The tongue is a mirror of the digestive tract. On his appearance
the mucous is reflected the work of all parts of the gastrointestinal
system. The condition of any organ involved in digestion
пищи, могут изменить цвет и структуру поверхности language.
A healthy person is considered to be completely normal.
образование легкого, полупрозрачного налета на language, поскольку на
papillae of the tongue easily lingers food particles in which
bacteria actively multiply.
But if the color of such a raid becomes different from whitish
(except in cases of food coloring, food coloring), for example
появляется желтый налет на language, причины могут быть весьма
serious and require treatment to the doctor.
Why does language raid occur?
The covering layer of the tongue is a mucous membrane covered
taste buds. The epithelium of the mucous can grow,
thicken and exude abundantly, forming a patina. To this
- inflammatory language changes
- inflammation of the lower parts of the gastrointestinal system
- irritation of the tongue by high temperatures, chemical or
Yellow patina на language
Determine that food was the cause of staining of the tongue.
products are very easy – a patina appears after eating, it is easily cleaned
brushed and no longer formed.
Most often, the yellow patina of the tongue is caused by pathologies of the liver and
intrahepatic bile ducts. In this case, the exchange suffers.
bile pigments (bilirubin). Because of this, the mucous tongue,
along with other soft fabrics it is painted in yellowish color.
This condition is called hepatic or parenchymal jaundice.
It is caused by the following diseases:
- Hepatitis – inflammation of the liver viral, toxic or
With этом повреждаются клетки печени, и нарушается связывание
direct bilirubin, which is toxic to the body. Gall pigment
penetrates blood, paints urine in the color of beer. Patient worried
weakness, weakness, reduced performance. There is pain in
right subcostal area associated with stretching the capsule
enlarged liver. Also появляется желтуха: окрашиваются белки
eye, tongue and its bridle, skin. Jaundice tint closer to
- Liver cirrhosis is characterized by the death of liver cells and
liver remodeling with knot formation
With этом структура печеночной ткани восстанавливается
wrong, nodes squeeze the hepatic bile ducts, broken
production and outflow of bile. Detoxification function is impaired
the liver. The products of protein metabolism are directly absorbed into the blood,
poison the nervous system. In addition to increased, and in the later stages
diminished liver, jaundice with dark yellow staining of the skin and
tongue, dull pain in the right hypochondrium of the patient are concerned with skin
itching, sleep disorders, memory disorders.
- Primary hepatocellular cancer is not very common.
More often the liver is affected by metastases of tumors of the mammary and pancreas.
glands, lungs, rectum.
Damages of the ways removing bile
It is inflammation of the gallbladder, gallstone disease, tumors
common bile duct and nipple Vater may cause
mechanical variant of jaundice. With этом отток желчи затрудняется
due to the narrowing of the lumen of the ways in which it is transported.
The skin, mucous membranes, scleras become yellow with greenish
shade. Also и налет на language желто-зеленый.
Patients complain of constant or periodic pain, bitterness.
mouth, nausea and vomiting bile. Also может подниматься
Body temperature. Often such conditions are provoked by fatty
food, jolly riding or physical work.
Yellow tongue also occurs with suprahepatic jaundice, the cause of which
– excessive formation of bilirubin, which does not have time to withdraw
- Enhanced erythrocyte decay in the bloodstream (hemolysis) with
acquired or congenital hemolytic anemias
(microspherocytic, thalassemia, sickle cell anemia).
- With неполноценном синтезе эритроцитов (В-12 дефицитной анемии,
- As a result of extensive external or internal bruising,
heart attacks of internal organs (lungs).
- With отравлениях углеводородами, тринитротолуолом, фосфором,
arsenic, hydrogen sulfide.
- With приеме и передозировках сульфаниламидов (см. Бисептол
antibiotic or not).
Other causes of yellow bloom
- Stomach diseases
With язвенной болезни желудка и 12-персной кишки или хроническом
gastritis (see superficial gastritis: treatment, symptoms, what can
there is with gastritis), combined with the reflux of bile into the stomach tongue
обложен yellow bloom. Patients are bothered by fasting sucking.
pains in the epigastric region, including night and early morning,
nausea, episodes of vomiting, heartburn and belching sour, unpleasant odor
- Hypomotor dyskinesia of the biliary tract
in which sluggish bile duct or bladder does not provide
надлежащую скорость эвакуацию желчи, также чревата желтизной language.
