Tongue Issues: What to Do When You Notice Abnormalities - Dentistry

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Issues with the tongue?


Hi Doctor, I'm an international student and it's not very convenient for me to see a doctor abroad, so I wanted to ask you first.
A few days ago, I ate instant noodles and quickly burned my tongue slightly (but it wasn't serious, just a bit painful for one night).
After eating, I felt like there was something stuck under my tongue, and when I looked in the mirror, I noticed what seemed to be a cyst-like mass at the base of my tongue.
It felt somewhat elastic, like a small air sac, but the next day it quickly reduced in size.
I can only make it appear by doing specific movements; otherwise, it’s not visible.
When I poke it, it doesn’t hurt, and if I forcibly insert my finger under the base of my tongue to touch it, it feels like a small grain, about the size of a pimple, rather than an air sac like I saw in pictures.
I found online that things growing at the base of the tongue are often related to cancer, which is quite frightening.
Could you help me understand what this might be????? Since it's also inconvenient for me to see a doctor, could you provide some observation methods for me to monitor it? If it seems serious, I might have to return home or see a doctor in the U.S.
Here are the images: [link1](https://www.dropbox.com/s/5g5e41qfp3foz1u/14060197_1275154512504424_1424282625_o.jpg?dl=0) [link2](https://www.dropbox.com/s/txe89ylyc3ursas/14037932_1275154505837758_1404583502_o.jpg?dl=0) [link3](https://www.dropbox.com/s/bjo43s15dkaf2y9/14012525_1275154502504425_1142624175_o.jpg?dl=0)

Yen Chih Huang, 20~29 year old female. Ask Date: 2016/08/16

Dr. Zeng Guanghui reply Dentistry


Based on the above description, it is more likely to be a sublingual salivary gland cyst, sublingual salivary gland inflammation, or a stone.
It is recommended to consult a dentist or an oral surgeon for further examination.

Reply Date: 2016/08/16

More Info


When it comes to abnormalities in the tongue, it’s understandable to feel concerned, especially when you notice something unusual after an incident like burning your tongue. Based on your description, it seems that you experienced a minor burn from hot food, which can sometimes lead to temporary swelling or irritation in the mouth and tongue. The sensation of having something stuck under your tongue, along with the appearance of a small, soft bump at the back of your tongue, can be alarming, particularly when you read about potential serious conditions online.

Firstly, it’s important to note that many benign conditions can cause similar symptoms. The bump you described could be a mucous cyst (also known as a mucocele), which can occur when a salivary gland is blocked or damaged, leading to a buildup of mucus. These cysts are typically harmless and can resolve on their own, especially if they are small and not causing significant discomfort.

Here are some steps you can take to monitor the situation:
1. Observe Changes: Keep an eye on the bump over the next few days. If it continues to shrink and eventually disappears, it’s likely a benign issue. If it grows larger, becomes painful, or if you notice any other concerning symptoms (such as difficulty swallowing, persistent pain, or changes in taste), it would be wise to seek medical attention.

2. Maintain Oral Hygiene: Ensure that you maintain good oral hygiene. Rinse your mouth with warm salt water to help reduce any inflammation and promote healing. Avoid irritating foods (like spicy or acidic foods) that could exacerbate the condition.

3. Avoid Irritation: Try not to poke or prod the area with your fingers or tongue, as this could lead to further irritation or infection.

4. Document Symptoms: Keep a record of any changes in the size, color, or sensation of the bump, as well as any other symptoms you may experience. This information will be helpful if you do decide to see a healthcare provider.

5. Consider Timing: If the bump persists for more than a couple of weeks without improvement, or if you have any doubts about your symptoms, it’s advisable to consult a healthcare professional. While it may be inconvenient to see a doctor, especially being abroad, your health is important, and a professional evaluation can provide peace of mind.

6. Seek Professional Help: If you have access to a healthcare provider, consider scheduling an appointment. They may perform a physical examination and, if necessary, imaging studies or a biopsy to rule out any serious conditions.

In summary, while it’s natural to worry about potential serious issues like cancer, many oral lesions are benign and can resolve on their own. Monitoring the situation, maintaining good oral hygiene, and seeking medical advice if symptoms persist or worsen are key steps to take. If you find yourself increasingly anxious about the situation, it might also be helpful to talk to someone about your concerns, as anxiety can sometimes exacerbate physical symptoms.

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