What to do for white and purple spots on my tongue for 5-6 months?

Question #29672

16 days ago

What to do for white and purple spots on my tongue for 5-6 months? - #29672

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Mere tongue pe kafi time se 5-6 month se white and purple nishan hai mein kya karu pta nhi chal raha mujhe kya aap bta sakte ho

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

15 days ago

A white or slightly purple mark on the tongue that has been present for more than a month without pain is usually benign, but it should not be ignored because persistent tongue patches can have several causes. The most common reasons include Oral Leukoplakia (a harmless thick white patch from irritation), Oral Lichen Planus (an inflammatory condition causing white or purplish patterns), Oral Candidiasis (fungal infection, though this is often painful or removable), or simple tongue pigmentation or friction marks from teeth, spicy foods, or vitamin deficiencies. Rarely, a persistent patch can represent an early precancerous change, which is why any mark lasting longer than 2–3 weeks deserves evaluation even if it is painless.
For now, maintain very good oral hygiene, gently clean the tongue daily, drink enough water, and avoid tobacco, paan, very spicy foods, or frequent tongue biting. You can safely try a vitamin B-complex supplement and use an antiseptic mouth gel such as Hexigel or Dologel CT applied thinly on the area 2–3 times daily for 7–10 days, as these help healing of minor mucosal lesions.
However, because this mark has persisted for more than a month, the most important step is a direct examination by a dentist or ENT specialist to look at the exact color, texture, and location. If the patch is stable, smooth, and unchanged, it is usually harmless; if it is growing, becoming rough, bleeding, or changing color, it needs prompt assessment.
If you can share the age, whether you use tobacco or have sharp teeth/braces, and ideally a photo, I can give a more precise opinion on the likely cause and treatment.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

14 days ago

Having white and purple spots on your tongue for several months could indicate a few different things, and it’s important to get it checked out to determine exactly what might be causing these symptoms. Such symptoms can sometimes be related to conditions like lichen planus, oral thrush, or geographic tongue, though these are just a few possibilities. It would be best to see a dentist or a doctor, preferably one who has experience with oral health, who can examine your tongue and possibly recommend tests to determine the cause. Until you can see a professional, practice good oral hygiene by brushing your teeth twice a day and cleaning your tongue gently with a tongue scraper or a soft toothbrush. Avoid tobacco and reduce alcohol consumption if applicable, as these can sometimes exacerbate oral issues. It’s also a good idea to watch for other symptoms like pain, difficulty chewing or swallowing, or if the spots are changing in size or shape, as these would necessitate more urgent attention. Drinking plenty of water can help, as can eating a balanced diet rich in fruits and vegetables to support overall health and immunity. Make sure to avoid any overly hot, spicy, or abrasive foods that might irritate your tongue further. If you experience any intense pain or notice other health changes, seek medical help promptly to rule out more serious issues.

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

9 days ago

Aapka 5–6 mahine se tongue pe white + purple nishan rehna normal nahi hai—yeh.Oral Lichen Planus, fungal infection ya kisi aur lesion ka sign ho sakta hai.
Is stage par ghar pe medicine lagana safe nahi hai; aapko jaldi se ek Oral Medicine Specialist ya experienced dentist ko dikhana chahiye—zarurat pade toh biopsy bhi karte hain confirm karne ke liye.
Tab tak spicy food, tobacco/irritants avoid karein aur mouth clean rakhein, lekin delay bilkul mat karein kyunki long-standing patches ko check karna important hota hai.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

15 days ago

Hello ji
Aapki problem se lag raha ua to purpuric spots hai ya apthous ulcers hai
Usually apthous ulcer timely theek ho jaatey hai
Aap clinical pic share jaro ya nearby dentist ko dekhayoo
Leukoplakia ke chances rule out honey chaiye
Diagnosis must hai
Nichay like test karwaney parengay
Cbct
Biopsy
Fnac
Hopefully AAP jaldi theek ho
Regards

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

15 days ago

Aap jo bata rahe hain—tongue par 5–6 mahine se white aur purple nishaan—yeh normal cheez nahi hai aur isko ignore nahi karna chahiye. It could be due to several causes like chronic irritation (daant ya teeth rubbing), fungal infection (oral thrush), vitamin deficiency (B12/iron), geographic tongue, ya kabhi-kabhi precancerous changes bhi ho sakte hain—especially agar marks itne lambe time se hain aur heal nahi ho rahe.