Brightly this symptom begins to appear in cases when violated
diet, and the patient takes products that enhance the production
bile liver (fatty meat, alcohol, animal fats).
- Duodenal-gastric reflux
that is, throwing the contents of the duodenum into the stomach
in case of insufficiency of the obturator muscle of the output section of the stomach,
also provoked yellow tongue. This condition contributes to:
duodenal inflammation (chronic duodenitis), trauma, hernia,
swelling due to mechanical pressure, fetal pressure during
pregnancy, the use of antispasmodics or muscle relaxants (due to
reducing the locking muscle tone), pyloric dissection
stomach during surgery. Yellow patina will
combined with nausea, heartburn, vomiting episodes of bile, dull
pains in the right half of the epigastric region.
- Acute pancreatitis
or exacerbations of chronic inflammation of the pancreas
may trigger a reactive process in the biliary tract or primarily
associated with the violation of the outflow of bile. In addition to the encircling
pain in the upper abdomen. Which give in the back. Will be observed
nausea, vomiting. Accordingly, the language will respond with education
plaque (see pancreatitis: symptoms, treatment).
- Acute intestinal infections
Salmonella, Yersinia, paratyphoid, dysenteric,
enteroviral gastroenterocolitis is accompanied by pain in
epigastric, nausea, vomiting, frequent loose stools (see all about
salmonellosis, dysentery symptoms, intestinal flu, symptoms
food poisoning). The more frequent vomiting and diarrhea, the more
dehydration, the drier tongue and thicker yellowish bloom on it.
Staphylococcal toxicoinfections are also accompanied by a similar
symptomatic and mandatory temperature rise in response to
action of staphylococcus toxins.
- Any acute respiratory disease
Even simple respiratory infections with fever can
cause symptoms of dehydration and plaque on the tongue. The higher
the temperature during infection or inflammation is thicker and
- Taking some medicines
When taking drugs such as Akrikhin, furazolidone, enterofuril
or preparations of digitalis (cardiac glycosides), the tongue can also
turn yellowish. By the way, cardiac glycosides
also change color perception. It is with their use
bind the abundance of yellow in the paintings of Van Gogh, who took
digitalis for epilepsy in monstrous dosages.
- Inflammation of the tongue
Inflammation of the tongue – glossitis, bacterial (staphylococcal) or
fungal (candidal) nature can also be accompanied
changes in the color of the language. At the same time there is a pronounced white and yellow patina
in the language. It can be combined with ulcers (aphthous stomatitis),
eroding or abundant desquamation of the epithelium (desquamative
- Parasitic infections of the liver (echinococcosis) or
duodenum and biliary tract (see giardiasis, symptoms in
adults) can also obstruct the passage of bile and lead to
language of the tongue.
Yellow green patina
White and yellow
White and yellow
|Brown patina on tongue|
Brown patina on tongue
Often patients also have a question why language is laid
brown bloom. The reasons for this condition also lie in
enhanced desquamation of the epithelium of the tongue, stained with various
- The smoker’s tongue often gets a brown tint. Epidermis
such a language is often simply soaked in resins contained in
cigarettes. In addition, there is this kind of hypertrophic
glossitis, like “hairy tongue”. It is also found mainly in
smokers. At the same time, taste buds of the back third of the tongue
surfaces grow to the size of the villi, while there is
yellow brown patina.
- Causes of brown bloom in the morning can be covered in addiction.
coffee or strong tea, tannin which stains the epithelium of the tongue.
Cola, dark chocolate can also lead to a similar
- Iodine-containing drugs (Iodinol, Faringosept, Lugol solution),
potassium permanganate, Malavite, some antibiotics and cytostatics
also cause brown bloom.
- Severe dehydration, severe intoxication (infectious
diseases, poisoning), as well as intestinal dysbiosis
there is hyperplasia of the filiform papillae, which gives the tongue
brown or even black.
- Diabetic coma, pellagra can be the culprits of such
- Brown plaque on the teeth and tongue can be with Addisonic
crisis due to iron deficiency and the development of hemolysis.
