Lingual Issues: What to Do About Tongue Growths - Otolaryngology

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When you wake up to find a growth under your tongue, it can understandably cause concern. Based on your description, it sounds like you might be experiencing a condition known as a "lingual frenulum" issue, or possibly a mucocele, which is a fluid-filled cyst that can occur in the mouth. However, without a physical examination, it is difficult to provide a definitive diagnosis.

The growth you described as being transparent and about the size of a green bean, with a reddish border, could be a few different things:
1. Mucocele: This is a common condition where a salivary gland becomes blocked, leading to the accumulation of mucus. Mucoceles often appear as painless, translucent swellings and can occur anywhere in the mouth, including under the tongue. They may resolve on their own, but persistent mucoceles might require treatment.

2. Frenulum Issues: The lingual frenulum is the tissue that connects the underside of your tongue to the floor of your mouth. If this tissue is too short or tight, it can cause issues with tongue movement, which is known as tongue tie (ankyloglossia). Sometimes, irritation or inflammation can occur in this area, leading to swelling.

3. Canker Sores or Oral Lesions: These can also appear under the tongue and may be painful. They are usually caused by stress, hormonal changes, or certain foods, and they typically heal on their own within a week or two.

4. Infection or Inflammation: If the area is red and swollen, it could indicate an infection or inflammation, possibly due to trauma or irritation from biting your tongue or from dental appliances.

In terms of severity, most of these conditions are not serious and can often be managed at home. However, if the growth is painful, continues to grow, or does not resolve within a week or two, it is important to seek medical attention. A healthcare professional, such as a dentist or an ear, nose, and throat (ENT) specialist, can provide a thorough examination and determine the appropriate course of action.

Here are some steps you can take in the meantime:
- Maintain Oral Hygiene: Keep your mouth clean by brushing your teeth and using mouthwash. This can help prevent infection.

- Avoid Irritants: Stay away from spicy or acidic foods that might irritate the area.

- Monitor Symptoms: Keep an eye on the growth. If it changes in size, color, or if you experience pain, swelling, or difficulty swallowing, consult a healthcare provider.

In conclusion, while it is likely that the growth you are experiencing is benign, it is always best to err on the side of caution. If you have any doubts or if the condition worsens, do not hesitate to reach out to a healthcare professional for an accurate diagnosis and appropriate treatment.