© 2025. The Trustees of Indiana University
Copyright Complaints
1229 East Seventh Street, Bloomington, Indiana 47405
News, Arts and Culture from WFIU Public Radio and WTIU Public Television
Play Live Radio
Next Up:
0:00
0:00
0:00 0:00
Available On Air Stations
Federal funding for public media has been eliminated — we need your help to continue serving southern Indiana
Some web content from Indiana Public Media is unavailable during our transition to a new web publishing platform. We apologize for the inconvenience.

Upset Stomach, Upset-Looking Tongue

Have you ever had a stomachache, taking Pepto Bismol, and then looked in the mirror to see that your tongue was suddenly black? If you're reading this, you have probably gotten over your initial thought: I'm dying. And if you're reading this because you saw you had a black tongue and found this page, don't worry, you're going to be OK.

A Tongue As Dark As The Night

The active ingredient in Pepto Bismol is a compound called bismuth subsalicylate. This compound has anti-diarrheal, anti-bacterial, and antacid effect on the digestive tract. It's why that medicine can treat stomach discomfort.

The thing is, when the bismuth combines with the trace amounts of sulfur in your saliva and in your gastrointestinal tract, it reacts to form a black substance called bismuth sulfide.

Bismuth sulfide is where the discoloration on your tongue comes from. And bismuth sulfide can also temporarily darken the stool. It's a common enough side-effect that it's also listed in the package information and on the company's website.

Sources And Further Reading:

  • Ray, C. Claiborne, "A Black Tongue" Science Desk Q & A, Section F; Column 1; Pg. 2, April 6, 2004.
  • "Why Does Pepto-Bismol Turn Your Tongue Black?" UCSB Science Line. Accessed January 12, 2017.
  • Stay Connected