Recurrent Blisters on the Tongue: Causes and Solutions - Dentistry

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Tongue issues?


Hello Dr.
Lin, I occasionally get blisters near the tip of my tongue.
Although the blisters disappear within 2 to 3 days, they always occur in the same spot.
Last month, I noticed a slightly raised bump in the area where the blisters frequently appear.
The color is similar to the surrounding tissue, and it is slightly smaller than the blisters.
It feels the same as the surrounding area.
What could be the possible cause? Thank you for taking the time to respond!

Yumi, 40~49 year old female. Ask Date: 2021/04/24

Dr. Lin Jiayong reply Dentistry


Hello: If the oral mucosa (including the tongue) has been injured, vascular proliferation may occur, making it more susceptible to repeated injuries and bleeding.
It is recommended to chew slowly and avoid excessively cold, hot, or irritating foods.
If there are still concerns about oral cancer, it is advisable to undergo a biopsy for diagnosis.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/04/24

More Info


Recurrent blisters on the tongue, particularly in the area near the tip, can be concerning and may arise from various underlying causes. The fact that these blisters appear in the same location and resolve within a few days suggests a localized issue rather than a systemic condition. Here are some potential causes and solutions based on your description:

Possible Causes
1. Trauma or Irritation: One of the most common reasons for recurrent blisters on the tongue is trauma. This could be due to accidental biting, sharp food, or dental appliances. If the area is consistently irritated, it may lead to the formation of blisters.

2. Canker Sores (Aphthous Ulcers): These are small, painful ulcers that can develop on the tongue and inside the mouth. They often recur and can be triggered by stress, certain foods, or hormonal changes. While canker sores typically do not present as blisters, they can cause localized swelling and discomfort.

3. Allergic Reactions: Allergies to certain foods, dental products, or oral hygiene products can lead to localized swelling and blistering. If you have recently changed any products or introduced new foods into your diet, this could be a contributing factor.

4. Infections: Viral infections, such as herpes simplex virus, can cause blisters in the oral cavity. These blisters may be painful and can recur in the same area. If you notice other symptoms, such as fever or swollen lymph nodes, it might be worth considering an infectious cause.

5. Oral Lichen Planus: This is a chronic inflammatory condition that can cause white patches, blisters, and sores in the mouth. It often requires a diagnosis from a healthcare professional.

6. Underlying Health Conditions: Conditions such as vitamin deficiencies (e.g., vitamin B12, folate) or autoimmune diseases can manifest as recurrent oral lesions. If you have other symptoms or a history of such conditions, it may be worth investigating further.


Solutions and Recommendations
1. Avoid Irritants: If you suspect that trauma or irritation is the cause, try to avoid sharp foods and be cautious when eating. Maintaining good oral hygiene can also help prevent secondary infections.

2. Topical Treatments: Over-the-counter topical anesthetics or corticosteroids can help alleviate pain and reduce inflammation. Products containing benzocaine or hydrocortisone may provide relief.

3. Dietary Adjustments: If you suspect food allergies or sensitivities, consider keeping a food diary to identify potential triggers. Avoiding spicy, acidic, or abrasive foods may also help reduce irritation.

4. Consult a Healthcare Professional: Given that the blistering occurs in the same location and has led to a slight bump, it would be prudent to consult an oral health specialist or a dermatologist. They can perform a thorough examination and may recommend a biopsy if there is any concern about the nature of the lesion.

5. Monitor Symptoms: Keep track of any changes in the size, color, or pain associated with the blister or bump. If you notice any concerning changes, such as persistent pain, difficulty swallowing, or changes in taste, seek medical attention promptly.

In conclusion, while recurrent blisters on the tongue can often be benign and self-limiting, it is essential to monitor the situation closely and consult with a healthcare professional if symptoms persist or worsen. Early intervention can help address any underlying issues and provide you with peace of mind.

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