Unexpected Growth on Tongue: What Pregnant Women Should Know - Otolaryngology

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A lump suddenly appeared at the back of my tongue?


Hello doctor, I am currently over 8 months pregnant.
About a month ago, I noticed a lump at the back of my tongue.
At first, I thought it was a burn from eating, so I didn't pay much attention to it.
However, recently, I've noticed that it bleeds when I brush my teeth or if my teeth scrape against it.
I would like to know if this is something serious.

Yun Mami, 30~39 year old female. Ask Date: 2022/11/11

Dr. Li Jiaxuan reply Otolaryngology


At the center of the tongue near the base, there are taste buds, and on the sides of the tongue, there are lymph nodes.
During pregnancy, both taste buds and lymphatic tissue can easily become swollen.
It is recommended that you visit an otolaryngology clinic for your condition.
Wishing you good health.

Reply Date: 2022/11/11

More Info


When it comes to unexpected growths on the tongue during pregnancy, it's important to approach the situation with caution and awareness. The growth you are experiencing could be due to several factors, including hormonal changes, increased blood flow, or even benign conditions such as a fibroma or a mucocele. Pregnant women often experience changes in their oral health due to hormonal fluctuations, which can lead to conditions like pregnancy gingivitis or other oral lesions.

Firstly, it’s essential to understand that during pregnancy, the body undergoes significant hormonal changes that can affect the oral cavity. Increased levels of hormones such as estrogen and progesterone can lead to swelling and increased sensitivity in the gums and other oral tissues. This can sometimes result in the development of growths or lesions on the tongue or gums.
The growth on your tongue could also be a result of irritation from dental hygiene practices, such as brushing too hard or using a toothbrush with hard bristles. If the growth is painful, bleeds easily, or does not resolve on its own, it is crucial to consult with a healthcare professional, preferably a dentist or an oral surgeon, who can provide a thorough examination and diagnosis.

In most cases, benign growths do not pose a significant risk to the pregnancy or the baby. However, if the growth is symptomatic—causing pain, bleeding, or difficulty in eating or speaking—it should be evaluated. It is also important to rule out any potential infections or more serious conditions, especially if the growth persists or worsens.

Here are some steps you can take to manage the situation:
1. Maintain Good Oral Hygiene: Continue to brush your teeth gently and use a soft-bristled toothbrush. Floss daily to keep your gums healthy and reduce irritation.

2. Monitor the Growth: Keep an eye on the growth. If it changes in size, color, or if you experience increased pain or bleeding, seek medical attention.

3. Stay Hydrated: Drink plenty of water to help maintain oral moisture and reduce irritation.

4. Consult a Professional: Schedule an appointment with your dentist or an oral health specialist. They can provide a proper diagnosis and recommend treatment if necessary.

5. Avoid Irritants: Try to avoid spicy, acidic, or very hot foods that may irritate the growth or your tongue further.

In terms of resources, you may find valuable information on reputable medical websites such as the American Pregnancy Association or the Mayo Clinic, which provide insights into oral health during pregnancy. Additionally, your obstetrician can offer guidance tailored to your specific situation.

In conclusion, while the growth on your tongue may be concerning, it is often manageable and not indicative of a serious issue. However, due to the potential for complications during pregnancy, it is always best to err on the side of caution and seek professional advice to ensure both your health and that of your baby.

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