Oral Growths: What Could Be Causing Your Symptoms? - Otolaryngology

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When it comes to oral growths, particularly those that appear as small lumps or lesions under the tongue, there are several potential causes that could explain your symptoms. The growth you describe as "like a meat granule" and that causes a sensation of itchiness or pain when touched could be a variety of things, ranging from benign to more concerning conditions.
One common cause of such growths is a mucocele, which is a cyst that forms when a salivary gland duct is blocked or damaged. Mucoceles are typically painless and can appear as soft, bluish lumps. They often resolve on their own, but if they persist or cause discomfort, they may need to be surgically removed.

Another possibility is a fibroma, which is a benign tumor made up of connective tissue. Fibromas can develop in response to irritation or trauma, such as from biting the tongue or chronic friction from dental appliances. These growths are usually firm and painless, but they can become sensitive if they are irritated.

You also mentioned that you had a similar growth in the past that was surgically removed. This could indicate a recurrent issue, and it’s important to monitor any changes in size, shape, or color of the growth. If it becomes painful, changes in appearance, or if you notice any additional symptoms such as swelling, bleeding, or difficulty swallowing, it is crucial to seek medical attention.

In some cases, oral growths can be associated with viral infections, such as those caused by the human papillomavirus (HPV), which can lead to the development of warts in the oral cavity. Additionally, conditions like oral lichen planus or candidiasis (oral thrush) can cause lesions that may be itchy or painful.

Given your history of having a similar growth removed, it would be wise to consult with an oral surgeon or a dentist who specializes in oral pathology. They can perform a thorough examination and may recommend a biopsy if there is any concern about the nature of the growth. A biopsy involves taking a small sample of the tissue for laboratory analysis to determine whether it is benign or if further treatment is necessary.

It's also important to maintain good oral hygiene and avoid any irritants that could exacerbate the condition. This includes avoiding tobacco products, which can contribute to oral lesions, and ensuring that your dental health is regularly monitored through check-ups.

In summary, while many oral growths are benign and may not require treatment, it is essential to keep an eye on any changes and consult a healthcare professional for a definitive diagnosis. Early intervention can help prevent potential complications and provide peace of mind regarding your oral health.