Tongue Bumps: Left Side Swelling Concerns - Otolaryngology

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There is a protrusion on the lower left side of the tongue, but not on the right side?


Hello Doctor: Originally, there was a sore on the lower left protrusion of my tongue, which healed after applying medication for a few days.
However, I have noticed that the protruding area, as shown in the link below, looks different from the right side.
I would like to ask the doctor what this condition is and how I should handle it.
Thank you.

Rong, 20~29 year old female. Ask Date: 2016/08/12

Dr. Zheng Jueyi reply Otolaryngology


Hello, if the swelling persists without improvement, it may be related to issues with the minor salivary glands or the submandibular gland.
It is advisable to seek medical evaluation.
Wishing you health and happiness! Best regards, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/08/12

More Info


When it comes to concerns about swelling or bumps on the tongue, particularly on the left side as you've described, there are several potential causes and considerations to keep in mind. Based on your description, it seems that you previously had a sore or ulcerated area on your tongue that has since healed, but you are now noticing a new bump or swelling in the same area.
First, it’s important to understand that the tongue is a muscular organ covered with a mucous membrane, which can be susceptible to various conditions. The presence of a bump or swelling could be due to several factors, including:
1. Irritation or Trauma: If you have been biting your tongue or if there has been some form of irritation (such as from hot foods, sharp edges of teeth, or dental appliances), this could lead to localized swelling.

2. Infection: Sometimes, infections can cause swelling. This could be due to a viral infection (like herpes simplex), a bacterial infection, or even a fungal infection (such as oral thrush).

3. Cysts or Mucocele: These are fluid-filled sacs that can develop in the mouth, often due to blocked salivary glands. They can appear as bumps on the tongue or in the mouth.

4. Allergic Reactions: Allergies to certain foods, medications, or dental materials can cause swelling and bumps on the tongue.

5. Oral Lesions: Conditions such as leukoplakia (white patches) or lichen planus can also present as bumps or lesions on the tongue.

6. Benign Tumors: While less common, benign tumors can develop on the tongue and may present as bumps.

Given that you have already treated a previous sore with medication, it’s crucial to monitor the new bump closely. If it persists, changes in appearance, or is accompanied by other symptoms such as pain, difficulty swallowing, or changes in taste, it would be advisable to seek further evaluation from a healthcare professional, preferably an oral surgeon or a dentist who specializes in oral pathology.

In terms of management, here are some general recommendations:
- Avoid Irritants: Steer clear of spicy, acidic, or hot foods that could further irritate the area.

- Maintain Oral Hygiene: Continue to practice good oral hygiene to prevent infections. This includes brushing your teeth and tongue gently and using an antibacterial mouthwash if recommended by your dentist.

- Monitor Symptoms: Keep track of any changes in the bump, including size, color, or associated symptoms like pain or bleeding.

- Follow-Up: If the bump does not resolve within a week or two, or if you notice any concerning changes, make an appointment with your dentist for a thorough examination and possibly imaging or biopsy if necessary.

In conclusion, while some bumps on the tongue can be benign and self-limiting, persistent or painful lesions warrant professional evaluation to rule out more serious conditions. Your health and comfort are paramount, so don’t hesitate to seek help if you have concerns about your oral health.

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