Can I get guidance for my problem. I'm having tough coated tongue early in the morning. I also drink water 3-4 times at night because of funny taste, which wakes me up. I started doing alum mouth wash since past few days, which improved my coated tongue problem to some extent but now I feel as if I have cotton fibre kind of feeling at the back of my tongue. Both the sides of back of my tongue are swollen with two pimples kind of appearance. Just confused if I need to go to the doctor or if it will go on its own. Please tell what is the problem and why.

Dr. Yasmin Asma ZoharaDentist29yrs exp

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The keratin formed on the top of our tongues is knocked off and swallowed when we eat our meals. Normally the amount of keratin produced is equal to the amount knocked off, and our tongues appear normal. Sometimes this balance is upset, however, and the condition called ?coated tongue? results. This increased production of keratin is usually due to irritation of the top of the tongue due to drinking hot beverages or smoking tobacco. Generally, the most effective treatment for this condition is the daily use of a tongue scraper, which removes the dead keratinized cells from the top of the tongue. Stopping or reducing any habits that might cause irritation (smoking, regular consumption of soft drinks) to the top of the tongue also usually helps reduce the problem. Of course it is important to realize that this is a harmless condition, and if it doesn?t cause too many symptoms, it really doesn?t require treatment.  

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