Unusual Tongue Growth: When to See a Gastroenterologist? - Gastroenterology and Hepatology

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Strange sensation in the tongue?


Hello, Doctor: A while ago, our unit went out for a meal, and I overate, which caused discomfort in my stomach for a few days.
I felt uneasy every time I ate.
I'm gradually feeling better now.
Yesterday, I noticed what seemed to be a small object on my tongue, initially thinking it was a piece of food stuck there.
However, upon closer inspection in the mirror, I discovered a small growth on my tongue.
It’s not from biting it; it’s a tiny little polyp.
I pinched it off with my nail, which was extremely painful and caused bleeding.
I'm unsure if it will grow back.
If I need to see a doctor, which specialty should I consult? Thank you.

Qi Xun, 30~39 year old female. Ask Date: 2001/11/12

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, everyone: It seems my last reply did not go through.
I apologize! If you are still not feeling well, please make an appointment with an ENT specialist.
Wishing you good health!

Reply Date: 2001/11/12

More Info


When it comes to unusual growths on the tongue, such as the small fleshy bump you described, it is important to approach the situation with caution. While many oral lesions can be benign, any new growth, especially one that causes pain or bleeding, warrants further evaluation by a healthcare professional.


Understanding Oral Growths
The growth you observed on your tongue could be a variety of things, including:
1. Frictional Keratosis: This is a benign condition that can occur due to chronic irritation, such as from biting or rubbing against teeth.

2. Fibroma: A fibroma is a benign tumor made up of connective tissue. They can appear as small, firm bumps and are usually painless unless irritated.

3. Papilloma: These are benign epithelial tumors that can appear as small, wart-like growths on the tongue or other areas of the mouth.

4. Mucocele: This is a cyst that can form when a salivary gland duct is blocked or damaged, leading to a buildup of saliva.

5. Oral Cancer: While less common, any persistent growth that does not heal or changes in appearance should be evaluated to rule out malignancy.


When to See a Gastroenterologist
In your case, since the growth on your tongue is painful and has bled, it is advisable to see a healthcare provider. While a gastroenterologist specializes in digestive system disorders, the initial evaluation for oral lesions is typically performed by a dentist or an oral surgeon. They can assess the growth and determine if further investigation is necessary, such as a biopsy.


Recommendations for Next Steps
1. Schedule an Appointment: It would be best to see a dentist or an oral surgeon first. They can provide a thorough examination of your oral cavity and the specific growth on your tongue.


2. Monitor Symptoms: Keep an eye on the growth. If it changes in size, color, or shape, or if you develop additional symptoms such as difficulty swallowing, persistent pain, or any other unusual sensations, make sure to report these to your healthcare provider.

3. Avoid Irritation: Try to avoid irritating the area further. This includes avoiding spicy or acidic foods that might exacerbate discomfort.

4. Consider a Gastroenterologist: If you have ongoing gastrointestinal symptoms (like the discomfort you felt after your recent meal), it may be beneficial to consult a gastroenterologist as well. They can evaluate any underlying digestive issues that may be contributing to your discomfort.


Conclusion
In summary, while the growth on your tongue may not be serious, it is essential to have it evaluated by a healthcare professional to ensure proper diagnosis and treatment. Starting with a dentist or oral surgeon is the most appropriate step. They can provide guidance on whether further evaluation by a gastroenterologist is necessary based on your overall symptoms and health history. Remember, early detection and treatment are key to managing any health concerns effectively.

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