Painful Growth Under Tongue: Causes and Treatment Options - Otolaryngology

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Painful growths under the tongue can be concerning and may arise from various causes. Based on your description, it sounds like you may be dealing with a condition known as a mucocele, which is a cyst that forms when a salivary gland is blocked or damaged. Mucoceles are typically painless, but they can become painful if they are irritated or infected. The fact that you mentioned it has a whitish appearance and causes pain when touched suggests that it might be inflamed or infected.

Another possibility is that you could be experiencing a condition known as a ranula, which is a type of mucocele that occurs specifically on the floor of the mouth. Ranulas can also be painful and may fluctuate in size, often becoming larger when they are irritated or when saliva accumulates in the cyst.

Other potential causes for painful growths under the tongue include:
1. Oral Candidiasis (Thrush): This is a fungal infection that can cause white patches in the mouth, including under the tongue. It can be painful and may cause a burning sensation.

2. Aphthous Ulcers (Canker Sores): These are small, painful sores that can occur anywhere in the mouth, including under the tongue. They can be triggered by stress, certain foods, or underlying health conditions.

3. Infections: Bacterial infections can also lead to painful swellings or abscesses under the tongue. If there is an infection, it may require antibiotics for treatment.

4. Trauma or Irritation: If you have bitten your tongue or if there is irritation from dental appliances, this can lead to painful growths or lesions.

5. Tumors: Although less common, both benign and malignant tumors can develop in the oral cavity, including under the tongue. These would typically require further evaluation by a healthcare professional.

Given that your symptoms have persisted for 1-2 months and that the growth is painful and changes in size, it is crucial to seek professional dental or medical evaluation. A dentist or oral surgeon can perform a thorough examination, possibly including imaging studies or a biopsy if necessary, to determine the exact nature of the growth and recommend appropriate treatment.

In the meantime, here are some general tips for managing discomfort:
- Avoid Irritation: Try to avoid touching or irritating the area further. This includes avoiding spicy or acidic foods that may exacerbate the pain.

- Maintain Oral Hygiene: Keep your mouth clean by brushing your teeth gently and using a mild mouthwash to reduce the risk of infection.

- Pain Relief: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain if needed, but consult with a healthcare provider before taking any medication.

In summary, while there are several potential causes for the painful growth under your tongue, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and promote healing.