Small Bumps Behind Tongue: Causes and When to Seek Help

There are several small nodules located at the back of the tongue, beneath the tonsils?

Hello Doctor, thank you for helping me with my concerns.
Recently, I have noticed several small bumps at the back of my tongue, just below the tonsils.
I'm not sure what the cause is, and this is the first time it has happened, so I am quite worried.
In the past few months, I have performed oral sex on my girlfriend, and I’ve heard that the vagina contains many bacteria and viruses.
I now regret my decision and am unsure of what to do.
Could this just be a case of general inflammation, or should I consider getting tested for any infections?

A Mao, 20~29 year old female. Ask Date: 2015/07/27

Dr. Zheng Jueyi reply Otolaryngology

Hello, the most common finding is the circumvallate papillae arranged in an inverted V shape at the back of the tongue, which is not necessarily indicative of an infection.
It is recommended to seek medical evaluation for a definitive diagnosis.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/07/27

More Info

When it comes to small bumps behind the tongue, particularly in the area near the tonsils, there are several potential causes to consider. These bumps can be a source of concern, especially if they are a new occurrence for you. Given your recent sexual activity, it is understandable that you may be worried about sexually transmitted infections (STIs) or other infections that could be related to your symptoms.

One common cause of small bumps in the oral cavity, including the area behind the tongue, is the presence of enlarged lymphoid tissue, which can occur due to infections. The oral cavity is rich in lymphoid tissue, and the bumps you are experiencing could be enlarged papillae or lymphoid follicles reacting to a viral or bacterial infection. This is particularly common after upper respiratory infections or even after oral sexual activity, as the oral cavity can be exposed to various pathogens.

Another possibility is that these bumps are related to a condition known as "oral thrush," which is a fungal infection caused by an overgrowth of Candida yeast. This condition can lead to white patches and bumps in the mouth and throat, and it is more likely to occur in individuals with weakened immune systems or those who have recently taken antibiotics.

Additionally, the bumps could be a manifestation of a viral infection, such as herpes simplex virus, which can cause lesions in the oral cavity. If you have engaged in oral sex, there is a risk of transmitting herpes from the genital area to the mouth, leading to oral herpes. This could present as painful sores or bumps in the mouth.

Given your concerns, it is advisable to seek medical attention. A healthcare provider can perform a thorough examination of your mouth and throat to determine the nature of the bumps. They may also recommend tests, such as swabs or blood tests, to check for infections, including STIs. If the bumps are due to a viral or bacterial infection, appropriate treatment can be initiated.

In the meantime, here are some general recommendations:
1. Avoid Irritants: Try to avoid spicy, acidic, or rough foods that may irritate the bumps further.

2. Maintain Oral Hygiene: Continue to practice good oral hygiene by brushing your teeth and using mouthwash to keep your mouth clean.

3. Stay Hydrated: Drink plenty of fluids to help soothe your throat and keep your mouth moist.

4. Monitor Symptoms: Keep an eye on the bumps. If they change in size, color, or if you develop additional symptoms such as fever, difficulty swallowing, or persistent pain, seek medical attention promptly.

In conclusion, while the bumps you are experiencing could be benign and related to a common infection, it is essential to consult a healthcare professional for an accurate diagnosis and appropriate management. Your health and peace of mind are important, and addressing these symptoms early can help prevent potential complications.

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