What causes white or red patches on tongue or gums and what should I do?

Symptom Database

Have you ever noticed white or red patches on your tongue or gums and wondered what could be causing them? These patches can be concerning, but they are often harmless and can be easily treated. In this article, we will explore the various causes of white and red patches on the tongue and gums and discuss what you should do if you notice them.

White Patches on Tongue

White patches on the tongue, also known as leukoplakia, can be caused by several factors:

  • Oral Thrush: This fungal infection is caused by an overgrowth of Candida yeast in the mouth. It can result in creamy white patches on the tongue and other areas of the mouth.
  • Oral Lichen Planus: This chronic inflammatory condition can cause white patches on the tongue and other oral surfaces. It may also cause discomfort or a burning sensation.
  • Oral Cancer: In rare cases, white patches on the tongue may be a sign of oral cancer. If the patches do not go away after a few weeks or if they are accompanied by other symptoms such as pain or difficulty swallowing, it is important to seek medical attention.

If you notice white patches on your tongue, it is recommended to:

  • Practice good oral hygiene by brushing your teeth and tongue twice a day.
  • Avoid smoking and excessive alcohol consumption, as these habits can increase the risk of developing oral health issues.
  • Visit your dentist regularly for check-ups and cleanings.

Red Patches on Tongue

Red patches on the tongue can also be caused by various factors:

  • Geographic Tongue: This harmless condition causes irregular, red patches on the tongue that may change in shape and size over time. It is believed to be related to taste bud inflammation.
  • Fissured Tongue: This condition is characterized by deep grooves or cracks on the surface of the tongue, which can appear red. It is usually harmless and does not require treatment.
  • Burning Mouth Syndrome: This condition causes a burning sensation on the tongue, along with redness and dryness. The exact cause is unknown, but it may be related to hormonal changes, nutritional deficiencies, or psychological factors.

If you have red patches on your tongue, you can try the following remedies:

  • Drink plenty of water to keep your mouth hydrated.
  • Avoid spicy and acidic foods that can irritate the tongue.
  • Practice stress-reducing techniques, such as meditation or yoga, as stress can worsen symptoms.

White Patches on Gums

White patches on the gums can be a cause for concern, as they may indicate an underlying issue:

  • Gingivitis: This early stage of gum disease can cause white patches on the gums, along with redness, swelling, and bleeding. It is important to address gingivitis promptly to prevent it from progressing to more severe gum disease.
  • Oral Lichen Planus: In addition to affecting the tongue, oral lichen planus can also cause white patches on the gums. It is a chronic condition that may require treatment to manage symptoms.
  • Oral Cancer: White patches on the gums can be a sign of oral cancer. If you notice persistent white patches that do not go away, it is crucial to seek immediate medical attention.

If you have white patches on your gums, it is important to:

  • Brush your teeth and gums twice a day using a soft-bristled toothbrush.
  • Floss daily to remove plaque and food particles from between your teeth and along the gumline.
  • Visit your dentist regularly for professional cleanings and check-ups.

Remember, while white or red patches on the tongue or gums can be concerning, they are often harmless and can be easily treated. However, if you notice any persistent patches or accompanying symptoms, it is important to consult a healthcare professional for a proper diagnosis and appropriate treatment.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA