White granules under the tongue?
Hello Doctor: Recently, I discovered white nodules on the left side under my tongue.
They are not painful; in fact, I only notice them when I intentionally touch them with my tongue.
They have been present for about two to three weeks.
I exercise regularly, do not smoke or drink alcohol, and my sleep is normal.
However, I have been eating more rich foods lately.
Could this be due to "heat" in my body? What could this be? If I ignore it, will it resolve on its own? Should I consider using an oral anti-inflammatory medication? Thank you!
Mr. Li, 20~29 year old female. Ask Date: 2018/05/30
Dr. Zheng Jueyi reply Otolaryngology
Hello: Initially, it appears to be a granuloma.
If it does not resolve within two weeks, it is recommended to consult an otolaryngologist or oral surgeon for further evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2018/05/30
More Info
Understanding white bumps under the tongue can be concerning, especially when they persist for a couple of weeks without pain or discomfort. Based on your description, it sounds like you might be dealing with a condition known as a mucocele or possibly a benign growth such as a fibroma or a fibrous nodule.
Mucoceles are fluid-filled cysts that can occur when a salivary gland duct is blocked or damaged, leading to the accumulation of saliva. They are typically painless and can appear as soft, bluish or white bumps. While they can resolve on their own, they may also require treatment if they persist or cause discomfort.
Another possibility is that the white bumps are related to irritation or inflammation in the oral cavity, which can occur due to various factors, including dietary changes, trauma, or even stress. Given that you mentioned an increase in rich foods recently, it’s plausible that this could have contributed to the irritation.
In terms of treatment, if the bumps are not causing any pain or discomfort, you might choose to monitor them for a little longer. However, if they do not resolve or if you notice any changes in size, color, or if they start to cause discomfort, it would be wise to consult a healthcare professional. They may recommend a thorough examination, possibly including a biopsy if there is any suspicion of a more serious condition.
Over-the-counter oral anti-inflammatory medications or topical treatments may provide some relief if there is any associated irritation, but these should be used cautiously and ideally under the guidance of a healthcare provider.
It's also important to maintain good oral hygiene, as this can help prevent further irritation or infection. Regular dental check-ups are crucial, as a dentist can provide a more accurate diagnosis and appropriate treatment options tailored to your specific situation.
In summary, while the white bumps under your tongue may not be a cause for immediate concern, it is essential to keep an eye on them. If they persist or worsen, seeking medical advice is the best course of action. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out to a healthcare professional if you have any doubts or concerns.
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