White Bumps on the Tongue: Could It Be HPV? - Urology

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Protrusions on the tongue


The white protrusions that feel slightly numb and were discovered about a week ago may potentially be genital warts.

Asaa, 20~29 year old female. Ask Date: 2018/03/20

Dr. Xu Wencang reply Urology


You can visit the dental clinic for follow-up.

Reply Date: 2018/03/20

More Info


When it comes to white bumps on the tongue or any mucosal surface, it is essential to consider various potential causes, including infections, benign conditions, or even malignancies. In your case, you are concerned about whether these white bumps could be related to Human Papillomavirus (HPV) infection, particularly given your previous history with HPV.

Firstly, it's important to clarify that HPV is primarily associated with genital warts (also known as condylomata acuminata) and certain types of cancers, including cervical cancer. While HPV can affect the oral cavity, it is less common than other viruses, such as Herpes Simplex Virus (HSV), which can also cause lesions in the mouth. The white bumps you are experiencing could be due to several factors:
1. Oral Candidiasis (Thrush): This is a fungal infection that can cause white patches or bumps in the mouth. It is often seen in individuals with weakened immune systems, those taking antibiotics, or those with diabetes.

2. Oral Lichen Planus: This is a chronic inflammatory condition that can present as white patches or bumps in the mouth. It is not infectious but can cause discomfort.

3. Herpes Simplex Virus (HSV): HSV can cause painful blisters or sores in the mouth. If the bumps are fluid-filled and painful, this could be a possibility.

4. HPV: While HPV can cause lesions in the oral cavity, these are typically not described as "bumps" but rather as warts. HPV-related lesions in the mouth are usually associated with specific strains of the virus (e.g., HPV 16 and 18) that are linked to oropharyngeal cancers.

5. Other Causes: Other benign conditions, such as fibromas or mucoceles, can also present as bumps in the mouth.

Given your concern about the possibility of HPV, it is crucial to consult with a healthcare provider for an accurate diagnosis. A thorough examination by a dentist or an oral specialist can help determine the nature of these bumps. They may perform a visual examination, and if necessary, a biopsy to rule out any serious conditions.

In terms of transmission, if the bumps are indeed caused by HPV, it is essential to note that HPV is primarily transmitted through skin-to-skin contact, including sexual contact. However, the risk of transmission through oral contact is lower compared to genital contact. If you have had previous HPV infections, it is possible for the virus to remain dormant in your system and reactivate under certain conditions, such as a weakened immune system.

In conclusion, while it is understandable to be concerned about the possibility of HPV or other sexually transmitted infections, it is essential to seek professional medical advice for a proper diagnosis and treatment plan. Self-diagnosing based on symptoms can lead to unnecessary anxiety. Remember, many oral conditions are benign and can resolve on their own, but a healthcare provider can offer the best guidance tailored to your specific situation.

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