Oral Growths: When to Seek ENT Specialist Care - Otolaryngology

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Oral issues


There is a round protrusion in the upper left area of my mouth that is currently red (it was flesh-colored before).
It is not painful, and I have not attempted to pop it.
It has been present for over two months, repeatedly shrinking and then growing back.
Sometimes the protrusion becomes quite swollen.
Last month, I visited an ENT clinic, and the doctor said they could not treat it at the clinic.
The protrusion had some broken skin, and they only prescribed an ointment.
The doctor advised that if I was concerned, I should go to a larger hospital for further examination.
I would like to know how to handle this situation.
Can I leave it alone since it is not painful, or should I see a larger hospital? If I do go, which department should I consult? Thank you.

Duo, 40~49 year old female. Ask Date: 2023/08/05

Dr. Ji Zhaoyun reply Otolaryngology


Hello, as mentioned in the text, if the clinic physician recommends seeing a hospital, it would be advisable to consider visiting the ENT department for possible removal or biopsy for further evaluation.

Reply Date: 2023/08/05

More Info


When dealing with oral growths, particularly those that persist for an extended period, such as the round, red bump you've described in the upper left area of your mouth, it is crucial to approach the situation with caution. While the growth is not painful and has been recurring for over two months, there are several factors to consider that warrant a thorough evaluation by a healthcare professional.

First and foremost, any oral lesion or growth that changes in color, size, or texture, or that persists for more than two weeks should be assessed by a healthcare provider. The fact that your growth has changed from flesh-colored to red and has a tendency to swell indicates that it may require further investigation. While it may not be causing you pain, the potential for underlying issues, such as infection, inflammation, or even neoplastic changes, cannot be overlooked.

Given that you have already consulted an ENT specialist who recommended further evaluation at a larger medical facility, it would be prudent to follow that advice. In this case, you should consider visiting an oral surgeon or an oral medicine specialist. These professionals are specifically trained to diagnose and treat conditions affecting the mouth, jaws, and related structures. They can perform a comprehensive examination, which may include imaging studies or even a biopsy if necessary, to determine the nature of the growth.

In terms of management, it is generally not advisable to ignore the growth, even if it is asymptomatic. While some oral lesions may resolve on their own, others can progress or lead to complications if left untreated. The fact that the growth has recurred suggests that it may not be a simple issue, such as a benign cyst or irritation, and could require intervention.

As for your question about whether you can simply leave it alone, the answer is generally no. Monitoring the growth is important, but proactive evaluation is essential to rule out any serious conditions. If the growth continues to change or if you experience any new symptoms, such as pain, difficulty swallowing, or changes in taste, you should seek immediate medical attention.

In summary, while the growth you are experiencing may not currently be causing discomfort, it is important to take it seriously. Schedule an appointment with an oral surgeon or an oral medicine specialist for a thorough evaluation. They will be able to provide you with a definitive diagnosis and recommend appropriate treatment options based on their findings. Early intervention can often lead to better outcomes, so it is wise to address these concerns sooner rather than later.

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