Yellow patina на language у ребенка
Children are usually subject to the same problems with
digestive tract, hematopoietic system and exchange
impaired as adults. However, if the child has yellow
plaque on the tongue, you should first exclude simple food or household
- With the introduction of vegetable foods or porridge in a child up to a year thin
a layer of yellow can stay on the tongue after eating (see how
Introduce complementary foods to baby).
- In the diet of the child may be too many carrots, in which
contains carotene, staining the skin, sclera and tongue, as well as
apricots, persimmon, pumpkin seasoning curry.
- A child could lick a pen or yellow watercolor paint,
поле чего налет остался не только in the language.
- Addiction to caramels, chewing gum or soda containing
dyes also cause the tongue to become covered
If we consider the pathological causes, then for kids
the first month of life the most urgent reason becomes
hemolytic disease of the newborn. This is a consequence
spontaneous breakdown of red blood cells in the bloodstream of the infant,
which may begin intrauterinely as a result of rhesus or
group conflict with the blood of the mother.
At the same time, the baby has jaundice, enlarged liver, growth
blood bilirubin levels. Since unbound bilirubin is toxic to
nervous system, damage to the cortex (nuclear
jaundice). It is important to timely contact a pediatrician who can
distinguish physiological jaundice of the newborn from hemolytic
diseases. In case of any jaundice (elevated bilirubin)
newborn it is advisable to more often apply it to the chest and
Add solutions of glucose.
For older age groups in the first place are
various hypomotor dyskinesia of the biliary tract. Important
timely examine the child at the gastroenterologist, adjust
his diet and drinking. Important помнить о высоких рисках
giardiasis among young children who often play with sand,
they share toys and often put unwashed hands in their mouths. With
massed infection lambliya possible blockage of bile
протоков (см. симптомы лямблиоза у детей)
The third most common cause of yellow language in children
dehydration during infectious processes, hematological problems
and the use of drugs. In any case, the appearance
yellow bloom on the child’s tongue is a reason to visit
Competently answer the questions why the morning in the language yellow
bloom, why is the yellow bloom not washed off during the day or why
tongue has acquired a brown tint, maybe a doctor. Any occasion requires
individual approach, a certain amount of information that
that preceded the appearance of plaque, full-time examination of the patient. Also
clinical or biochemical studies may be required
blood, urine and feces, ultrasound of the abdominal organs.
With выборе тактики лечения исходят из основного диагноза,
which led to the appearance in the language of yellow or brown
It is worth telling about the leading groups of drugs that
used to treat the main conditions causing yellowing
- Choleretic drugs are used in pathologies,
accompanied by a slowdown in the excretion and outflow of bile:
- Choleretics increase the current of bile, prevent loss in
sediment of cholesterol salts and stone formation – cholenzyme, allohol,
vegeratin, hologon, liobil, deholin, corn stigmas, berberine,
flacumin, nicodine, oxaphenamide, odeston.
- Холекинетики повышают сократимость желчного пузыря –
cholecystokinin, magnesia, choleretin, mannitol, sorbitol. Or
work as antispasmodics – drotaverine, atropine, no-spa,
- Choleretics increase the current of bile, prevent loss in
- Hepatoprotectors restore liver cells to
chemical or cellular levels. Silymarin (milk thistle), Karsil,
Legalon, Silimar, Liv-52, Searepar, Hepathosan, Esliver, Essentiale,
phosphogliv, ornithine oxoglurate, heptral, ursosan, ursofalk (see
details on the effectiveness of all hepatoprotectors, drugs for
- Antiviral, effective in viral hepatitis: velferon,
Roferon, reaferon, intron.
- Antibiotics of tetracycline groups, cephalosporins, fluoroquinolones,
macrolides used in exacerbations of chronic cholecystitis, with
Biliary tract inflammation and bacterial stomatitis
(see treatment of stomatitis in adults).
- Antifungal drugs – Mikosist, griseofulvin,
флуконазол используются при лечении кандидоза language.
- Central dopamine blockers (metoclopramide, raglan,
tsurakal) normalize GI motility, are used when
- Electrolyte and glucose solutions are used for dehydration
and for relieving intoxication in infectious diseases or
- Adsorbents (activated carbon, Polyphepanum, Filtration ST,
Enterosgel, Polysorb) are used to bind and excrete
poisons, drugs, bile acids.
- Vitamin B12 preparations, erythropoietins, blood substitutes
used to relieve anemia.