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Doxycycline, a tetracycline antibiotic pictured here, is one thing that can cause black hairy tongue. Photographer: Tannen Maury / Bloomberg News
Want another reason to be careful about antibiotics when you do not need them? How about getting a black hairy tongue?
Hair can be great. But not there. A tongue should have no hair or something that looks like hair.
Tea New England Journal of Medicine 55-year-old woman who really needed antibiotics but got something that she did not need. Yasir Hamad, MD, and David K. Warren, MD at Washington University in St. Louis, Missouri, described what occurred after the female patient suffered severe crush injuries caused by motor vehicle accidents of bacteria. The doctors treated with the following antibiotics: meropenem through an intravenous line and minocycline via her mouth.
A week of the antibiotics being started, his tongue began turning a black color. The patient also became nauseated and developed a bad taste in her mouth. This tweet shows what the doctors saw:
A 55-year-old woman was admitted to the hospital after sustaining a severe crush injury. Which class of antibiotic can lead to this presentation? https://t.co/KfTyrPy9JE
– NEJM (@NEJM) September 4, 2018
Some pictures just can not be unseen. The doctors suspected that the minocycline was causing the "black hairy tongue", which is a medical term for having a black hairy tongue. Now, it is not a dangerous condition, but if it is the most likely to be a black hairy tongue. In the condition, the many little bumps (filiform papillae) on your tongue get longer and have a brownish-black discoloration so that they start looking like many different hairs. They are not really interested in this new Hair Club for Men treatment. The exact mechanism behind this is unknown.
A number of things can cause black hairy tongue. Poor oral hygiene is one. Tobacco is another if you need to quit smoking. Mouthwashes that contain peroxide, witch hazel or menthol are an additional possibility, which would be ironic if you are using the mouthwash for dates. Dehydration can be the problem, so drink up. But you may want to be careful about drinking lots of coffee or tea, which can also be causes. Other possible patients with pepto-Bismol or radiation therapy. And of course, there's antibiotics, especially those in the tetracycline class.
Typically, black hairy tongue is not a permanent condition. You just have to remove the cause and practice good oral hygiene like brushing your tongue. For this patient, the doctors stopped the minocycline and started an alternative set of antibiotics. Within 4 weeks of this change and with oral hygiene, it was back to the way it was.
How is black hairy tongue? Well the link on this U.S. Department of Health and Human Services tweet describes a "relatively common condition":
#DYK: Black hairy tongue, oral hygiene, use of medications (particularly antibiotics), tobacco use, and certain illnesses. Many cases can easily be resolved with a toothbrush or tongue scraper. https://t.co/fiMe4EAJro #FactFriday pic.twitter.com/kVTbIfpZob
– HHS.gov (@HHSGov) September 7, 2018
How does that make you feel? However, it is not clear exactly how often antibiotics can cause this condition.
Nonetheless, add black hair to the list of reasons to get antibiotics unless you really need them. Yes, this woman in the case study required antibiotics. But many people are getting antibiotics unnecessarily. Antibiotics are not candy. Licorice can lead to a black tongue but not increase antimicrobial resistance or a black hairy tongue.
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Doxycycline, a tetracycline antibiotic pictured here, is one thing that can cause black hairy tongue. Photographer: Tannen Maury / Bloomberg News
Want another reason to be careful about antibiotics when you do not need them? How about getting a black hairy tongue?
Hair can be great. But not there. A tongue should have no hair or something that looks like hair.
Tea New England Journal of Medicine 55-year-old woman who really needed antibiotics but got something that she did not need. Yasir Hamad, MD, and David K. Warren, MD at Washington University in St. Louis, Missouri, described what occurred after the female patient suffered severe crush injuries caused by motor vehicle accidents of bacteria. The doctors treated with the following antibiotics: meropenem through an intravenous line and minocycline via her mouth.
A week of the antibiotics being started, his tongue began turning a black color. The patient also became nauseated and developed a bad taste in her mouth. This tweet shows what the doctors saw:
A 55-year-old woman was admitted to the hospital after sustaining a severe crush injury. Which class of antibiotic can lead to this presentation? https://t.co/KfTyrPy9JE
– NEJM (@NEJM) September 4, 2018
Some pictures just can not be unseen. The doctors suspected that the minocycline was causing the "black hairy tongue", which is a medical term for having a black hairy tongue. Now, it is not a dangerous condition, but if it is the most likely to be a black hairy tongue. In the condition, the many little bumps (filiform papillae) on your tongue get longer and have a brownish-black discoloration so that they start looking like many different hairs. They are not really interested in this new Hair Club for Men treatment. The exact mechanism behind this is unknown.
A number of things can cause black hairy tongue. Poor oral hygiene is one. Tobacco is another if you need to quit smoking. Mouthwashes that contain peroxide, witch hazel or menthol are an additional possibility, which would be ironic if you are using the mouthwash for dates. Dehydration can be the problem, so drink up. But you may want to be careful about drinking lots of coffee or tea, which can also be causes. Other possible patients with pepto-Bismol or radiation therapy. And of course, there's antibiotics, especially those in the tetracycline class.
Typically, black hairy tongue is not a permanent condition. You just have to remove the cause and practice good oral hygiene like brushing your tongue. For this patient, the doctors stopped the minocycline and started an alternative set of antibiotics. Within 4 weeks of this change and with oral hygiene, it was back to the way it was.
How is black hairy tongue? Well the link on this U.S. Department of Health and Human Services tweet describes a "relatively common condition":
#DYK: Black hairy tongue, oral hygiene, use of medications (particularly antibiotics), tobacco use, and certain illnesses. Many cases can easily be resolved with a toothbrush or tongue scraper. https://t.co/fiMe4EAJro #FactFriday pic.twitter.com/kVTbIfpZob
– HHS.gov (@HHSGov) September 7, 2018
How does that make you feel? However, it is not clear exactly how often antibiotics can cause this condition.
Nonetheless, add black hair to the list of reasons to get antibiotics unless you really need them. Yes, this woman in the case study required antibiotics. But many people are getting antibiotics unnecessarily. Antibiotics are not candy. Licorice can lead to a black tongue but not increase antimicrobial resistance or a black hairy tongue.
