The back of the tongue is thickened?
The back of the tongue feels rough, with small red spots and small bumps on both sides of the back of the tongue, but there is no pain.
What could this be? Which specialist should I see? Thank you.
Yuan, 20~29 year old female. Ask Date: 2016/05/20
Dr. Zeng Guanghui reply Dentistry
The above situation may be due to inflammation and hyperplasia of the papillae on the surface of the tongue's mucosa.
It is recommended to consult an oral surgeon for further examination.
Reply Date: 2016/05/20
More Info
Understanding a bumpy tongue, particularly when it presents with small red dots and raised areas, can be concerning but is often benign. The condition you are describing may be associated with several potential causes, and it is essential to understand these to determine when to seek dental or medical advice.
One common cause of a bumpy tongue is a condition known as "lingual papillae hypertrophy." The tongue is covered with small bumps called papillae, which can become inflamed or enlarged due to various factors, including irritation, allergies, or nutritional deficiencies. For instance, deficiencies in vitamins such as B12, folate, or iron can lead to changes in the tongue's appearance. Additionally, certain foods, particularly spicy or acidic ones, can irritate the tongue and cause these bumps to become more pronounced.
Another possibility is "geographic tongue," a benign condition characterized by irregular patches on the tongue's surface, which may appear bumpy or inflamed. These patches can change location and may be surrounded by a white or light-colored border. Geographic tongue is generally harmless and often does not require treatment unless it causes discomfort.
If the bumps you are experiencing are accompanied by other symptoms, such as pain, swelling, or changes in taste, it could indicate a more serious condition, such as an infection or an allergic reaction. Conditions like oral thrush (a fungal infection) or herpes simplex virus can also lead to changes in the tongue's appearance and should be evaluated by a healthcare professional.
When considering whether to see a dentist or a physician, it is generally advisable to start with a dentist, especially if the bumps are localized to the tongue and you have no other systemic symptoms. Dentists are trained to recognize oral health issues and can provide a thorough examination of your mouth and tongue. They can also assess for any signs of dental problems, such as gum disease or oral infections, that might contribute to the changes you are observing.
If the dentist determines that the bumps are not related to dental issues, they may refer you to a physician or an oral specialist for further evaluation. This is particularly important if there are concerns about systemic conditions or if the bumps persist despite good oral hygiene and dietary adjustments.
In summary, while a bumpy tongue with small red dots and raised areas can be benign, it is essential to monitor any changes and consider seeing a dentist for an evaluation. They can help determine the underlying cause and recommend appropriate treatment or further referrals if necessary. Maintaining good oral hygiene, staying hydrated, and ensuring a balanced diet rich in essential vitamins can also help promote overall oral health and potentially alleviate some of the symptoms you are experiencing. If you notice any worsening of symptoms or new developments, do not hesitate to seek professional advice.
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