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The tongue is a muscular organ in the mouth. The tongue is
covered with moist, pink tissue called mucosa. Tiny bumps
called papillae give the tongue its rough texture. Thousands of
taste buds cover the surfaces of the papillae. Taste buds are
collections of nerve-like cells that connect to nerves running
into the brain.
The tongue is anchored to the mouth by webs of tough tissue
and mucosa. The tether holding down the front of the tongue
is called the frenum. In the back of the mouth, the tongue is
anchored into the hyoid bone. The tongue is vital for chewing
and swallowing food, as well as for speech.
The four common tastes are sweet, sour, bitter, and salty. A
fifth taste, called umami, results from tasting glutamate
(present in MSG). The tongue has many nerves that help
detect and transmit taste signals to the brain. Because of this,
all parts of the tongue can detect these four common tastes;
the commonly described taste map of the tongue doesnt
really exist.

Tongue Conditions
Thrush (candidiasis): Candida albicans (a yeast) grows
over the surface of the mouth and tongue. Thrush can

occur in almost anyone, but it occurs more often in people


taking steroids or with suppressed immune systems, the
very young, and the elderly.
Oral cancer: A growth or ulcer appears on the tongue and
grows steadily. Oral cancer is more common in people
who smoke and/or drink alcohol heavily.
Macroglossia (big tongue): This can be broken down into
various categories based on the cause. These include
congenital, inflammatory, traumatic, cancerous, and
metabolic causes. Thyroid disease, lymphangiomas, and
congenital abnormalities are among some of the causes of
an enlarged tongue.
Geographic tongue: Ridges and colored spots migrate
over the surface of the tongue, periodically changing its
appearance. Geographic tongue is a harmless condition.
Burning mouth/burning tongue syndrome: a relatively
common problem. The tongue feels burned or scalded, or
strange tastes or sensations develop. Apparently
harmless, burning mouth syndrome may be caused by a
mild nerve problem.
Atrophic glossitis (bald tongue): The tongue loses its
bumpy texture, becoming smooth. Sometimes this is due
to anemia or a B vitamin deficiency.
Canker sores (aphthous ulcers): Small, painful ulcers
appear periodically on the tongue or mouth. A relatively

common condition, the cause of canker sores is unknown;


they are unrelated to the cold sores caused by herpes
viruses. Canker sores are not contagious.
Oral leukoplakia: White patches appear on the tongue
that cant be scraped off. Leukoplakia may be benign, or it
can progress to oral cancer.
Hairy tongue: Papillae can overgrow the surface of the
tongue, giving it a white or black appearance. Scraping off
the papillae corrects this harmless condition.
Herpes stomatitis: The herpes virus can uncommonly
cause cold sores on the tongue. Herpes virus cold sores
are usually on the lip.
Lichen planus: A harmless condition that can affect the
skin or the mouth. The cause is unknown; however, it is
believed to be caused by the immune system attacking
the skin and lining of the mouth.

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