As the global understanding of what does covid tongue look like has evolved, so has the recognition of its varied symptoms. Among these, COVID tongue has emerged as a peculiar and lesser-known sign of infection. While fever, cough, and loss of smell were the early hallmarks of the virus, more unusual symptoms like changes in the mouth have since come to light. This article delves into what COVID tongue looks like, why it happens, and how it can be managed.

What is COVID Tongue?

COVID tongue refers to the abnormal changes observed in the appearance of the tongue in some individuals infected with COVID-19. These changes are believed to be a direct result of the body’s immune response to the virus. While it’s not as common as other symptoms like fatigue or headaches, it’s still significant and can be an early indicator of infection.

The symptoms of COVID tongue can vary from person to person. Some of the most common changes include:

• Swollen tongue
• Red or inflamed spots
• White patches or coating
• Painful sores or ulcers
• Sensitivity to spicy or salty foods

Each of these symptoms can manifest in different ways, sometimes accompanied by other oral issues like dry mouth or altered taste perception. The key takeaway is that these changes often appear alongside other COVID-19 symptoms but could be the first sign for some patients.

What Does COVID Tongue Look Like?

1. Swelling and Redness

One of the first visible signs of COVID tongue is swelling, medically known as glossitis. The tongue may appear enlarged and redder than usual, often with a smoother surface due to the inflammation. This swelling can cause discomfort, especially when speaking or eating.

In some cases, the swelling can be severe enough to impact breathing or make swallowing difficult. For these individuals, immediate medical attention is necessary.

2. White Patches or Coating

Many people with COVID tongue develop a white coating or patches across the surface of the tongue. This can resemble oral thrush (a fungal infection) and might result from an overgrowth of bacteria or fungi due to a weakened immune system. The white patches are often rough to the touch and can be scraped off, though this may lead to irritation or pain.

These white spots can be confused with other oral conditions, such as leukoplakia (which can be a precancerous condition), so it’s crucial to consult a healthcare professional for an accurate diagnosis.

3. Ulcers and Painful Sores

Ulcers or small sores may also appear on the tongue, gums, or inner cheeks. These lesions tend to be painful, especially when eating or drinking. These ulcers may be associated with inflammation or stress-induced responses due to the viral infection. For some individuals, these sores can last for several weeks after the infection has subsided, indicating a prolonged immune response.

4. Discoloration

Some patients report the tongue turning a different color, typically appearing darker than normal or even taking on a purple hue. This discoloration may be linked to a lack of oxygen or poor blood flow, which are complications that have been associated with severe COVID-19 cases.

In rare instances, discoloration of the tongue might be indicative of other underlying conditions triggered by COVID-19, so any changes in the color should be addressed by a medical professional.

What Does Covid Tongue look like Happen?

The exact reason behind COVID tongue isn’t entirely understood, but there are several theories. Primarily, the tongue’s appearance may be linked to inflammation caused by the virus. COVID-19 prompts a systemic inflammatory response in the body, which can affect multiple organs, including the mouth.

Additionally, the virus may directly attack the cells in the oral cavity, or it could be that the immune system’s response to the virus damages the tissues in the mouth, leading to the changes seen in COVID tongue. Other factors, such as dehydration, stress, and a weakened immune system, can also play a role in the development of these oral symptoms.

It’s also worth noting that patients who are hospitalized and intubated are more prone to developing oral issues due to prolonged intubation and medications that may dry out the mouth or change its environment.

How to Manage and Treat COVID Tongue

For many patients, COVID tongue resolves on its own once the body fights off the infection. However, to alleviate discomfort and speed up recovery, there are several treatments that can be used:

1. Maintain Oral Hygiene

Maintaining good oral hygiene is essential to prevent further infections or complications. Brushing the teeth and tongue gently with a soft-bristled brush, along with using antibacterial mouthwash, can help minimize discomfort and prevent secondary infections.

2. Hydration

Staying hydrated is vital. Dry mouth can exacerbate tongue symptoms, so regular water intake is crucial. Avoiding alcohol and caffeine, which can further dry out the mouth, is also recommended.

3. Saltwater Rinses

For those suffering from ulcers or sores, using a saltwater rinse can provide relief. Saltwater can reduce inflammation and help clean the mouth without irritating open sores.

4. Pain Relief

Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage the pain associated with swollen tongues or ulcers. Topical gels designed for mouth ulcers may also provide localized relief.

5. Seek Professional Medical Advice

If COVID tongue persists or worsens, it’s important to consult a healthcare professional. They may prescribe antibiotics if a secondary bacterial infection is present, or other medications to reduce inflammation or fungal overgrowth in the mouth.

Is COVID Tongue Contagious?

While COVID-19 itself is highly contagious, COVID tongue is not a separate contagious condition. It’s simply a symptom of the broader viral infection. However, if you develop symptoms of COVID-19, it’s important to follow public health guidelines and self-isolate to prevent spreading the virus to others.

When to Seek Help

If you experience any of the following alongside what does covid tongue look like, seek immediate medical care:

• Difficulty breathing or swallowing
• Persistent high fever
• Swelling that impairs your airway

These could indicate a more serious reaction to the virus and may require urgent intervention.

Conclusion

COVID tongue is a lesser-known but increasingly recognized symptom of COVID-19. While not as common as respiratory symptoms, it can provide important clues about infection. By staying vigilant and seeking medical attention when necessary, individuals can manage the discomfort of this symptom and aid in their recovery.