Should You See a Doctor for Painful Tongue Growth? - Dentistry

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When it comes to a painful growth on the tongue, particularly one that resembles a polyp on the lingual frenulum (the band of tissue that connects the underside of the tongue to the floor of the mouth), it is essential to approach the situation with caution. While you may not experience any significant discomfort during normal activities like eating, the pain upon touching or stretching the tongue is a clear indication that something may be amiss.

First and foremost, it is advisable to consult a healthcare professional, preferably an oral surgeon or an otolaryngologist (ear, nose, and throat specialist). They can provide a thorough examination and determine the nature of the growth. There are several potential causes for such a growth, including:
1. Fibromas: These are benign tumors that can develop in various parts of the body, including the oral cavity. They are typically painless unless irritated.

2. Mucocele: This is a cyst that can form when a salivary gland is blocked or damaged. Mucoceles can appear as painless swellings but may become painful if they become inflamed or infected.

3. Papillomas: These are benign epithelial tumors that can appear on the tongue and may cause discomfort. They are often caused by the human papillomavirus (HPV).

4. Trauma or irritation: Sometimes, growths can develop as a result of chronic irritation from dental appliances, rough teeth, or habits like biting the tongue.

5. Oral cancer: While less common, any persistent growth or sore in the mouth that does not heal should be evaluated to rule out malignancy.

Given that the growth is painful when touched or stretched, it is prudent to seek medical advice sooner rather than later. A healthcare provider will likely perform a physical examination and may recommend imaging studies or a biopsy if necessary. A biopsy involves taking a small sample of the tissue for laboratory analysis to determine the exact nature of the growth.

In the meantime, it is essential to maintain good oral hygiene and avoid any irritants that may exacerbate the pain, such as spicy or acidic foods. Over-the-counter pain relief medications like acetaminophen or ibuprofen may help alleviate discomfort temporarily, but they do not address the underlying issue.

In summary, while the growth on your tongue may not be causing significant problems at the moment, the pain you are experiencing is a signal that should not be ignored. Consulting a healthcare professional is the best course of action to ensure proper diagnosis and treatment. Early intervention can lead to better outcomes, especially if the growth requires removal or further investigation. Remember, your health is paramount, and addressing concerns promptly can prevent potential complications down the line.