Soft Tissue Growth Under the Tongue: Symptoms and Causes - Otolaryngology

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The soft tissue growth you are experiencing under your tongue could be attributed to several potential causes, and it’s important to consider the context of your symptoms. The presence of a soft, tender mass under the tongue can be indicative of various conditions, ranging from benign to more serious issues.

One common cause of soft tissue growth in that area is a mucocele, which is a cyst that forms when a salivary gland duct becomes blocked or damaged. This can lead to the accumulation of saliva, resulting in a soft, fluid-filled swelling. Mucoceles are generally painless but can become tender if they are irritated or infected.

Another possibility is sublingual gland enlargement or inflammation, which can occur due to infections, trauma, or other underlying conditions. If the tissue feels tender and painful, it may suggest inflammation or irritation in the area.

Additionally, oral fibromas or papillomas can develop in the mouth, including under the tongue. These are benign growths that can arise from irritation or trauma to the oral mucosa. They are usually firm and may vary in size.

In some cases, the growth could be related to oral infections, such as herpes simplex virus, which can cause sores or lesions under the tongue. If you have experienced any systemic symptoms, such as fever or malaise, this could be a sign of an infectious process.

It’s also worth noting that certain systemic conditions, such as allergies or autoimmune disorders, can lead to changes in the oral mucosa, resulting in swelling or growths.

Given the tenderness you mentioned, it would be prudent to consult a healthcare professional, preferably an oral surgeon or a dentist, who can perform a thorough examination. They may recommend imaging studies or a biopsy if necessary to determine the exact nature of the growth.

In summary, while the soft tissue growth under your tongue could be benign, such as a mucocele or fibroma, the tenderness you are experiencing warrants further evaluation. Early diagnosis and treatment can help alleviate discomfort and prevent potential complications. If you notice any changes in the size of the growth, persistent pain, or other concerning symptoms, seek medical attention promptly.