Red Bumps on Tongue After Fish Bone Injury: What to Know - Otolaryngology

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The tongue is red with small spots?


Last night, while eating fish, I got pricked in the tongue by a fish bone, and afterwards I noticed small red spots on my tongue that are neither painful nor itchy.

Wang, 10~19 year old female. Ask Date: 2016/02/08

Dr. Zheng Jueyi reply Otolaryngology


Hello, if there is no obvious pain, it is likely inflammation of the tongue.
You may continue to observe the condition.
If the symptoms do not improve, it is advisable to seek medical examination.
Wishing you peace and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/08

More Info


When you experience red bumps on your tongue after a fish bone injury, it can be concerning, but there are several factors to consider. First and foremost, it's essential to understand that the tongue is a highly vascular and sensitive organ, which means it can react to injuries, irritants, or infections in various ways.
In your case, the red bumps that appeared after being poked by a fish bone could be a result of localized trauma. The injury may have caused inflammation in the tissues of the tongue, leading to the formation of these red bumps. This is often a normal response to injury as the body sends more blood to the area to promote healing. The fact that you mentioned the bumps are not painful or itchy is a good sign, as it suggests that there may not be an active infection or severe irritation.

Another possibility is that the bumps could be a type of irritation or reaction to the fish bone itself, especially if any small fragments were left behind. Fish bones can sometimes splinter and cause minor abrasions or punctures in the soft tissue of the mouth, which can lead to localized swelling or redness.
If the bumps persist or if you start to experience additional symptoms such as pain, swelling, or difficulty swallowing, it would be wise to seek medical attention. A healthcare professional can perform a thorough examination to rule out any complications, such as an infection or the presence of foreign material.

In the meantime, here are some general recommendations for managing your symptoms:
1. Saltwater Rinse: Rinsing your mouth with warm salt water can help reduce inflammation and promote healing. Mix about half a teaspoon of salt in a cup of warm water and swish it around your mouth several times a day.

2. Avoid Irritants: Try to avoid spicy, acidic, or abrasive foods that could further irritate your tongue. Stick to soft foods that are easy to swallow.

3. Stay Hydrated: Drinking plenty of water can help keep your mouth moist and aid in the healing process.

4. Over-the-Counter Pain Relief: If you experience any discomfort, over-the-counter pain relievers like acetaminophen or ibuprofen can help alleviate pain and reduce inflammation.

5. Monitor Symptoms: Keep an eye on the bumps. If they do not improve within a few days or if you notice any worsening of symptoms, such as increased redness, swelling, or pain, it is advisable to consult a healthcare provider.

In conclusion, while red bumps on the tongue after a fish bone injury can be concerning, they are often a normal response to trauma. By following the recommended care steps and monitoring your symptoms, you can help ensure proper healing. If you have any doubts or if your condition changes, do not hesitate to seek medical advice. Your health and comfort are paramount, and a healthcare professional can provide the best guidance tailored to your specific situation.

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