Bumps on the Tongue: When to See an ENT Specialist - Otolaryngology

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When it comes to bumps on the tongue or the underside of the tongue, it’s important to understand the anatomy and potential causes of these bumps. The tongue is covered with various types of tissue, including papillae, which can sometimes appear as small bumps. These are typically normal and can vary in size and shape. However, if you have recently experienced trauma to the area, such as from removing a fishbone, it’s possible that the bumps you are feeling are a result of irritation or inflammation.

The bumps you describe on the sides of your tongue could be several things. They might be normal anatomical structures, such as the lingual tonsils, which are located at the back of the tongue and can sometimes feel more prominent after trauma or irritation. Alternatively, they could be a sign of inflammation or infection, especially if they are tender or if you notice any other symptoms like swelling, redness, or discharge.

Given that you mentioned you only noticed these bumps after trying to remove the fishbone, it’s likely that the trauma has caused some localized swelling or irritation. This can lead to the appearance of bumps that may not have been noticeable before. If the bumps are not causing you any pain or discomfort and are not changing in size or appearance, they may not be a cause for concern.

However, there are certain situations where it would be advisable to see an ENT (Ear, Nose, and Throat) specialist. You should consider making an appointment if:
1. Persistent Symptoms: If the bumps do not resolve within a week or two, or if they continue to grow or change in appearance, it would be wise to seek medical advice.

2. Pain or Discomfort: If you begin to experience pain, discomfort, or difficulty swallowing, this could indicate a more serious issue that needs to be evaluated.

3. Other Symptoms: If you notice other symptoms such as fever, difficulty breathing, or any unusual discharge, these could be signs of an infection or other medical condition that requires attention.

4. History of Oral Issues: If you have a history of oral lesions, infections, or other related health issues, it’s better to err on the side of caution and consult with a specialist.

In summary, while the bumps you are feeling may be normal anatomical structures that have become more pronounced due to recent trauma, it is essential to monitor your symptoms. If they persist or worsen, or if you develop any additional symptoms, seeing an ENT specialist would be a prudent step. They can provide a thorough examination and determine if any treatment is necessary. Remember, it’s always better to seek professional advice when it comes to health concerns, especially those involving the mouth and throat.