Your symptoms may or may not be related, because the white coat over the tongue may be a simple issue of oral hygiene, yet it is difficult to assume that is it related to the bloating and lethargy, which are more worrisome generally speaking. You need a more thorough evaluation for intestinal disorders that are associated with oral manifestations, such as inflammatory bowel disease (IBD) or celiac disease (gluten intolerance). If you have joint complaints as well, a rheumatologic disorder may need to be ruled out.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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