Medical history (history of illness) represents an important component in the diagnosis of tongue coating. Family history Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Do you have any tongue coating? Do you have any discoloration of the tongue? … Tongue Coating: Medical History
To prevent a coated tongue, attention must be paid to reducing individual risk factors. Behavioral causes Diet Poor chewing (thorough chewing reduces deposits on the tongue). Predominantly liquid diet (eg fasting) → white (to dirty-white) tongue coating. Consumption of stimulants → black tongue coating. Alcohol (e.g. red wine) Coffee Poor oral hygiene → white (to … Tongue Coating: Prevention
The following symptoms and complaints may occur together with tongue coating: Leading symptom Coated tongue Associated symptoms Burning of the tongue (glossodynia)* . Itching, tingling or stabbing pain on the tongue* . Xerostomia (dry mouth)* . Disturbances of the sense of taste* Halitosis (bad breath) * Symptoms indicative of burning mouth syndrome. Tongue coating and … Tongue Coating: Symptoms, Complaints, Signs
Blood, hematopoietic organs – immune system (D50-D90). Iron deficiency anemia – anemia caused by iron deficiency; tongue appears rather pale; burning of the tongue [see below iron deficiency anemia]. Immunodeficiency / immune deficiency → candidiasis (synonyms: candidasis, candidosis). Pernicious anemia – anemia (anemia) caused by a deficiency of vitamin B12 or, less commonly, by a … Tongue Coating: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin, mucous membranes Oral cavity [tongue coating, tongue discoloration, burning of the tongue (glossodynia); itching, tingling, or stabbing pain on the tongue; xerostomia (dry mouth)] If necessary, dental examination … Tongue Coating: Examination
2nd order laboratory parameters – depending on the results of the medical history and physical examination – for differential diagnostic clarification. Small blood count Inflammatory parameters – CRP (C-reactive protein). Fasting glucose, if necessary oral glucose tolerance test (oGTT). Vitamin B6, B12, folic acid Iron, ferritin, transferrin Zinc Bacteriological and mycological cultures Tongue swab, tongue … Tongue Coating: Test and Diagnosis
Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Abdominal ultrasonography (ultrasound examination of the abdominal organs) – for suspected liver disease. Esophago-gastro-duodenoscopy (ÖGD; reflection of esophagus, stomach and duodenum) – if gastritis (gastritis) is suspected.
