Red Spots on the Tongue: Causes and Treatments - Dentistry

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Tongue issues?


Hello Doctor: I noticed some small red spots on the tip of my tongue and on the sides of the tip yesterday.
They don't hurt, but there is a strange sensation.
Could this be inflammation? How long does it usually take to heal? Do I need to take anti-inflammatory medication? Thank you.

Xiao Zhu, 20~29 year old female. Ask Date: 2018/02/24

Dr. Zhu Guanyu reply Dentistry


Hello, in order to ensure an accurate diagnosis and appropriate follow-up treatment, it is recommended to visit a dental clinic for further examination.
Thank you for your message! Wishing you safety and health.
Sincerely, Dr.
Kuan-Yu Chu, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/02/24

More Info


Red spots on the tongue can be concerning, and it's understandable that you're seeking clarity on this issue. Based on your description, the red spots on your tongue could be attributed to several potential causes, including inflammation, irritation, or even an allergic reaction.
One common cause of red spots on the tongue is a condition known as "geographic tongue," which is characterized by irregular patches on the surface of the tongue that can appear red and inflamed. This condition is generally harmless and often resolves on its own without treatment. However, it can sometimes be associated with sensitivity to certain foods or oral hygiene products.

Another possibility is that the red spots are a result of irritation from certain foods, especially spicy or acidic items, or from trauma, such as biting your tongue. In some cases, vitamin deficiencies, particularly B vitamins, can lead to changes in the appearance of the tongue, including redness and soreness.

If the red spots are accompanied by other symptoms such as pain, swelling, or difficulty swallowing, it may indicate a more serious condition, such as an infection or an allergic reaction. In such cases, it is advisable to consult a healthcare professional for a thorough evaluation.

Regarding your question about inflammation and the need for anti-inflammatory medication, it largely depends on the underlying cause of the red spots. If the spots are indeed due to inflammation and are causing discomfort, over-the-counter anti-inflammatory medications like ibuprofen may help alleviate symptoms. However, if the condition persists or worsens, it is crucial to seek medical advice to rule out any serious underlying issues.

In terms of duration, if the red spots are due to a benign cause, they may resolve within a few days to a week. However, if they do not improve or if you notice any new symptoms, it is essential to follow up with a healthcare provider.

In summary, while red spots on the tongue can often be benign and self-limiting, it is important to monitor your symptoms closely. If you experience any additional symptoms or if the spots do not resolve in a reasonable timeframe, please consult a healthcare professional for further evaluation and management. Maintaining good oral hygiene and being mindful of your diet can also help prevent irritation and promote healing.

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