Persistent Blood Spot on Tongue: When to See an ENT Specialist? - Otolaryngology

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When it comes to persistent blood spots or lesions on the tongue, especially those that have been present for an extended period and have shown signs of enlargement, it is essential to approach the situation with caution. Given your description of a blood spot on the left side of your tongue near the molars, along with the pain and discomfort you experience when your tongue comes into contact with your teeth, it is advisable to seek medical attention.

The first step would be to consult an Ear, Nose, and Throat (ENT) specialist, also known as an otolaryngologist. ENT specialists are trained to diagnose and treat conditions affecting the mouth, throat, and neck, including issues related to the tongue. They can perform a thorough examination, which may include visual inspection and possibly imaging studies, to determine the nature of the blood spot and any underlying issues.

There are several potential causes for a persistent blood spot on the tongue. One common cause could be a hemangioma, which is a benign tumor made up of blood vessels. These can appear as red or purple spots and may not resolve on their own. Another possibility is a traumatic injury, especially if you have a habit of biting your tongue or if your teeth are misaligned, leading to repeated trauma to the same area. Chronic irritation from dental appliances or sharp edges of teeth can also contribute to the development of lesions.

In some cases, persistent lesions on the tongue may indicate more serious conditions, such as oral leukoplakia or erythroplakia, which can be precursors to oral cancer. While these conditions are less common, they warrant careful evaluation, especially if there are changes in size, color, or texture. Additionally, systemic conditions such as vitamin deficiencies (e.g., vitamin B12 or iron deficiency) or autoimmune disorders can manifest as changes in the oral mucosa, including the tongue.

Given that you have noted an increase in size and pain associated with the blood spot, it is crucial to address these symptoms promptly. The pain you experience when your tongue touches your teeth may indicate that the lesion is becoming more irritated or inflamed, which could lead to further complications if left untreated.

When you visit the ENT specialist, be prepared to discuss your symptoms in detail, including the duration of the blood spot, any changes you have observed, and any other symptoms you may be experiencing. The specialist may recommend a biopsy of the lesion if there is any concern about malignancy or if the diagnosis is unclear. This procedure involves removing a small sample of tissue for laboratory analysis, which can provide definitive information about the nature of the lesion.

In summary, if you have a persistent blood spot on your tongue that has been present for years and is now causing pain and discomfort, it is advisable to see an ENT specialist. They can provide a comprehensive evaluation and determine the appropriate course of action, whether that involves monitoring the lesion, treating any underlying issues, or conducting further tests to rule out more serious conditions. Early intervention is key to ensuring your oral health and addressing any potential concerns effectively.