Tongue Bumps: Causes and Connections to Chronic Conditions

Tongue issues: raised lesions on the dorsum of the tongue?

Hello Doctor: About a week ago, I started feeling a dull pain on the dorsum of my tongue.
When I extend my tongue and gently bite it with my molars, I experience pain similar to that of an ulcer (like excessive heat).
After looking in the mirror, I noticed one or two raised areas towards the back of my tongue.
When I touch them with my finger, I don't feel anything; they look like granulation tissue.
The surrounding area feels slightly rough.
I also have a long history of chronic rhinitis.
Could this be related? Or is it due to excessive heat, a viral infection, or another issue?

Mr. Luo, 20~29 year old female. Ask Date: 2017/04/27

Dr. Zhu Guanyu reply Dentistry

Hello, the tongue is a sensitive organ that contains many taste buds as well as fungiform and filiform papillae on its dorsal surface.
Pain may occur due to dietary irritants or environmental factors.
The posterior edge of the tongue features a row of about 8-10 prominent papillae, which is a normal anatomical structure but very sensitive.
Inflammation may arise from bacterial or viral infections.
The lateral posterior part of the tongue contains the lingual tonsils, which play a role in immunity and may feel granular upon palpation.
If there are any issues, it is advisable to consult an oral surgeon.
Thank you for your question, and I hope this information is helpful.
Wishing you peace and health.
Sincerely, Dr.
Kuan-Yu Chu, Chief of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/04/27

More Info

When it comes to bumps on the tongue, there can be a variety of causes, and understanding these can help in determining the best course of action. Based on your description of experiencing a dull pain on the back of your tongue, along with the presence of bumps that feel like granulation tissue, there are several potential explanations.

1. Oral Candidiasis: This is a fungal infection that can lead to white patches or bumps on the tongue and may cause discomfort. It is more common in individuals with weakened immune systems or those who have been on antibiotics.

2. Geographic Tongue: This benign condition is characterized by irregular patches on the tongue's surface that can appear as bumps. These patches can change location and may be associated with sensitivity or discomfort, especially during flare-ups.

3. Oral Lichen Planus: This is an inflammatory condition that can cause white patches, bumps, or sores in the mouth. It can be chronic and may flare up due to stress or other triggers.

4. Trauma or Irritation: If you've been biting your tongue or if there is irritation from dental appliances, this could lead to localized swelling or bumps.
5. Viral Infections: Certain viral infections, such as herpes simplex, can cause painful sores or bumps on the tongue and in the mouth.
6. Allergic Reactions: Allergies to certain foods or dental products can lead to localized swelling and bumps on the tongue.

7. Chronic Conditions: Given your history of chronic rhinitis, it’s possible that systemic inflammation or immune response could be contributing to your oral symptoms. Chronic nasal congestion can lead to mouth breathing, which may dry out the oral mucosa and contribute to discomfort or irritation.

In terms of treatment, it largely depends on the underlying cause. Here are some general recommendations:
- Maintain Oral Hygiene: Regular brushing of the tongue and teeth can help reduce the risk of infections and irritation.

- Avoid Irritants: If you suspect certain foods or dental products are causing irritation, try eliminating them from your diet temporarily.

- Stay Hydrated: Drinking plenty of water can help keep the mouth moist and reduce discomfort.

- Topical Treatments: Over-the-counter topical anesthetics or mouth rinses may provide temporary relief from pain or discomfort.

- Consult a Specialist: If the bumps persist, worsen, or are accompanied by other symptoms (such as fever or significant pain), it would be wise to consult an ENT specialist or a dentist. They can perform a thorough examination and may recommend further tests, such as a biopsy, if necessary.

In summary, while there are various potential causes for the bumps on your tongue, many of them are benign and can be managed with proper care. However, given your chronic nasal issues, it’s essential to consider how systemic factors may be influencing your oral health. If symptoms persist, seeking professional medical advice is crucial for accurate diagnosis and treatment.

Similar Q&A

Understanding White Bumps on Your Tongue: Causes and Solutions

The presence of small white bumps on the surface of the tongue, resembling tiny blisters with some red areas, could indicate a condition known as oral thrush or geographic tongue. It is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treat...

Dr. Zeng Guanghui reply Dentistry
It may be caused by inflammation of the mucosa on the dorsum of the tongue; it is recommended to consult a dentist for further examination.

Understanding Tongue Issues: Causes of Mouth Sores and Red Bumps

Hello Doctor, I have recently been experiencing frequent sores in my mouth, and I have red, swollen bumps on both my tongue and under my tongue, although they are not very painful (as shown in the link: https://iiil.io/uV9H). I would like to inquire about the possible causes and ...

Dr. Li Jiaxuan reply Otolaryngology
If you suspect that you may have a cauliflower infection, it is recommended to visit an otolaryngology clinic for a biopsy. The redness and swelling of the tongue can often be determined to be inflammation, but there are many possible causes (sources of infection) for the inflamm...

Understanding Tongue Bumps: Causes and Treatments for Oral Discomfort

There is a small white bump at the back of the right tip of my tongue that resembles a blister rather than an ulcer. It constantly presses against the roof of my mouth and causes a slight, nagging pain, but it is not very intense.

Dr. Zheng Jueyi reply Otolaryngology
Hello, a common issue is tongue inflammation. If it persists without improvement, it is advisable to seek medical evaluation. Wishing you peace and health. Dr. Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Understanding Tongue Edge Bumps: Causes and Concerns

The edges of the tongue have protrusions on both sides, and there is no pain, while the tongue appears wavy. What could be the cause of this?

Dr. Hu Kexin reply Otolaryngology
Hello: Based on your description, it seems that it could possibly be caused by dental indentations. I recommend that you consult an otolaryngologist for an examination and diagnosis. Sincerely, Dr. Hook.