Scott Freda on Instagram: "3 Common Tongue Changes in alcohol cirrhosis between the ages of 25 and 45 1. Yellowing: A buildup of bilirubin can make the tongue (and skin/eyes) appear yellow, a sign of liver dysfunction. 2. Smooth, Red, Sore Tongue (Atrophic Glossitis): Loss of papillae, making the tongue look shiny and red, often linked to poor nutrition (like vitamin deficiencies). 3. Fissured Tongue: Grooves or cracks on the tongue's surface, common in liver disease."