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You and your tongue go way back, so you probably have a pretty solid idea of what it should look like on a daily basis. She developed an infection and received IV antibiotic treatment specifically, a drug called minocycline for it. But a week later, she had nausea, a bad taste in her mouth, and her tongue turned black and formed little hairs on it. Her doctors suspect that the minocycline was to blame. This is actually due a condition called black hairy tongue, the doctors wrote in the case report.
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Black Hairy Tongue – Symptoms, Causes and Natural Treatments

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Black hairy tongue - Wikipedia

Black hairy tongue is a temporary, harmless and fairly common condition in which the top of the tongue looks hairy. Little bumps on the top of the tongue, called filiform papillae, grow and collect food and bacteria, which provide the color. The shedding process is called desquamation. Black hairy tongue affects about 13 percent of people at some point in their lives, according to the American Academy of Oral Medicine. It happens in all population groups but is more common in men and in older people.
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Black Hairy Tongue Causes And Treatment

Black hairy tongue is a condition of the tongue in which the small bumps on the tongue elongate with black or brown discoloration, giving a black and hairy appearance. The appearance may be alarming, but it is a harmless condition. Predisposing factors include smoking, xerostomia dry mouth , soft diet , poor oral hygiene and certain medications. Management is by improving oral hygiene, especially scraping or brushing the tongue. Hairy tongue largely occurs in the central part of the dorsal tongue, just anterior in front of the circumvallate papillae , although sometimes the entire dorsal surface may be involved.
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A black tongue can have you running for the hills, but you may not need to head to an emergency room so quickly. The key to distinguishing the cause of your black tongue is to consider other accompanying factors such as odor, fuzziness of the tongue, or a metal taste. Paying close attention to these accompanying factors can help you narrow down on the cause and help you decide what mode of treatment you need to resolve your issue.
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