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As the taste buds develop, it is thought that they catch microscopic particles, thus giving bacteria and other microbes the opportunity to grow on the tongue, causing a strange discoloration.
Black hairy tongue is an uncommon and harmless side effect of some medications, but it can also be related to smoking, poor oral hygiene and certain medical conditions.
Patient Hamad, a 55-year-old woman, had received an antibiotic called minocycline to treat a wound infection after a car accident, according to her report. Within a week, her tongue became black, she started to feel nauseous and there was an unpleasant taste in her mouth.
"As scary as it sounds, the good part is actually reversible," Hamad said. Four weeks after the doctors changed their treatment, the patient's tongue returned to normal color.
It's hard to say how rare it is, said Hamad, but it's the first case he's seen in 10 years of practice.
If your tongue starts to look strangely black and hairy, he adds, do not panic and consult your doctor because other conditions may look like this.
"Many things you can diagnose just by looking at your mouth," said Hamad, with a message to fellow doctors. "That's the lesson: do not miss that part of the body when you examine the patient."
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