Oral Lesions: What Could That Red Bump Be? - Otolaryngology

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Oral issues


Hello Doctor, I have a red spot in the area shown in my photo.
It is slightly raised and feels like a pimple when touched, somewhat firm, with a white spot in the center.
However, I cannot express anything using a cotton swab or my fingers.
This area underwent a suspension lift procedure on April 1, where stitches were placed.
There was a small spot that became infected but healed afterward, yet there has always been something there.
Recently, I noticed this area again and it feels strange, with a slight stinging sensation.
Swallowing also gives a feeling of something foreign.
Could this be something concerning, or is it a granuloma? The firmness when touched makes me worry.
Given the current pandemic, I am afraid to see a doctor and I am very concerned.
This has been present for over a month.
I am not sure if it has grown larger, but it feels like a small bean and has a hard texture.
I am really worried about what this could be.
Please help me with your insights.
Thank you!

Miss Yang, 40~49 year old female. Ask Date: 2021/05/26

Dr. Zheng Jueyi reply Otolaryngology


Hello: Initially, it appears to be an inflammation or cyst of a minor salivary gland.
If there is no significant pain or discomfort, you may observe it for now.
However, if it continues to enlarge, it is advisable to seek medical evaluation for confirmation.
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: 2021/05/26

More Info


When it comes to oral lesions, particularly the red bump you described, there are several potential explanations based on your symptoms and history. Given that you had a surgical procedure on April 1st, which involved sutures, it is possible that the bump you are feeling is related to that procedure. Here are some considerations regarding your situation:
1. Post-Surgical Changes: After any surgical procedure, the healing process can lead to various changes in the oral mucosa. It is not uncommon for small bumps or nodules to form as part of the healing process. These can sometimes feel firm or hard to the touch, especially if there is scar tissue forming. The presence of a white spot in the center could indicate a small area of keratinization or even a minor accumulation of debris.

2. Granulation Tissue: If the bump has been persistent since your surgery, it could be granulation tissue. This is a normal part of the healing process, where new connective tissue and tiny blood vessels form on the surface of a wound. Granulation tissue can appear red and may feel firm. It is generally not harmful, but if it becomes bothersome or does not resolve, it may need to be evaluated by a healthcare professional.

3. Infection or Abscess: Given your history of a previous infection at the site, it is important to consider the possibility of a localized infection or abscess. If the bump is painful, feels warm, or shows signs of increased redness, it could indicate an infection. In such cases, it is crucial to seek medical attention, as infections may require treatment with antibiotics or drainage.

4. Other Lesions: While less likely, it is essential to rule out other types of lesions, such as fibromas, mucoceles, or even more serious conditions. The fact that you are experiencing a sensation of something foreign when swallowing could suggest that the lesion is affecting the surrounding tissues or that there is some irritation present.

5. Monitoring and Follow-Up: Since you mentioned that the bump has been present for over a month without significant changes in size, it is advisable to monitor it closely. If you notice any changes, such as an increase in size, changes in color, or if it becomes increasingly painful, you should seek a dental or medical evaluation. Regular follow-ups with your healthcare provider are essential, especially if you have concerns about the lesion.

6. Telehealth Options: Given the current pandemic situation, many healthcare providers offer telehealth consultations. This could be a convenient way for you to discuss your concerns with a dentist or oral surgeon without needing to visit in person. They may be able to provide guidance based on visual assessments and your symptoms.

In conclusion, while the bump you are experiencing could be a benign post-surgical change, it is essential to remain vigilant. If you have any doubts or if the symptoms worsen, do not hesitate to seek professional advice. Your oral health is important, and timely intervention can prevent complications.

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