Abnormal growths on the tongue?
Hello Doctor, recently I have noticed some strange growths on my tongue.
When I looked in the mirror, I saw small white bumps, about the size of a pimple but slightly smaller.
This is the third time it has occurred; I had similar bumps twice before but didn't pay much attention to them, and they went away after a week or two.
They are painful when I touch them.
Could you please tell me what kind of condition this might be?
A-Rong, 10~19 year old female. Ask Date: 2003/09/07
Dr. Xu Jiazhen reply Otolaryngology
Hello: In response to your question, there are many glands on the tongue responsible for secretion.
If these glands become blocked or inflamed, it can lead to the symptoms mentioned above.
However, it is still recommended that you see an otolaryngologist for an examination to establish a diagnosis and treatment.
Reply Date: 2003/09/07
More Info
Understanding unusual growths on the tongue can be concerning, especially when they appear as small white bumps that cause discomfort. Based on your description, it sounds like you may be experiencing a condition known as "oral mucosal lesions," which can manifest in various forms, including canker sores, oral thrush, or even benign growths like fibromas or papillomas.
1. Canker Sores (Aphthous Ulcers): These are small, painful ulcers that can appear on the tongue or inside the mouth. They are often round or oval with a white or gray center and a red halo. The exact cause of canker sores is not well understood, but they can be triggered by stress, certain foods, or hormonal changes. They typically heal on their own within one to two weeks.
2. Oral Thrush: This is a fungal infection caused by an overgrowth of Candida yeast. It can present as white patches on the tongue and inside the mouth. Oral thrush is more common in individuals with weakened immune systems, those taking antibiotics, or those with diabetes. Treatment usually involves antifungal medications.
3. Benign Growths: Sometimes, small growths on the tongue can be benign tumors such as fibromas or papillomas. These are generally painless and may not require treatment unless they cause discomfort or cosmetic concerns.
4. Other Causes: Other potential causes for white bumps on the tongue include geographic tongue, leukoplakia (which can be precancerous), or even reactions to certain medications or irritants.
Given that you mentioned this has occurred multiple times and that the bumps are painful, it would be advisable to consult with a healthcare professional, preferably an oral surgeon or a dentist. They can perform a thorough examination and may recommend further tests, such as a biopsy, if necessary, to rule out any serious conditions.
Treatment Options:
- Symptomatic Relief: Over-the-counter topical anesthetics can help alleviate pain. Rinsing with warm salt water may also provide relief.
- Antifungal Treatment: If oral thrush is diagnosed, antifungal medications will be prescribed.
- Avoid Irritants: If certain foods or habits (like smoking) seem to trigger the growths, it may be beneficial to avoid them.
- Regular Monitoring: Keep track of any changes in the size, color, or pain level of the growths. If they persist or worsen, seek medical advice promptly.
Conclusion:
While many tongue growths are benign and resolve on their own, persistent or painful lesions warrant a professional evaluation to ensure proper diagnosis and treatment. Maintaining good oral hygiene and regular dental check-ups can also help in preventing such issues. If you have any further concerns or if the lesions do not improve, please seek medical attention as soon as possible.
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