Tongue Issues: Bumps, Cuts, and Oral Health Concerns - Otolaryngology

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Issues with the tongue?


Hello Doctor, I accidentally bit my tongue during lunch and it bled a little but stopped later.
However, when I looked at my tongue with a makeup mirror, I noticed that there seem to be many small bumps that have a faint red appearance.
I'm not sure if my tongue always looked like this.
A while ago, when I visited the dentist for a mouth sore, the doctor said it was just due to lack of sleep and advised me to apply some medication.
I'm worried if my tongue is sick.
I want to know if taste buds are naturally granular because I only remember the tongue having taste buds, especially the front part of the tongue, which looks quite prominent.
Also, should I rinse the wound with saltwater? My mom suggested disinfecting it, but I already use mouthwash.
Thank you for your response, Doctor.

Mui, 10~19 year old female. Ask Date: 2020/04/20

Dr. Zheng Jueyi reply Otolaryngology


Hello: The surface of the tongue is naturally covered with many small protrusions known as taste buds.
For the wound caused by biting, it is recommended to rinse your mouth with clean water frequently to reduce food residue accumulation.
Using salt water or mouthwash may be too irritating for the wound and could affect the healing process.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/04/20

More Info


When it comes to oral health, particularly issues related to the tongue, it's important to understand the anatomy and normal variations of the tongue as well as how to care for it after an injury. Your concerns about the small bumps and redness on your tongue after accidentally biting it are quite common, and I can provide some insights into what you might be experiencing.

Firstly, the tongue is covered with tiny bumps called papillae, which contain taste buds. These papillae can vary in size and prominence among individuals, and they are completely normal. The anterior (front) part of the tongue typically has more prominent papillae, which is why you might notice them more in that area. If you see a slight redness or swelling, it could be a reaction to the injury from biting your tongue, which is quite common and usually resolves on its own.

Regarding the injury itself, when you bite your tongue, it can lead to a small cut or abrasion that may bleed initially. The bleeding usually stops quickly, and the area may appear red and swollen as it heals. It's essential to keep the area clean to prevent infection. While your mother suggested using saltwater for rinsing, which can help with healing due to its antibacterial properties, it’s important to be cautious with salt, as it can also irritate the wound. Instead, you can use a mild saline solution (a teaspoon of salt in a cup of warm water) or continue using your regular mouthwash, provided it is alcohol-free, as alcohol can further irritate the area.

If you notice that the bumps on your tongue persist or if you develop additional symptoms such as pain, swelling, or a change in taste, it would be wise to consult a healthcare professional. Sometimes, injuries can lead to conditions like oral thrush or other infections, especially if the immune system is compromised or if there are underlying health issues.

In summary, the small bumps you see on your tongue are likely normal anatomical features known as papillae. The redness and swelling from the bite should improve with proper care. Rinsing with a mild saline solution or your regular mouthwash can help keep the area clean. If symptoms persist or worsen, seeking advice from a dentist or an oral health specialist would be the best course of action. Remember, maintaining good oral hygiene and being mindful of any changes in your mouth can help you catch potential issues early.

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