Red Bumps on the Back of the Tongue: Causes and Treatment Options

There are two red spots at the back of the tongue?

In recent years, I have been ill and went to see a doctor.
On that particular day, I had a sore throat and went for an examination.
Before I got sick, I noticed something that looked like the color of my tongue at the back of my tongue near the throat.
I showed it to the doctor, who said it was fine and just prescribed some medication.
However, it didn't seem to work, and as time went by, I noticed another one appeared without me realizing it.
Eating is painful, and now I have two of them.
I am very worried that I might have some condition.
Doctor, I request your assistance.
Thank you.

Hsieh Hsin-Jung, 10~19 year old female. Ask Date: 2015/07/26

Dr. Zheng Jueyi reply Otolaryngology

Dear Ms.
Hsieh,
Hello, the most common cause of enlarged taste buds or lymphoid tissue is inflammation of the tongue.
If there is no improvement, it is advisable to seek medical attention for further examination.
Wishing you safety and health,
Dr.
Cheng Jue-Yi
Director, Department of Otolaryngology
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2015/07/26

More Info

Red bumps on the back of the tongue can be concerning, especially when they cause pain or discomfort while eating. There are several potential causes for these bumps, and understanding them can help in determining the appropriate treatment options.

One common cause of red bumps on the back of the tongue is lingual papillae hypertrophy, which occurs when the small bumps (papillae) on the tongue become inflamed or enlarged. This can happen due to irritation from certain foods, allergies, or even infections. Another possibility is oral thrush, a fungal infection caused by an overgrowth of Candida yeast, which can lead to white patches and red bumps in the mouth. Additionally, viral infections, such as those caused by the herpes simplex virus, can lead to painful sores on the tongue and surrounding areas.

Another potential cause is geographic tongue, a benign condition characterized by irregular patches on the tongue that can appear red and inflamed. While it is generally harmless, it can sometimes cause discomfort. Allergic reactions to certain foods or medications can also manifest as red bumps on the tongue, leading to swelling and pain.

If you have noticed that the bumps are persistent and painful, it is essential to follow up with a healthcare provider. They may recommend a thorough examination, possibly including a swab of the area to rule out infections or other underlying conditions. Treatment will depend on the underlying cause. For instance, if the bumps are due to a fungal infection, antifungal medications may be prescribed. If they are a result of irritation or an allergic reaction, avoiding the offending substance and using topical treatments may help.

In the meantime, here are some general recommendations to alleviate discomfort:
1. Maintain Oral Hygiene: Regular brushing of the tongue can help reduce irritation and prevent infections. Use a soft-bristled toothbrush or a tongue scraper.

2. Avoid Irritating Foods: Spicy, acidic, or rough-textured foods can exacerbate pain. Stick to soft, bland foods until the bumps resolve.

3. Stay Hydrated: Drinking plenty of water can help keep the mouth moist and promote healing.

4. Over-the-Counter Pain Relief: Non-prescription pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort.

5. Saltwater Rinse: Gargling with warm salt water can help soothe irritation and promote healing.

If the bumps continue to persist or worsen, or if you develop additional symptoms such as fever, difficulty swallowing, or significant swelling, it is crucial to seek medical attention promptly. A healthcare professional can provide a definitive diagnosis and appropriate treatment plan tailored to your specific condition.

In summary, while red bumps on the back of the tongue can arise from various causes, understanding the potential reasons and seeking appropriate medical advice is key to managing the symptoms effectively. Regular follow-ups with your healthcare provider will ensure that any underlying issues are addressed and treated promptly.

Similar Q&A

Red Bumps on the Back of My Tongue: Causes and Solutions

In recent years, I have developed a red, round growth on the back of my tongue. It coincided with a day when I was sick with a sore throat. I went to see a doctor, but they said to just apply medication. However, I have been using it for a long time without any effect, and recent...

Dr. Zheng Jueyi reply Otolaryngology
Hello: Pain may indicate the presence of a wound or inflammation. At the back of the tongue, there is a row of circumvallate papillae arranged in an inverted V shape. The red, round spots you see may be normal tissue. It is advisable to drink more water and use medication while m...

Understanding Bumpy Tongue: Causes and When to See a Dentist

The back of the tongue feels rough, with small red spots and small bumps on both sides of the back of the tongue, but there is no pain. What could this be? Which specialist should I see? Thank you.

Dr. Zeng Guanghui reply Dentistry
The above situation may be due to inflammation and hyperplasia of the papillae on the surface of the tongue's mucosa. It is recommended to consult an oral surgeon for further examination.

Understanding Painful Bumps on the Back of Your Tongue: Causes and Solutions

Recently, I have noticed two rows of granulation tissue near the blood vessels on the back of my tongue, and one of them is red and painful to the touch. What could be the issue?

Dr. Qiu Qiongyao reply Dentistry
For ulcers, increasing the intake of B vitamins is recommended.

Understanding Tongue Issues: Are Red Bumps on the Back Warts?

Hello: There are several small, red, bump-like growths on the back of my tongue. Could this be genital warts?

Dr. Zheng Jueyi reply Otolaryngology
Hello: It is difficult to determine. If you are concerned, it is advisable to seek medical examination. Wishing you peace and good health. Sincerely, Dr. Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.