White Spot Near Throat and Tongue: What Could It Mean? - Dentistry

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There are white spots near the back of the mouth close to the throat and the base of the tongue?


In the past few days, I have noticed a white spot at the junction of the inner side of my mouth near the throat and the base of my tongue.
It looks somewhat like a burst blister or has an irregular appearance similar to tissue stuck there.
However, it is not painful, just slightly raised, and feels like something is lodged in my throat.
Could this be a precursor to a disease, or will it likely resolve on its own? I found information online about "oral leukoplakia," which is said to be a precursor to oral cancer, but I do not smoke, drink alcohol, or chew betel nut.
What could this issue possibly be? Thank you.

Amy, 20~29 year old female. Ask Date: 2011/12/02

Dr. Zeng Guanghui reply Dentistry


Hello, ma'am: Thank you for your inquiry.
I would like to address your question and provide the following advice: There is a small white spot at the junction of the inner throat and the tooth root, which appears to be a ruptured blister.
It is not painful, but there is a slight sensation of a protruding foreign body.
This may be caused by a viral infection of the oral mucosa, or it could be due to salivary gland inflammation.
I recommend consulting a dentist for further evaluation and treatment.
Oral leukoplakia is a precancerous condition of the oral mucosa, characterized by keratinized lesions.
Generally, individuals who smoke or chew betel nut are at a higher risk of developing this condition.
If there are already white patches in the mouth, it is advisable to quit chewing betel nut or smoking to prevent further progression to oral cancer.
Finally, I wish you peace and happiness.

Reply Date: 2011/12/02

More Info


The presence of a white spot in the oral cavity, particularly near the throat and the base of the tongue, can be concerning for many individuals. This symptom can arise from various conditions, and understanding the potential causes is essential for determining the appropriate course of action.

One possible explanation for the white spot you described could be a condition known as leukoplakia. Leukoplakia is characterized by white patches that can develop on the mucous membranes of the mouth, including the tongue and the inner cheeks. While leukoplakia itself is not cancerous, it can sometimes be a precursor to oral cancer, especially in individuals who engage in risk factors such as smoking or excessive alcohol consumption. However, as you mentioned, you do not partake in these behaviors, which may reduce your risk.

Another possibility is that the white spot could be a form of oral thrush, a fungal infection caused by an overgrowth of Candida yeast. Oral thrush typically presents as creamy white lesions that can appear on the tongue, inner cheeks, and sometimes the throat. This condition is more common in individuals with weakened immune systems, those taking certain medications (like antibiotics or corticosteroids), or individuals with diabetes. Oral thrush is usually treatable with antifungal medications.

Additionally, the white spot could represent a mucous cyst or a fibroma, which are benign growths that can occur in the oral cavity. These growths are typically painless and may feel like a small bump or lump. They often do not require treatment unless they cause discomfort or other issues.

Given that the white spot is not painful and you are experiencing a sensation of something being stuck, it could also be related to a blocked salivary gland or a mucous retention cyst. These conditions can occur when saliva is unable to flow properly, leading to the formation of a lump that may appear white or discolored.

While some oral lesions can resolve on their own, it is crucial to monitor the spot closely. If it persists for more than two weeks, changes in appearance, or begins to cause discomfort, it is advisable to seek evaluation from a healthcare professional, preferably an ear, nose, and throat (ENT) specialist or a dentist. They can perform a thorough examination, possibly including a biopsy if necessary, to determine the exact nature of the lesion.

In conclusion, while the white spot near your throat and tongue could be due to several benign conditions, it is essential to remain vigilant. Regular dental check-ups and consultations with healthcare providers can help ensure any concerning changes are addressed promptly. If you have any further questions or concerns, do not hesitate to reach out to a medical professional for personalized advice and treatment options.

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