Tongue Growths: When to Seek Medical Advice - Otolaryngology

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Small fleshy growths on the side of the tongue?


I have a small raised bump on the right side of my tongue.
If I don't touch it, it stays flat against my tongue, but when I do touch it, it feels like a small bump.
Its location is right in the gap where my teeth come together, and it has the same color as my tongue.
It feels soft to the touch.
I visited a dentist, and the dentist felt that it looked and felt benign, likely caused by the area between my teeth.
After three days, I woke up this morning, and the small bump has shrunk by more than 90%.
Currently, it only has a white spot remaining (about the size of a pen tip).
What is this white spot? Given that the bump is shrinking, does this indicate that it is benign and that I only need to continue monitoring it? Or should I seek further examination at a hospital?

Aguang, 30~39 year old female. Ask Date: 2018/01/08

Dr. Zheng Jueyi reply Otolaryngology


Hello: Generally, a reduction in size is mostly a benign manifestation.
You may observe it yourself, but if it increases in size or continues to cause pain, you should seek medical evaluation again.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/01/08

More Info


When it comes to growths on the tongue, such as the small bump you described, it’s essential to approach the situation with careful observation and an understanding of the potential causes. Based on your description, it seems that the growth is soft, located between the teeth, and has significantly reduced in size over a few days. This is a positive sign, as many benign conditions can resolve on their own, especially if they are related to irritation or minor trauma.

The white dot you mentioned could be a remnant of the growth or possibly a sign of healing tissue. In many cases, such bumps can be caused by a variety of factors, including:
1. Irritation or Trauma: Bumps can form due to biting the tongue, friction from teeth, or irritation from dental appliances. If the bump is in an area where it frequently comes into contact with teeth, it may have developed as a response to that irritation.

2. Mucocele: This is a common type of cyst that can occur on the tongue or inside the mouth, often due to blocked salivary glands. They are usually harmless and can resolve on their own.

3. Fibroma: A fibroma is a benign tumor made up of fibrous or connective tissue. These can occur in the mouth and are generally not a cause for concern unless they grow significantly or cause discomfort.

4. Infection or Inflammatory Conditions: Sometimes, infections or inflammatory conditions can cause bumps on the tongue. If the bump was associated with pain, swelling, or other symptoms, it might warrant further investigation.

Given that the bump has shrunk significantly and is no longer causing discomfort, it is likely that it is benign. However, it is always wise to err on the side of caution. Here are some recommendations:
- Observation: Continue to monitor the area for any changes. If the bump continues to shrink and does not return, it is likely resolving on its own.

- Maintain Oral Hygiene: Keeping the mouth clean can help prevent further irritation or infection. Regular brushing and rinsing with salt water can be beneficial.

- Avoid Irritation: Try to avoid biting the area or causing further irritation until it has completely healed.

- Consult a Healthcare Provider: If the bump returns, grows, or if you experience any pain, discomfort, or other symptoms (such as difficulty swallowing or changes in taste), it would be prudent to seek further evaluation from a healthcare professional. A dentist or an oral surgeon can provide a thorough examination and may recommend imaging or a biopsy if necessary.

In conclusion, while the reduction in size and lack of discomfort are encouraging signs, it is essential to remain vigilant. If you have any doubts or if the condition changes, do not hesitate to seek medical advice. Early intervention can often lead to better outcomes, and healthcare professionals can provide peace of mind regarding any concerns you may have about oral health.

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