Cyndi answered question 6/16/2009 What Would Cause A Dog's Gums , Tongue, Paws, Ears To Turn Pale White? Your puppy maybe dehydrating. Give him fresh water every 30 mi. If he is very sick and has White Gums,Tongue, white color skin and eyes,diarrhea,Losing weight,He may have anemia along with a severe case of worms. Please get him to the Vet ASAP.