Bumps on the Back of Your Tongue: When to See a Doctor - Otolaryngology

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When you notice bumps on the back of your tongue, especially if they are new or have changed in size or appearance, it can be concerning. The bumps you are describing could be several things, ranging from benign to more serious conditions. Here’s a breakdown of what these bumps might be and when you should consider seeing a doctor.


Possible Causes of Bumps on the Back of the Tongue
1. Lingual Papillae: The back of the tongue is home to many small bumps known as lingual papillae. These are normal structures that can sometimes become inflamed or enlarged due to irritation, infection, or other factors.

2. Taste Buds: The bumps could also be enlarged taste buds, which can occur due to irritation from spicy foods, hot beverages, or even certain medications.

3. Geographic Tongue: This is a benign condition characterized by patches on the tongue that can appear as bumps. It can cause discomfort but is generally harmless.

4. Canker Sores: These are small, painful ulcers that can develop on the tongue and may appear as bumps. They usually heal on their own within a week or two.

5. Infections: Viral infections, such as herpes simplex or hand-foot-and-mouth disease, can cause bumps on the tongue. Fungal infections like oral thrush can also lead to changes in the appearance of the tongue.

6. Allergic Reactions: Sometimes, food allergies can cause swelling or bumps on the tongue.

7. Oral Cancer: While less common, persistent bumps that do not resolve, especially if they are painful or accompanied by other symptoms (like difficulty swallowing, weight loss, or changes in voice), should be evaluated by a healthcare professional.


When to See a Doctor
You should consider seeing a doctor if:
- The bumps persist for more than two weeks without improvement.

- You experience pain, swelling, or difficulty swallowing.

- There are changes in your voice or any unexplained weight loss.

- You notice any other unusual symptoms, such as fever or a rash.

Given your recent history of eating out and experiencing gastroesophageal reflux disease (GERD), it’s possible that the bumps could be related to irritation from acid reflux or dietary choices. However, since you mentioned that one bump seems to be more swollen than the others, it’s prudent to have it checked out.


Conclusion
While many causes of bumps on the back of the tongue are benign, it’s essential to monitor the situation closely. If you have any concerns, especially with the changes you’ve observed, it’s best to consult with a healthcare provider. They can perform a thorough examination and may recommend further tests or treatments based on their findings. Remember, it’s always better to err on the side of caution when it comes to your health.