Painful Bumps Under the Tongue and Gum Inflammation

Pain under the tongue?

Recently, I felt a sharp pain under my tongue and looked in the mirror, finding two symmetrical lumps of granulation tissue that are red and very painful.
It seems that the medication isn't helping much! What could be wrong with me? Also, how can I manage gum inflammation on my own?

Niming, 10~19 year old female. Ask Date: 2016/06/02

Dr. Huang Zhicheng reply Dentistry

Hello, based solely on online descriptions, a diagnosis cannot be made.
It is recommended to visit a dental clinic as soon as possible for treatment.
The most common cause of gingival inflammation is poor oral hygiene.
Please use the correct brushing technique, timing, and auxiliary tools such as dental floss.
Most cases of gingival inflammation improve with better oral hygiene.
Additionally, visiting a dental clinic for a cleaning (to remove tartar and for regular check-ups) every six months can lead to better oral health.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Chief of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/06/02

More Info

Painful bumps under the tongue and gum inflammation can be concerning and uncomfortable. Based on your description of experiencing painful, red, symmetrical growths under your tongue, it is possible that you are dealing with a condition known as "mucocele" or "sialolithiasis," which are common issues affecting the salivary glands. Mucoceles are fluid-filled cysts that can occur when a salivary gland is blocked or damaged, often resulting in swelling and tenderness. Sialolithiasis refers to the formation of stones in the salivary glands, which can also lead to similar symptoms.

Another possibility is that you may be experiencing an inflammatory response due to an infection or irritation, which can lead to gingivitis or other forms of gum disease. Gum inflammation can be caused by plaque buildup, poor oral hygiene, or even certain systemic conditions. Symptoms of gum inflammation include redness, swelling, and pain, which can sometimes extend to the surrounding tissues, including the tongue.

For self-management of gum inflammation, here are some recommendations:
1. Maintain Oral Hygiene: Brush your teeth at least twice a day and floss daily to remove plaque and food particles that can contribute to gum disease. Use a soft-bristled toothbrush to avoid further irritation.

2. Saltwater Rinse: Rinsing your mouth with warm saltwater can help reduce inflammation and promote healing. Mix about half a teaspoon of salt in a glass of warm water and rinse several times a day.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation. Be sure to follow the recommended dosage on the packaging.

4. Avoid Irritants: Stay away from spicy, acidic, or abrasive foods that may exacerbate the pain. Additionally, avoid tobacco products, as they can irritate the gums and delay healing.

5. Hydration: Drink plenty of water to stay hydrated, which can help maintain saliva production and keep the mouth moist.

6. Topical Treatments: Over-the-counter topical anesthetics may provide temporary relief from pain. Look for products containing benzocaine or similar ingredients.

If your symptoms persist or worsen, it is crucial to seek professional dental care. A dentist can perform a thorough examination, potentially including imaging studies, to determine the underlying cause of your symptoms. They may recommend treatments such as scaling and root planing for gum disease, or they may need to drain a mucocele or remove salivary stones if present.

In summary, while self-care measures can help manage mild symptoms of gum inflammation and discomfort under the tongue, it is essential to consult a dentist for a proper diagnosis and treatment plan, especially if the pain is severe or accompanied by other symptoms such as fever or swelling in the face or neck. Early intervention can prevent complications and promote better oral health.

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