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

15 days ago

Hello
Aapne bataya ki aapki zubaan par 5-6 mahine se safed aur baingani (purple) nishan hain. Yeh thoda lamba samay ho gaya hai, isliye is par dhyan dena zaroori hai. Aksar zubaan par safed ya baingani nishan ho sakte hain:
- fungal infection (jaise oral thrush)
- vitamin ya iron ki kami
- kisi dawai ka side effect
- chronic irritation (jaise gutka, tambaku, ya masaledar khana)
- kabhi-kabhi koi aur medical condition
Aapko kya nishan dard karte hain, jalte hain, ya badhte ja rahe hain? Kya aapko koi aur symptoms hain jaise muh mein chhale, khujli, ya khana khane mein dikkat?
Agar nishan 2 hafte se zyada rahe ya badal rahe hain, toh ek dentist ya ENT specialist ko dikhana zaroori hai. Wo aapki zubaan ko dekh kar sahi diagnosis kar sakte hain aur zarurat pade toh test bhi kara sakte hain.
Tab tak ke liye:
- Muh ki safai ka dhyan rakhein (din mein 2 baar brush karein, zubaan bhi saaf karein)
- Zyada masaledar, garam, ya khatta khana avoid karein
- Agar aap tambaku, gutka, ya supari lete hain toh use turant band kar dein
Aap chahein toh nishan ki photo bhi bhej sakte hain, main dekh kar aur behtar bata sakta hoon.
Thank you

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

15 days ago

Aapne jaise symptoms explain kiye, uske hisaab se yeh usually serious nahi hota, lekin ignore bhi nahi karna chahiye. Aapko oral leukoplakia ya oral lichen planus ya oral candidiasis, etc. ho sakta hai. Proper diagnosis chat explanation se banana impossible hai. Aapki tongue ko visually examine karna padega, uske baad hi diagnosis ban payega. To iske liye ek certified ENT specialist/ family medicine specialist se milein. Wo diagnose karke treatment bhi start kar denge. Ye meri salah aapke liye-
1. Oral hygiene maintain karein- Din mein 2 baar brush karein. Tongue cleaning gently.
2. Avoid karein- Smoking / tobacco ko, Bahut spicy ya garam food ko.
3. Tab. B-Complex roz 1 goli × 1 month. Ye supplement shuru karein. Kitni baar ye problem vitamins ki kami ki wajah se hoti hai.
Without diagnosis, direct medicine lena especially chat consultation se sahi nahi hai.
Dr. Nirav Jain
MBBS, D.Fam.Medicine

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

15 days ago

Hi, I’m Dr. Nikhil Chauhan.
आपकी ज़बान पर 5-6 महीने से white & purple निशान हैं – इसे गंभीरता से लेना चाहिए।
· संभावित कारण (Possibilities):
· White spots → ओरल थ्रश (फंगल इन्फेक्शन), ल्यूकोप्लाकिया, या ऑटोइम्यून कारण
· Purple spots → संचार संबंधी समस्या (vascular), ब्लड डिसऑर्डर, या ट्रॉमा
· अभी क्या करें:
· डेंटिस्ट / ईएनटी / मेडिसिन डॉक्टर को दिखाएं – बिना देर किए
· बायोप्सी की आवश्यकता हो सकती है (खासकर अगर धब्बे न हटते हों)
· नॉन-वेज, तम्बाकू, पान मसाला, शराब से तुरंत परहेज
· घरेलू उपाय नहीं करें (नमक रगड़ना, मसाले लगाना – खतरनाक हो सकता है)
👉 5-6 महीने से होना चिंता का विषय है – कृपया जल्दी जांच करवाएं।
— Dr. Nikhil Chauhan

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