400;\">;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.zocdoc.com\/blog\/flossing-debate\/\"><span style=\"font-weight: 400;\">Flossing daily<\/span><\/a><span style=\"font-weight: 400;\">;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using the <\/span><a href=\"https:\/\/www.zocdoc.com\/blog\/dentists-debate-toothpastes\/\"><span style=\"font-weight: 400;\">right oral hygiene products<\/span><\/a><span style=\"font-weight: 400;\">;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rinsing with an antiseptic mouthwash.<\/span><\/li>\n<\/ul>\n<p>Those who routinely maintain their oral health couldn\u2019t do so without a trusted dentist in their area. If you haven\u2019t already, take a moment to find one to add to your list of medical professionals to see on a routine basis. Doing so could be the difference between the quality of care you\u2019re given when maintaining your overall health and wellness.<\/p>\n<h1 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Need a doctor? Find one on <\/span><a href=\"https:\/\/www.zocdoc.com\/\"><span style=\"font-weight: 400;\">Zocdoc<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>Geographic Tongue: Understanding How Your Skin Can Affect Your Tongue As described by Medical News Today, geographic tongue is a condition in which patches of the tongue\u2019s surface are smoother, creating red \u201cislands.\u201d Further, these islands may be separated by lesions that intersect the tongue. It\u2019s an oral condition affecting only 3% of the general [&hellip;]<\/p>\n","protected":false},"author":82,"featured_media":20654,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[227],"tags":[97],"class_list":["post-20653","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guides","tag-dental-care","reviewer-dr-nassim-assefi"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What Is a Geographic Tongue? - Guides<\/title>\n<meta name=\"description\" content=\"A geographic tongue is a pattern of bald patches on your tongue that could be caused by an underlying skin disease or food sensitivity.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/guides\/what-is-a-geographic-tongue\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What Is a Geographic Tongue? 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