Tongue Issues: White Growths and When to See an ENT - Otolaryngology

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When it comes to tongue issues, particularly the presence of white growths or lesions, it is essential to understand the potential causes and when to seek medical attention. Based on the information provided, you have noticed a white growth on your tongue that has been present for several months and has recently increased in size. While it is not painful, the change in size warrants further investigation.

White lesions on the tongue can arise from various conditions, including but not limited to:
1. Oral Thrush: This is a fungal infection caused by Candida species, which can lead to white patches on the tongue and other areas of the mouth. It is often associated with a weakened immune system, antibiotic use, or certain medical conditions like diabetes.

2. Leukoplakia: This condition is characterized by thick, white patches on the tongue that cannot be scraped off. It can be caused by irritation, such as from tobacco use or chronic friction from teeth. While leukoplakia itself is not cancerous, it can sometimes indicate precancerous changes, so monitoring is crucial.

3. Fibroma: A fibroma is a benign tumor made up of fibrous or connective tissue. These can appear as white or pink growths on the tongue and are usually painless. They often result from chronic irritation, such as biting the tongue or friction from teeth.

4. Geographic Tongue: This benign condition presents as irregular patches on the tongue that may appear white or red. It is not harmful and typically does not require treatment.

5. Canker Sores: These are small, painful ulcers that can develop on the tongue and may have a white or yellowish appearance. They usually heal on their own within a week or two.

Given that your growth has increased in size, it is advisable to consult an Ear, Nose, and Throat (ENT) specialist or an oral health professional. They can perform a thorough examination and may recommend further diagnostic tests, such as a biopsy, to determine the exact nature of the growth.
In terms of treatment, it will depend on the diagnosis. For instance, if it is oral thrush, antifungal medications may be prescribed. If it is leukoplakia or a fibroma, monitoring may be sufficient, but in some cases, surgical removal might be recommended, especially if there are concerns about malignancy.

In summary, while the absence of pain is a positive sign, any persistent or changing growth on the tongue should not be ignored. It is best to seek medical advice to ensure proper diagnosis and management. If you decide to visit a hospital, you should indeed make an appointment with the ENT department, as they specialize in conditions affecting the ear, nose, throat, and related structures, including the oral cavity.