White Bumps on the Sides of Your Tongue - Otolaryngology

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A white spot on the side of the tongue?


Hello doctor, I have a small white bump on both sides of the tip of my tongue that looks like a blister or a granuloma.
It's not large and doesn't hurt, but I've been feeling a foreign body sensation for the past three days.
I would like to know what this could be.

Matty, 20~29 year old female. Ask Date: 2015/08/18

Dr. Zheng Jueyi reply Otolaryngology


Hello: If symptoms do not improve, it is recommended to seek medical examination for a definitive diagnosis.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/08/18

More Info


The presence of white bumps on the sides of your tongue can be concerning, especially if they persist for several days without any pain or significant discomfort. Based on your description, these bumps could be a few different things, and understanding their nature is essential for determining the appropriate course of action.

One common cause of white bumps on the tongue is oral mucosal lesions, which can include conditions such as oral thrush (a fungal infection), canker sores, or mucocele. Oral thrush is characterized by white patches that can appear on the tongue and inside the mouth, often caused by an overgrowth of Candida yeast. Canker sores, on the other hand, are painful ulcers that can develop on the tongue or inside the mouth but typically do not present as raised bumps. Mucoceles are fluid-filled cysts that can occur when a salivary gland is blocked or damaged, often appearing as small, painless bumps.

Another possibility is lingual papillitis, which is an inflammation of the small bumps (papillae) on the tongue. This condition can sometimes present as white or red bumps and may be associated with irritation or minor trauma to the tongue. If the bumps are not painful and do not change in appearance, they may not require immediate treatment, but it is essential to monitor them for any changes.

In some cases, white bumps can also be indicative of oral leukoplakia, a condition that results in thickened, white patches on the mucous membranes of the mouth. This condition is often associated with tobacco use and can sometimes be precancerous, so it is crucial to have it evaluated by a healthcare professional.

Given that you have experienced these bumps for three days and they are causing an unusual sensation, it is advisable to consult a healthcare provider, preferably a dentist or an ear, nose, and throat (ENT) specialist. They can perform a thorough examination, possibly including a biopsy if necessary, to determine the exact nature of the bumps and recommend appropriate treatment.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Maintain Oral Hygiene: Continue to brush your teeth and tongue gently to keep your mouth clean. Use a soft-bristled toothbrush and avoid harsh mouthwashes that may irritate the area.

2. Avoid Irritants: Stay away from spicy, acidic, or abrasive foods that could further irritate the bumps on your tongue.

3. Stay Hydrated: Drink plenty of water to keep your mouth moist and help wash away any irritants.

4. Monitor Symptoms: Keep an eye on the bumps for any changes in size, color, or pain level. If they start to bleed, become painful, or spread, seek medical attention promptly.

5. Avoid Self-Medication: While over-the-counter treatments may be tempting, it is best to avoid self-diagnosing and self-treating until you have a clear understanding of the condition.

In conclusion, while white bumps on the tongue can arise from various benign conditions, it is crucial to have them evaluated by a healthcare professional to rule out any serious underlying issues. Early diagnosis and treatment can help prevent complications and ensure your oral health is maintained.

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