Tongue Issues: Causes of Mouth Sores and Red Bumps - Otolaryngology

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Hello! Thank you for your question regarding the issues you're experiencing with your tongue and oral cavity. Based on your description of having sores and red bumps on both the tongue and under the tongue, it’s important to consider several potential causes.

Firstly, the presence of red bumps and sores in the mouth can be attributed to a variety of conditions. One common cause is oral mucosal lesions, which can manifest as canker sores (aphthous ulcers), which are typically painful but can sometimes be less so. These lesions can be triggered by stress, certain foods, hormonal changes, or nutritional deficiencies, particularly a lack of vitamin B12, folate, or iron.

Another possibility is oral lichen planus, a chronic inflammatory condition that can cause white patches, red spots, and sores in the mouth. This condition is often associated with autoimmune responses and may require a biopsy for definitive diagnosis.

You also mentioned the concern about the bumps potentially being related to warts or human papillomavirus (HPV), which can cause lesions in the oral cavity. While HPV-related lesions can appear as warts, they are typically more raised and have a rough surface. It's important to note that not all bumps in the mouth are warts, and many benign conditions can mimic their appearance.

Additionally, allergic reactions to certain foods, dental products, or medications can lead to localized swelling and redness in the oral cavity. If you've recently introduced new foods or products into your routine, this could be a factor.

Given that you mentioned the bumps are not particularly painful, this could suggest a less aggressive condition, but it’s essential to monitor any changes. If the lesions persist, change in appearance, or if you develop additional symptoms such as pain, difficulty swallowing, or systemic symptoms like fever, it would be prudent to seek further evaluation.

In terms of management, maintaining good oral hygiene is crucial. Rinsing with a saline solution can help soothe the mucosa, and avoiding irritants such as spicy or acidic foods may reduce discomfort. If the lesions are bothersome or persistent, a healthcare provider may recommend topical treatments or corticosteroids to reduce inflammation.

Lastly, if you have concerns about the possibility of a more serious condition, such as oral cancer, especially if you are a smoker or have other risk factors, it is vital to consult with a healthcare professional. They may perform a thorough examination and possibly a biopsy to rule out malignancy.

In summary, while there are several potential causes for the red bumps and sores in your mouth, a definitive diagnosis can only be made through a clinical examination. I recommend scheduling an appointment with a dentist or an oral specialist who can provide a comprehensive evaluation and appropriate management based on your specific situation. Thank you for your inquiry, and I wish you the best in your health journey!