Tongue Issues: Should You Remove That Red Spot? - Otolaryngology

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When it comes to tongue issues, particularly the presence of a hard red spot, it's essential to approach the situation with caution and a thorough understanding of potential causes and treatments. The red spot you've described could be a variety of things, including a benign growth like a fibroma or a wart, or it could be something more concerning. Given that your father is 65 years old, it’s especially important to monitor any changes in oral lesions, as older adults may be at a higher risk for certain conditions.

In many cases, benign lesions on the tongue can resolve on their own, particularly if they are related to minor irritations or injuries. However, if the spot persists, changes in appearance, or if there are any accompanying symptoms such as pain, swelling, or difficulty swallowing, it is crucial to seek further evaluation. The fact that the doctor at the local clinic suggested it resembles a wart and recommended cryotherapy (freezing) indicates that they believe it may be a growth that could benefit from removal.

Cryotherapy is a common and effective treatment for various types of benign lesions, including warts. The procedure involves applying extreme cold to the lesion, which can destroy the abnormal tissue. While this method is generally safe and effective, it’s important to consider that not all lesions require surgical intervention. Some may resolve without treatment, but there is always a risk that they could grow or become symptomatic if left alone.

If the red spot is indeed a wart, it may not disappear on its own, and treatment is often recommended to prevent it from spreading or causing discomfort. On the other hand, if it is a harmless lesion, monitoring it may be sufficient. The decision to proceed with surgery should take into account factors such as the lesion's characteristics, the patient's overall health, and personal preferences regarding treatment.

In addition to surgical options, there are other treatments available for oral lesions, including topical medications that can help reduce the size or discomfort associated with certain types of growths. However, these should only be used under the guidance of a healthcare professional.

In summary, while there is a possibility that the red spot on your father's tongue may resolve on its own, it is advisable to follow through with the recommended evaluation and treatment plan. If the lesion is indeed a wart or another type of growth, cryotherapy could be a beneficial option to consider. Always prioritize regular check-ups and consultations with healthcare providers to ensure any changes in oral health are appropriately managed.