Sublingual issues
Doctor, on the evening of April 18th, I suddenly noticed symmetrical raised granulation tissue on both sides of my sublingual frenulum.
One side has had a red tip for some time, which seems a bit inflamed.
On April 19th, there appeared to be some small white spots that looked like blisters, but when I tried to peel away the granulation tissue, they didn't seem to protrude like typical blisters.
Currently, there is no pain.
The photo is attached; could you please tell me if this is a common mouth ulcer? The red and slightly white areas are on the granulation tissue, and when I peel it away, it is visible but not on the main body of the tongue.
A Zhe, 30~39 year old female. Ask Date: 2013/04/20
Dr. Zeng Guanghui reply Dentistry
Hello: The symmetrical raised granulation tissue on both sides of the sublingual frenulum may indicate inflammation at the anterior opening of the sublingual salivary glands, which appears red and has small white spots resembling blisters.
However, the blisters later disappear without pain.
This is likely due to inflammation of the mucosa at the salivary gland opening caused by bacterial or viral infection.
Generally, as long as the immune system is functioning normally, it can often heal on its own.
Wishing you good health.
Reply Date: 2013/04/20
More Info
The presence of symmetrical growths and inflammation under the tongue, particularly in the area of the lingual frenulum, can be concerning and warrants a thorough examination. Based on your description, it seems you are experiencing some form of irritation or inflammation in that area, which could be due to several factors.
Firstly, the growths you are noticing could be classified as fibromas or mucoceles. Fibromas are benign tumors that can develop in response to irritation or trauma, while mucoceles are fluid-filled cysts that occur when a salivary gland duct is blocked. The redness and inflammation you mentioned could indicate irritation or infection, especially if there are white spots resembling blisters. These could be signs of a localized infection or an inflammatory response.
It's important to note that while these growths may not be painful, their presence, especially with accompanying inflammation, should not be ignored. The fact that you have had a history of redness at the tip of one of the growths suggests that there may be an ongoing irritation or infection that needs to be addressed.
In terms of treatment, it is crucial to avoid self-diagnosing or self-treating based on online resources. While some home remedies may provide temporary relief, they can also exacerbate the condition if not appropriate. For instance, warm saltwater rinses can help soothe inflammation, but if there is an underlying infection, this may not be sufficient.
I recommend scheduling an appointment with a healthcare professional, preferably an oral surgeon or an ENT specialist, who can perform a thorough examination. They may conduct a visual inspection and, if necessary, a biopsy to determine the nature of the growths. This is especially important if the growths change in size, color, or if you start experiencing pain.
In summary, while the growths under your tongue may not currently be causing significant discomfort, their symmetrical nature and the accompanying inflammation warrant a professional evaluation. Early diagnosis and treatment can prevent potential complications and ensure that any underlying issues are addressed appropriately. Always prioritize consulting with a healthcare provider for any concerns regarding changes in your oral health.
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