Painful Growth Under Tongue: When to Seek ENT Care

A polyp resembling pus growing under the tongue can be painful?

As mentioned in the title, I started developing a polyp under my tongue a couple of days ago.
It hurts when I eat or accidentally touch it while swallowing saliva, and it seems to be getting progressively more painful each day.
Is this simply due to excessive heat in the body, or should I seek medical attention? Thank you, doctor.
🙏

A, 10~19 year old female. Ask Date: 2021/12/29

Dr. Zheng Jueyi reply Otolaryngology

Hello, the common cause may be oral ulcers.
If it does not improve after a week, it is recommended to 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: 2021/12/29

More Info

When it comes to growths or lesions under the tongue, it is essential to approach the situation with caution, especially if you are experiencing pain that seems to be worsening over time. While it is possible that the growth could be related to something benign, such as a canker sore or irritation from food, there are several reasons why you should consider seeking care from an Ear, Nose, and Throat (ENT) specialist.

Firstly, the presence of a painful growth under the tongue can be indicative of various conditions. Common causes include:
1. Canker Sores: These are small, painful ulcers that can develop in the mouth, including under the tongue. They are often triggered by stress, hormonal changes, or certain foods.

2. Mucocele: This is a fluid-filled cyst that can occur when a salivary gland duct is blocked. Mucoceles are usually painless but can become uncomfortable if they are irritated.

3. Fibroma: This is a benign tumor that can develop in the oral cavity. While fibromas are typically painless, they can cause discomfort if they are located in an area that is frequently irritated.

4. Oral Cancer: Although less common, any persistent growth or sore that does not heal should be evaluated to rule out malignancy. Early detection is crucial for effective treatment.

Given that you mentioned the pain is increasing and that it is affecting your ability to eat and swallow, it is advisable to seek medical attention. Here are some reasons why you should consider seeing an ENT specialist:
- Persistent Symptoms: If the growth has been present for more than two weeks and is causing pain, it is essential to have it evaluated. Persistent lesions can indicate underlying issues that need to be addressed.

- Diagnostic Evaluation: An ENT specialist can perform a thorough examination of your oral cavity and may recommend imaging studies or a biopsy if necessary. This can help determine the exact nature of the growth and whether it requires treatment.

- Management Options: Depending on the diagnosis, the specialist can provide various treatment options. This may include medication for inflammation or pain relief, or surgical removal of the growth if it is deemed necessary.

- Peace of Mind: Consulting with a healthcare professional can alleviate anxiety regarding the growth. Understanding what it is and how to manage it can significantly reduce stress.

In summary, while it might be tempting to attribute the growth under your tongue to something minor like "heat" or irritation, the increasing pain and discomfort you are experiencing warrant a professional evaluation. It is always better to err on the side of caution when it comes to changes in your oral health. Seeking care from an ENT specialist will provide you with the necessary insights and treatment options to address your symptoms effectively.

Similar Q&A

Understanding Painful Lingual Papules: Causes and Solutions

If you have elongated small growths under your tongue that are painful, it is important to consult a healthcare professional for an accurate diagnosis. These growths could be a variety of conditions, such as fibromas, papillomas, or other types of lesions. A healthcare provider c...

Dr. Ye Dawei reply Otolaryngology
Dear Sir/Madam: 1. Laser excision may be considered. 2. It is likely granulation tissue inflammation or a mucous cyst. Dr. Yeh Da-Wei, Head of the Department of Otolaryngology, Hsinchu Hospital.

Painful Growth Under Tongue: Causes and When to See a Doctor

I started experiencing pain under my tongue about a week ago, which feels like a sore. Upon looking in the mirror, I found that one of the two growths has a white tip. Could you please tell me what this might be? Will it heal on its own, or do I need to see a doctor?

Dr. Zeng Guanghui reply Dentistry
Pain resembling a hole under the tongue is generally indicative of an oral mucosal ulcer. If the immune system is functioning normally, it typically heals on its own within two weeks. However, if it does not heal after two weeks, it is advisable to consult a dentist for further e...

Understanding Painful Growths Under the Tongue: ENT Insights

Hello, I have developed something similar to what is shown in the following link under my tongue. It is pointed and painful. I am not sure what this is.

Dr. Zheng Jueyi reply Otolaryngology
Hello: The common issue is with the sublingual salivary gland tissue. If it continues to enlarge or causes pain, it is advisable to seek medical examination for confirmation. Wishing you safety and health! Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Ho...

Understanding Tongue Base Issues: When to Seek ENT Care

I experienced some pain under my tongue during dinner tonight. Upon inspection, I noticed that the affected area has a redder blood vessel compared to the left side. I'm unsure if I need to seek medical attention.

Dr. Zheng Jueyi reply Otolaryngology
Hello: The most common issue may be inflammation of the minor salivary glands. It is advisable to drink plenty of water, and if symptoms do not improve, it is recommended to seek medical evaluation. Wishing you safety and health. Sincerely, Dr. Cheng Jue-Yi, Director of the Depar...