White Bumps on Tongue and White Patches on Uvula - Dentistry

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White vesicles on the tongue margins and white patches on the uvula?


Hello Dr.
Huang: Yesterday, I suddenly examined my oral cavity and found a whitish-yellow bump (blister?) on the left edge of my tongue towards the inside.
I have attached three photos for clarity: https://ppt.cc/fBUCtx https://ppt.cc/fMxxvx https://ppt.cc/fYYRtx.
If I hadn't stuck my tongue out, I might not have noticed this (similar) bump at all, as it is neither painful nor itchy.
I would like to ask why this has appeared.
Additionally, I noticed a patch of white resembling what is seen in tonsillitis on the uvula, but my throat does not feel painful or itchy.
Is this a dangerous sign? Thank you, doctor.

Y, 30~39 year old female. Ask Date: 2020/06/04

Dr. Huang Tingfang reply Dentistry


Dear Sir: Hello! I apologize! The photo is not visible.
Basically, if there is pain or if the blisters do not disappear, you should seek medical attention promptly to prevent further complications! Take care! Wishing you peace and smooth recovery! Sincerely, Dr.
Huang Ting-Fang, Dentistry.

Reply Date: 2020/06/04

More Info


The presence of white bumps on the tongue and white patches on the uvula can be concerning, and understanding their potential causes is essential for appropriate management. Based on your description, it seems you have noticed a white or yellowish bump on the side of your tongue and white patches on your uvula, which are not causing you pain or discomfort.
Firstly, the white or yellow bump on your tongue could be a few different things. One common possibility is a mucocele, which is a fluid-filled cyst that can occur when a salivary gland duct is blocked. Mucoceles are usually painless and can appear as translucent or white bumps. Another possibility is a canker sore or aphthous ulcer, which can sometimes appear yellowish in color and may be painful, although you mentioned that yours is not causing discomfort.
Additionally, the white patches on the uvula could be indicative of several conditions. One possibility is oral thrush, a fungal infection caused by Candida species, which can lead to white patches in the mouth and throat. This condition is more common in individuals with weakened immune systems or those who use inhaled corticosteroids without proper oral hygiene. Another possibility is leukoplakia, which presents as white patches that cannot be scraped off and may require further evaluation to rule out precancerous changes.

While you mentioned that you do not experience pain or itching, it is still important to monitor these symptoms. The absence of pain does not necessarily mean that the condition is benign. For example, while many cases of oral thrush can be treated effectively with antifungal medications, leukoplakia may require a biopsy to rule out more serious conditions, including oral cancer.

Given the variety of potential causes for your symptoms, it is advisable to consult with a healthcare professional, such as an ear, nose, and throat (ENT) specialist or a dentist, for a thorough examination. They may perform a visual inspection and possibly recommend further tests, such as a biopsy, if they suspect a more serious condition.
In summary, while the white bumps and patches you are experiencing may not currently be causing discomfort, it is crucial to seek professional medical advice to ensure an accurate diagnosis and appropriate treatment. Early intervention can help prevent complications and provide peace of mind. Regular dental check-ups and maintaining good oral hygiene can also play a significant role in preventing oral health issues.

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