vit/min def and darkening of the mouth

[Guest guest]

Does anyone know if vit/min def can cause darkening around

the mouth? Thanks!

Allbritten, RD,

LDN

Vanderbilt Center for Surgical Weight Loss

Certificate of

Training in Adult Weight Management

jaime.l.allbritten@...

[Guest guest]

Without seeing what the darkened skin looks like (simply a change in

color vs dermatitis)it is hard to say what may be causing the color

change, but here are a few ideas...

Niacin can cause a change in skin color around the mouth, but the skin

is usually inflammed. A deficiency this extreme would likely only be

seen in a patient consuming excessive alcohol.

Vitamin C can cause a color change (scurvy symptoms) that looks like

an old bleed. I would find this unlikely unless the patient's diet

was extremely poor in Vitamin C and no supplement was taken (the

amount of Vit C needed to avoid this is generally <10 mg/day)

Any anti-diarrhea medicine with Bismuth salts, including Maalox and

Pepto, can cause a temporary (a day or two) discoloring of the skin

and tongue

Hypothyroidism and adrenal dysfunction also cause skin color changes,

generally a more pale color in light skinned people and a darkening in

olive color or darker skin. The skin around the mouth is especially

vulnerable. This may be the answer.

>

> Does anyone know if vit/min def can cause darkening around the mouth?

> Thanks!

>

>

>

> Allbritten, RD, LDN

>

> Vanderbilt Center for Surgical Weight Loss

>

> Certificate of Training in Adult Weight Management

>

> jaime.l.allbritten@...

> <mailto:jaime.l.allbritten@...>

>

[Guest guest]

Hello,

I just had a patient come in who has a black tongue-he is s/p gastric bypass surgery on 2/8/08. He had a leak following surgery and was intubated for 3 days post op.

Should I check for any particular vitamins/minerals? Do you think its niacin? He is a recovering alcoholic but I know he is not drinking now.

Any thoughts would be greatly appreciated. thank you,

vit/min def and darkening of the mouth

Does anyone know if vit/min def can cause darkening around the mouth? Thanks!

Allbritten, RD, LDN

Vanderbilt Center for Surgical Weight Loss

Certificate of Training in Adult Weight Management

jaime.l.allbritten@ vanderbilt. edu

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[Guest guest]

I had a patient a few years back with a similar issue (march/ april

2004). Do a search from the site (black tongue) and

you will find it. I recieved some excellent responses with pictures

and explanation of possible cause and treatment.

What I found is it could be fungal overgrowth from antibiotic use

and/ or lack of saliva production. I never found a specific vit/min

deficiency related to this and did not find it to be directly

related to the patient's bariatric surgery.

It is not something I have seen again in any post op WLS patient

since that time several years ago.

It was an interesting case.

Corey

>

> Hello,

> I just had a patient come in who has a black tongue-he is s/p

gastric bypass surgery on 2/8/08. He had a leak following surgery

and was intubated for 3 days post op.

> Should I check for any particular vitamins/minerals? Do you think

its niacin? He is a recovering alcoholic but I know he is not

drinking now.

> Any thoughts would be greatly appreciated. thank you,

>

>

>

> vit/min def and darkening

of the mouth

>

> Does anyone know if vit/min def can cause darkening around the

mouth? Thanks!

>

> Allbritten, RD, LDN

> Vanderbilt Center for Surgical Weight Loss

> Certificate of Training in Adult Weight Management

> jaime.l.allbritten@ vanderbilt. edu

>

>

>

>

>

_____________________________________________________________________

_______________

> Never miss a thing. Make your home page.

> http://www./r/hs

>

[Guest guest]

Really random but I remembered this email. We had a pt who was also complaining of a Black Tongue and he was dx with a Red wine allergy by his pcp. Once he stopped his red wine all symptoms resolved. Just thought I would pass this on.

Jerry

From: filbertnut22 <filbertnut22@...>Subject: Re: vit/min def and darkening of the mouth Date: Tuesday, February 26, 2008, 8:48 AM

I had a patient a few years back with a similar issue (march/ april 2004). Do a search from the site (black tongue) and you will find it. I recieved some excellent responses with pictures and explanation of possible cause and treatment. What I found is it could be fungal overgrowth from antibiotic use and/ or lack of saliva production. I never found a specific vit/min deficiency related to this and did not find it to be directly related to the patient's bariatric surgery. It is not something I have seen again in any post op WLS patient since that time several years ago.It was an interesting case.Corey >> Hello,> I just had a patient come in who has a black tongue-he is s/p gastric bypass surgery on 2/8/08. He had a leak following surgery and was intubated for 3 days post op. > Should I check for any particular vitamins/minerals? Do you think its niacin? He is a recovering alcoholic but I know he is not drinking now.> Any thoughts would be greatly appreciated. thank you,> > > > [bariatricNutrition Dietitians] vit/min def and

darkening of the mouth> > Does anyone know if vit/min def can cause darkening around the mouth? Thanks!> > Allbritten, RD, LDN> Vanderbilt Center for Surgical Weight Loss> Certificate of Training in Adult Weight Management> jaime.l.allbritten@ vanderbilt. edu> > > > > ____________ _________ _________ _________ _________ _________ _____________ ___> Never miss a thing. Make your home page. > http://www.. com/r/hs>