Red Bumps on the Back of the Tongue: What Could They Be? - Otolaryngology

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There are several red, flat, round lesions on the back of the tongue?


What could it be? Could it be a tumor? I have no other symptoms except for this lump! My throat doesn't hurt, and I don't have any difficulty swallowing! I'm really scared, but it doesn't hurt.
I just noticed it a few days ago.
Should I go to an ENT specialist outside or to a hospital?

Kimama, 30~39 year old female. Ask Date: 2021/06/22

Dr. Zheng Jueyi reply Otolaryngology


Hello, if there are no obvious symptoms, it is common to find circumvallate papillae at the base of the tongue.
If you are concerned, you can visit an otolaryngologist for examination and confirmation.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/06/22

More Info


Red bumps on the back of the tongue can be concerning, especially if they appear suddenly and without accompanying symptoms like pain or difficulty swallowing. However, there are several potential explanations for these bumps, and many of them are benign.

1. Transient Lingual Papillitis: This is a common condition characterized by inflammation of the taste buds, which can appear as red bumps. It is often temporary and can resolve on its own without treatment. It may be triggered by irritation from certain foods, stress, or even hormonal changes.

2. Allergic Reactions: Sometimes, food allergies or sensitivities can cause localized swelling or bumps on the tongue. If you've recently consumed new foods or products, consider whether an allergy might be the cause.

3. Infections: Viral infections, such as herpes simplex virus, can lead to the formation of bumps or sores on the tongue. However, these typically come with other symptoms, such as pain or fever.

4. Geographic Tongue: This benign condition causes patches on the tongue that can appear red and inflamed. The patches can change location and shape over time, and while they may be alarming, they are not harmful.

5. Oral Thrush: A fungal infection caused by Candida can lead to white or red patches on the tongue. This condition is more common in individuals with weakened immune systems or those who have recently taken antibiotics.

6. Canker Sores: These are small, painful ulcers that can appear on the tongue or inside the mouth. While they are usually painful, some individuals may experience them without significant discomfort.

7. Tumors or Lesions: While the possibility of tumors cannot be completely ruled out, the absence of pain, difficulty swallowing, or other systemic symptoms makes it less likely. Tumors in the oral cavity can present as bumps, but they usually come with other signs, such as persistent pain or changes in eating habits.

Given that you have noticed these bumps without any other symptoms, it is likely that they are benign. However, it is always wise to consult a healthcare professional for a thorough examination. An ear, nose, and throat (ENT) specialist would be well-equipped to evaluate your symptoms and provide a proper diagnosis. They may perform a physical examination and, if necessary, additional tests to rule out any serious conditions.

In the meantime, monitor the bumps for any changes in size, color, or associated symptoms. Avoid irritating foods, such as spicy or acidic items, which could exacerbate any inflammation. Maintaining good oral hygiene can also help prevent infections.

In conclusion, while red bumps on the back of the tongue can be alarming, they are often benign and related to common conditions. Consulting with a healthcare provider will provide you with peace of mind and the appropriate care if needed. Remember, early intervention is key to addressing any health concerns effectively.

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