Swelling Under the Tongue: Causes and When to Seek Medical Help - Otolaryngology

More Info

---

Swelling under the tongue can be concerning, especially when accompanied by pain or discomfort. There are several potential causes for this condition, and understanding them can help you determine when to seek medical attention.

One common cause of swelling under the tongue is a condition known as a sialolith, or salivary gland stone. These stones can form in the ducts of the salivary glands, leading to blockage and swelling. This could be exacerbated by dehydration or reduced saliva production, which can occur if you are not drinking enough fluids. Eating hot foods, as you mentioned, could potentially irritate the area, but it is unlikely to be the sole cause of the swelling.

Another possibility is a mucocele, which is a cyst that forms when a salivary gland is blocked or damaged. Mucoceles are typically painless and may appear as a small, fluid-filled bump. They can resolve on their own, but if they persist or cause discomfort, medical evaluation may be warranted.

Infections, such as viral or bacterial infections, can also lead to swelling under the tongue. For instance, a viral infection like mumps can cause swelling of the salivary glands, including those under the tongue. If you notice additional symptoms such as fever, difficulty swallowing, or a bad taste in your mouth, it would be wise to seek medical attention.

Given your description of the swelling being in the center and accompanied by a small bump that feels like a blister, it could indeed be a mucocele or a minor irritation from the hot food you consumed. If the swelling is mild and not causing significant pain or difficulty with swallowing or speaking, you might consider monitoring the situation for a few days.
However, if the swelling worsens, if you experience increasing pain, or if you develop other symptoms such as fever or difficulty breathing, it is important to seek medical help promptly. In general, if the swelling does not improve within 3-5 days, or if you have any concerns about the severity of your symptoms, you should consult a healthcare professional.
In the context of the ongoing pandemic, it is understandable to be hesitant about visiting a healthcare facility. However, many healthcare providers now offer telemedicine options, which can allow you to discuss your symptoms with a doctor without needing to visit in person. This can be a good first step to determine whether an in-person visit is necessary.

In summary, while the swelling under your tongue may resolve on its own, it is important to monitor your symptoms closely. If you notice any worsening or additional concerning symptoms, do not hesitate to seek medical advice. Your health and peace of mind are paramount, and healthcare professionals are equipped to help you navigate these concerns safely.