Spiky Growths on the Tongue: Causes and Concerns - Dermatology

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Hello! It sounds like you're experiencing some concerning symptoms with your tongue, particularly the spiky growths you've noticed. Based on your description and the image you provided, there are several potential causes for these growths, and it's important to consider them carefully.

Firstly, the spiky growths on your tongue could be a result of several conditions. One possibility is that they are enlarged taste buds, which can sometimes become inflamed or irritated due to various factors, including trauma, irritation from sharp foods, or even infections. Another possibility is that they could be a form of oral papilloma, which is a benign growth caused by the human papillomavirus (HPV). These growths can appear similar to warts and may feel spiky or rough to the touch.

You mentioned that the growths are painful when touched but do not cause discomfort otherwise. This could indicate that they are inflamed or irritated. If the growths are indeed increasing in size, it is essential to seek a professional evaluation. While benign conditions are common, it is crucial to rule out more serious issues, such as oral cancer, especially if the growths persist or change in appearance.

In terms of your concern about "口腔菜花" (which translates to "oral cauliflower"), this term is often used to describe lesions that resemble cauliflower, typically associated with HPV-related growths. While these can be benign, they can also indicate a need for further investigation, particularly if they are symptomatic or changing.

Here are some additional points to consider regarding your symptoms:
1. Irritation and Trauma: If you have been experiencing irritation from dental appliances, sharp edges of teeth, or even aggressive brushing, this could lead to localized inflammation and growths on the tongue.
2. Infection: Oral infections, including fungal infections like oral thrush or viral infections, can also lead to changes in the oral mucosa, including the tongue. If you have a history of immunosuppression or other health issues, this could be a contributing factor.

3. Nutritional Deficiencies: Deficiencies in certain vitamins and minerals, particularly B vitamins, can lead to changes in the oral cavity, including the development of lesions or growths.

4. Chronic Conditions: Conditions such as lichen planus or geographic tongue can also cause changes in the appearance of the tongue and may lead to discomfort.

Given that your symptoms are persistent and evolving, I strongly recommend scheduling an appointment with a healthcare provider, preferably an ear, nose, and throat (ENT) specialist or a dentist with experience in oral pathology. They can perform a thorough examination, possibly including a biopsy if necessary, to determine the exact nature of the growths and recommend appropriate treatment.

In the meantime, try to avoid irritating the area further by steering clear of spicy, acidic, or abrasive foods. Maintaining good oral hygiene and staying hydrated can also help support your oral health.

Remember, early diagnosis and treatment are key to managing any potential issues effectively. Take care, and I hope you find relief soon!