Tongue issues?
Hello, doctor.
I am a person who gets nervous easily.
Recently, I noticed two thicker veins on both sides of my tongue's frenulum, with symmetrical nodules on top that can be moved and also adhere to the tongue.
I have had these before, and my wife has similar tissue.
However, five days ago, I noticed that one of the nodules on the left side became red and showed some signs of inflammation.
The first two photos are from the second day.
During these five days, I applied a little oral ointment before bed for two days.
Additionally, on the fourth day, I felt a sharp pain in that area while eating, but by the fifth day, it was no longer painful.
The third photo from the album is from the fifth day.
I would like to ask if this indicates any worsening or potential malignancy?
A Zhe, 30~39 year old female. Ask Date: 2013/04/22
Dr. Zhuang Suhui reply Dentistry
Hello: It seems there is a minor injury.
Applying oral ointment should help, so it is likely not oral cancer.
You don't need to worry for now.
If it doesn't improve in 2-3 weeks, then we can consider the possibility of cancer.
Reply Date: 2013/04/22
More Info
When it comes to tongue issues and oral health, there are several factors to consider, especially when symptoms such as swollen veins, growths, or inflammation are present. Based on your description, it seems that you are experiencing some changes in your tongue, particularly with the presence of prominent veins and a growth that has recently become red and inflamed.
Firstly, the presence of prominent veins on the underside of the tongue is not uncommon. These veins can become more noticeable due to various factors, including increased blood flow, inflammation, or even anxiety, which can cause changes in blood circulation. The growths you describe as "meatballs" or nodules could be a form of irritation or a benign condition known as a fibroma, which is a non-cancerous growth often resulting from chronic irritation or trauma.
The fact that one of these growths has become red and painful suggests that it may be inflamed. Inflammation can occur due to various reasons, such as irritation from food, dental appliances, or even the friction caused by teeth. It is also possible that the growth could be a mucocele, which is a cyst that forms when a salivary gland is blocked or damaged.
The concern about whether this could lead to cancer is understandable, especially with any changes in the oral cavity. However, most growths in the mouth, especially those that are movable and have been present for a long time, are benign. Oral cancers typically present with more severe symptoms, such as persistent sores that do not heal, significant pain, or changes in the texture of the tissue.
Given that you have noticed a change in the growth and experienced pain, it is advisable to consult with a healthcare professional, preferably an oral surgeon or a dentist who specializes in oral pathology. They can perform a thorough examination and may recommend a biopsy if there is any suspicion of malignancy. This is a routine procedure that can provide peace of mind and ensure that any potential issues are addressed promptly.
In the meantime, maintaining good oral hygiene is crucial. This includes brushing your teeth twice a day, flossing daily, and using an antibacterial mouthwash to reduce inflammation and prevent infection. Avoiding irritants such as spicy or acidic foods can also help alleviate discomfort.
If anxiety is a contributing factor to your symptoms, consider discussing this with a healthcare provider. Stress can exacerbate oral health issues, leading to habits such as teeth grinding or clenching, which can further irritate the tongue and surrounding tissues.
In summary, while the symptoms you describe are concerning, they are not necessarily indicative of a serious condition. However, it is essential to seek professional evaluation to rule out any significant issues and to receive appropriate treatment if necessary. Regular dental check-ups are also crucial for maintaining oral health and catching any potential problems early.
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