Small White Bumps Near the Tongue Frenulum

There are three small white spots next to the frenulum of the tongue, and they feel slightly raised when touched with the tongue?

There are three small white spots next to the frenulum of the tongue, and they feel slightly raised when touched with the tongue.
What could this be? Please help me, doctor.

Ryan, 20~29 year old female. Ask Date: 2019/10/28

Dr. Wu Yuxin reply Dermatology

Medical regulations stipulate that "physicians must personally examine patients before providing treatment or prescribing medications," and therefore, online diagnosis is not permissible.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.

Reply Date: 2019/10/28

More Info

The small white bumps you are experiencing near the tongue frenulum could be attributed to several potential causes. Based on your description, these bumps may represent a few common conditions, including:
1. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous (oil) glands. They are completely harmless and often appear on the lips and inside the mouth, including the area near the frenulum.

2. Mucocele: A mucocele is a cyst that can form when a salivary gland becomes blocked or damaged, leading to the accumulation of mucus. These can appear as small, soft, and sometimes white or bluish bumps in the mouth.

3. Oral Thrush: This is a fungal infection caused by an overgrowth of Candida yeast. It can lead to white patches or bumps in the mouth, including the tongue and surrounding areas. This condition is often accompanied by discomfort or a burning sensation.

4. Irritation or Trauma: If you have recently bitten your tongue or experienced some form of irritation, this could lead to localized swelling or bumps.
5. Lichen Planus: This is an inflammatory condition that can affect the mucous membranes in the mouth, leading to white patches or bumps. It is usually accompanied by discomfort or pain.

Given the variety of potential causes, it is essential to consider the following steps:
- Observation: If the bumps are not causing significant discomfort and do not change in size or appearance, you may choose to monitor them for a short period. Many benign conditions can resolve on their own.

- Oral Hygiene: Maintaining good oral hygiene can help prevent infections and irritation. Regular brushing and rinsing with an antiseptic mouthwash may be beneficial.

- Avoid Irritants: If you suspect that the bumps are due to irritation, try to avoid spicy or acidic foods that may exacerbate the condition.

- Consultation with a Healthcare Provider: If the bumps persist, increase in size, or are accompanied by pain, swelling, or other symptoms (such as fever or difficulty swallowing), it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may recommend further tests or treatments based on their findings.

In summary, while small white bumps near the tongue frenulum can be benign and self-limiting, it is crucial to monitor their progression and consult a healthcare professional if there are any concerning changes. Early diagnosis and treatment can help address any underlying issues effectively.

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