Unexplained Growths Under the Tongue: When to See a Doctor - Dentistry

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Unidentified growths under the tongue?


I recently noticed some unusual growths under my tongue, and around the same time, I had a cold with a fever.
I visited an ENT specialist and asked the doctor to check my tongue.
He took a quick look and said it was normal.
I also have some red spots on the surface of my tongue, and the doctor glanced at those as well, attributing them to a weakened immune system.
However, my fever has resolved after two to three weeks, and I have fully recovered, but the unusual growths under my tongue and the spots on my tongue are still present.
Can you help me understand what this might indicate? If I need to see a doctor, which specialty should I consult? Thank you.

MACA, 30~39 year old female. Ask Date: 2020/06/10

Dr. Zeng Guanghui reply Dentistry


Hello MACA: It is recommended to first consult with an oral surgeon or an otolaryngologist for further examination of the unknown lesions on and under the tongue.
Director Chuang-Hui Tseng from Nantou Hospital's Dental Department.

Reply Date: 2020/06/10

More Info


When it comes to unexplained growths under the tongue, it is essential to approach the situation with caution and seek medical advice. The presence of growths or lesions in the oral cavity can be indicative of various conditions, some benign and others potentially serious. Given your description and the fact that these growths have persisted despite your recovery from a recent illness, it is advisable to consult a healthcare professional for further evaluation.


Understanding Oral Growths
1. Common Causes: Growths under the tongue can arise from several causes, including:
- Mucocele: A common benign cyst that occurs when a salivary gland duct is blocked or damaged, leading to the accumulation of mucus.

- Fibromas: Benign tumors that can develop in response to irritation or trauma.

- Canker Sores: Painful ulcers that can appear in the mouth, including under the tongue, often linked to stress, hormonal changes, or certain foods.

- Infections: Viral infections, such as herpes simplex, can lead to lesions in the oral cavity.

- Oral Lichen Planus: A chronic inflammatory condition that can cause white patches or lesions in the mouth.

- Cancer: While less common, persistent growths should be evaluated to rule out malignancy, especially if they change in size, color, or shape.

2. Symptoms to Monitor: In addition to the growths, pay attention to other symptoms that may accompany them, such as:
- Pain or discomfort
- Difficulty swallowing or speaking
- Changes in taste
- Bleeding or discharge from the growths
- Swelling of nearby lymph nodes

When to See a Doctor
You should consider seeing a doctor if:
- The growths persist for more than two weeks without improvement.

- You experience any pain, discomfort, or changes in the growths.

- There are additional symptoms such as fever, difficulty swallowing, or unexplained weight loss.


Which Specialist to Consult
For growths under the tongue, the most appropriate specialist to consult would be an Otolaryngologist (Ear, Nose, and Throat Specialist). They have the expertise to examine oral lesions and can perform necessary diagnostic tests, such as a biopsy if needed, to determine the nature of the growths.
Alternatively, a Dentist can also evaluate oral lesions and may refer you to an ENT specialist if they find it necessary.

Diagnostic Process
During your visit, the doctor may:
- Conduct a thorough examination of your mouth and throat.

- Ask about your medical history, including any recent illnesses, medications, or changes in your health.

- Perform imaging studies or a biopsy if there is a concern about the nature of the growths.


Conclusion
In summary, while some oral growths can be benign and related to minor issues, it is crucial to have them evaluated, especially if they persist after an illness. Consulting an ENT specialist will provide you with the best chance of receiving an accurate diagnosis and appropriate treatment. Do not hesitate to seek medical attention, as early intervention can be key in managing any potential health issues effectively.

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