I was born with black spots on my tongue. can you tell me what it means?

Heredity: Many population groups have black spots on the tongue. It has been said to be more common in those of mediterranean descent. Usually no problem. Ask other family members if they have it.

Pigmentation: The usual culprit for black spots on the tongue include excess pigmentation. Also this can occur after trauma or piercing. Cancer can also cause this however if you were born with this, i would think cancer highly unlikely!

Black spotted tongue: The most common reason for a black spot on the tongue is hyper-pigmentation, also known as oral fibroma. Oral fibroma is a genetic trait that causes dark brown or black spots to appear on the tongue like a birth mark. This kind of black tongue spot should not affect taste or cause any pain; it is purely cosmetic.