Lingual Growths: What Could Be Under Your Tongue? - Otolaryngology

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Tongue issues


Doctor, I would like to ask about a growth that looks like a polyp under my tongue.
It is neither painful nor itchy, and I discovered it accidentally while looking in the mirror.
I want to know if it could be a papilloma, as I have performed oral sex on someone before.
Here is the image link, with the yellow circle indicating the growth: http://ppt.cc/zGwR6.
Thank you, doctor.

Alex, 20~29 year old female. Ask Date: 2016/06/17

Dr. Zheng Jueyi reply Otolaryngology


Hello: Upon initial examination, it appears to be normal tongue tissue.
A check-up can be conducted; however, if it continues to enlarge, further medical evaluation is necessary.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2016/06/17

More Info


When it comes to growths or lesions under the tongue, there are several possibilities that could explain what you are experiencing. The area under the tongue is rich in salivary glands, and various conditions can lead to the development of lumps or bumps in this region. Based on your description of a painless, non-itchy growth that you discovered accidentally, it is important to consider a few common causes.

One of the most frequent causes of such growths is the presence of a mucocele, which is a cyst that forms when a salivary gland is blocked or damaged. Mucoceles are typically painless and can appear as clear or bluish bumps. They often resolve on their own but may recur if the underlying issue is not addressed.
Another possibility is a fibroma, which is a benign tumor made up of connective tissue. Fibromas can develop in response to irritation or trauma, such as from biting the tongue or from dental appliances. These growths are usually firm and painless, and they can vary in size.

You mentioned the possibility of a "flowering plant" (花耶菜), which may refer to a condition known as oral papillomatosis. This condition is caused by the human papillomavirus (HPV) and can lead to the formation of small, wart-like growths in the mouth. However, these lesions are typically more numerous and may have a different appearance than what you described.

Given that you have also engaged in oral sexual activity, it is prudent to consider the potential for sexually transmitted infections (STIs) that can manifest in the oral cavity. While many STIs may not present with visible symptoms, some can lead to lesions or growths. If you notice any changes in the growth, such as increased size, pain, or changes in color, it would be wise to seek medical evaluation.

In summary, while the growth under your tongue may not be a cause for immediate concern, it is essential to monitor it closely. If it persists, changes, or if you experience any discomfort, it is advisable to consult a healthcare professional for a thorough examination. They may perform a visual inspection and, if necessary, a biopsy to determine the exact nature of the growth. Regular dental check-ups can also help in identifying and addressing any oral health issues early on.

In conclusion, while many growths under the tongue are benign and may not require treatment, staying vigilant and seeking medical advice when needed is crucial for maintaining oral health. Always prioritize your health and do not hesitate to reach out to a healthcare provider if you have concerns about any changes in your body.

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