What causes blotchy spots on tongue?
Patient: I am a 42 year old woman, for the past 6 months, i have had periodic episodes of a sore blotchy tongue.  i eat a pretty good diet, work full time and have  3 children, so a busy life.  I have always put it down to being run down, but am otherwise pretty healthy.  Should I be concerned? Doctor: Hi dear ,There could be two possible causes for the symptoms ou mention in query that is blotchy spots on tongue .- First it could be geographic tongue which  is a harmless condition affecting the surface of your tongue . It is supposed to related to psoriasis a chronic skin condition .- Secondly it could be due to acid reflux disease . If there is symptoms like heart burn then it will be gastrointestinal reflux disease , if there is no such symptoms then it will be a silent reflux disease .I would suggest to consult gastroenterologist for proper diagnosis . Doctor may prescribe medicine like ranitidine or omeprazole  for acid reflux disease and corticosteroid or antihistamine therapy for geographic tongue .Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari