There are many possible causes for white tongue, and in some cases, it comes with an unpleasant odor and mouth dryness. To get rid of it, sometimes you just need to brush your teeth. But what should you do if that doesn’t help?
This article is for informative purposes only and can’t replace the advice of a specialist.
What white tongue is
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The white film may cover the entire tongue, part of it, or appear as spots. At the same time, an unpleasant odor and taste in the mouth may appear. It looks as if there are small white hairs on the tongue’s surface. In fact, they are buds covered with organic particles, bacteria, and dead cells.
White plaque on the tongue (which can also be yellow) may appear for different reasons, like due to irritation or because of an infection. It usually disappears after several days. If the situation doesn’t change for several weeks, and it’s painful to eat and talk, it’s best to see a doctor.
It’s important to note that the plaque may not only be white. While a pink tongue is normal, a brown tongue means the person drinks too much coffee or tea. A yellow tongue means there’s something wrong with the liver, and a red tongue is a sign that the person lacks vitamin B.
Why the tongue becomes white
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Usually, the tongue becomes white due to bacteria, leftover bits of food, or dead cells that get stuck in between the buds. Because of this, the buds may increase in size or become inflamed. This is how white spots on the tongue’s surface appear.
Sometimes, the plaque appears due to an illness. For example, the geographic tongue is also a condition where white spots appear on the tongue. It’s quite rare, and the causes are unknown, but the condition itself is often connected to eating foods that irritate the tongue. It may also be a reaction to stress, an illness, or hormonal changes.
Why white plaque appears on the tongue
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There are some things that make the appearance of white plaque on the tongue more probable:
- Age
- Taking antibiotics (white-yellow plaque appearing when there’s a fungal infection in the mouth)
- A diet that’s lacking enough fruits, vegetables, vitamin B12, and iron
- A weak immune system
- Bad mouth hygiene
- Dental prosthetics or other objects that can damage the tongue
- Dehydration and mouth dryness
What piercings have to do with white tongue
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Right after piercing the tongue, there might be some white film present. This happens because the number of bacteria on the tongue increases, and it’s normal. Antibacterial mouthwash will help you get rid of it. Plus, there might be a ring around the piercings, which is normal too, and it means the tissue is healing.
If the plaque appears due to an injury (including piercings), the healing should take around 1.5 weeks. You should avoid irritants, such as hot, spicy, or sour foods and drinks.
How to get rid of white tongue at home
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- Practice good mouth hygiene.
- Drink enough water.
- Brush your teeth using a soft toothbrush.
- Use a mild fluoride toothpaste — one that doesn’t contain sodium lauryl sulfate.
- Use fluoride mouthwash.
- Brush your tongue or use a tongue scraper to remove the white coating.
- Drink cold drinks through a straw.
- Avoid food and drinks that are spicy, salty, acidic, or very hot in temperature.
Who to talk to if you’re worried about your white tongue
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- Your dentist can help you remove the white film from the tongue and prescribe medications if needed.
- Your GP can diagnose the tongue, prescribe you certain medications and determine if the white tongue is an indicator of a more serious issue.
What do you do about white tongue?
Preview photo credit Genusfotografen (genusfotografen.se) & Wikimedia Sverige (wikimedia.se) / Wikimedia Commons, CC BY-SA 4.0, Martanopue / Wikimedia Commons, CC BY-SA 3.0
Animal rescue volunteers launch Gaza’s first spay-and-neuter scheme
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In the impoverished Gaza Strip, where most people struggle to make ends meet amid a crippling blockade, the suffering of stray dogs and cats often goes unnoticed.
Said el-Er, who founded the territory’s only animal rescue organisation in 2006, has been trying to change that. He and other volunteers rescue dogs and cats that have been struck by cars or abused and nurse them back to health – but there are too many.
So in recent weeks they have launched Gaza’s first spay-and-neuter programme. It goes against taboos in the conservative Palestinian territory, where feral dogs and cats are widely seen as pests and many view spaying and neutering as forbidden by Islam.
“Because the society is Muslim, they talk about halal (allowed) and haram (forbidden),” Mr El-Er said. “We know what halal is and what haram is, and it’s haram (for the animals) to be widespread in the streets where they can be run over, shot or poisoned.”
Islam teaches kindness towards animals, but Muslim scholars are divided on whether spaying and neutering causes harm. Across the Arab world, dogs are widely shunned as unclean and potentially dangerous, and cats do not fare much better.
Mr El-Er and other advocates for the humane treatment of animals face an added challenge in Gaza, which has been under an Israeli and Egyptian blockade since the Islamic militant group Hamas seized power in 2007. Gaza’s two million residents suffer from nearly 50 per cent unemployment, frequent power outages and heavy travel restrictions.
With many struggling to meet basic needs, animal care is seen as a waste of precious resources or a luxury at best. Mr El-Er’s group, Sulala for Animal Care, relies on private donations, which can be hard to come by.
Mr El-Er says his team can no longer keep up with the number of injured animals that they find or that are brought to the clinic. “The large number of daily injuries is beyond our capacity,” he said. “That’s why we resorted to neutering.”
On a recent day, volunteers neutered a street dog and two cats that had been brought in. There are few veterinary clinics and no animal hospitals in Gaza, so they performed the operations in a section of a pet store that had been cleaned and disinfected.
“We have shortages in capabilities, tools, especially those needed for orthopaedic surgeries,” said Bashar Shehada, a local veterinarian. “There is no suitable place for operations.”
Mr El-Er has spent years trying to organise a spay and neutering campaign but met with resistance from local authorities and vets, who said it was forbidden. He eventually secured a fatwa, or religious ruling, stating that it is more humane to spay and neuter animals than to consign an ever-growing population to misery and abuse.
Once the fatwa was issued, Mr El-Er said local authorities did not object to the campaign as a way of promoting public health and safety. The Hamas-run health and agriculture ministries allowed veterinarians to carry out operations and purchase supplies and medicine, he said.
The Gaza City municipality provided land for a shelter earlier this year. Before that, Mr El-Er kept the rescued animals at his home and on two small tracts of land that he leased.
The new shelter currently houses around 200 dogs, many of them blind, bearing scars from abuse or missing limbs from being hit by cars. At least one was adjusting to walking with a prosthetic limb. A separate section holds cats in similar shape.
The group tries to find homes for the animals, but here too it faces both economic and cultural challenges. Very few Gazans would keep a dog as a pet, and there’s little demand for cats. Some people adopt the animals from abroad, sending money for their food and care.
Over the past decade, international animal welfare groups have carried out numerous missions to evacuate anguished animals from makeshift zoos in Gaza and relocate them to sanctuaries in the West Bank, Jordan and Africa.
But there are no similar campaigns for dogs and cats, and Gaza has been sealed off from all but returning residents since March to prevent a coronavirus outbreak.
Mr El-Er’s phone rang recently and the caller said a dog had been hit by a car. Volunteers from Sulala brought it back to the shelter on the back of a three-wheeled motorbike and began treating it. Mr El-Er says they receive around five such calls every day.
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