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What Caues Swelling Under Lingual Frenulum?

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Posted on Wed, 14 May 2014
Question: Last night I had swelling under lingual frenulum about the size of a nickel with white edges on one side. I rinsed with saltwater several times and today it is much smaller and red. It seems to straddle the frenulum
at near the floor of my mouth. What should I do? It looks just like a second tongue. Thank you.
doctor
Answered by Dr. Sumit Bhatti (4 hours later)
Brief Answer:
As below:

Detailed Answer:
Hi,

Thank you for your query.

1. It will be helpful if you can upload a close-up image.

2. Your description seems to be indication a mucocele or 'ranula' arising from the sub-lingual salivary glands. Get a direct examination done. This will help rule out rarer causes such as a sub-mandibular duct stone, leukoplakia and so on.

3. Get a Neck USG (Ultrasound) to check the depth of this lesion.

4. Since it appears inflamed, request your physician to start with Clindamycin which attains high levels in saliva.

I hope that I have answered your query. If you have any further questions, I will be available to answer them.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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What Caues Swelling Under Lingual Frenulum?

Brief Answer: As below: Detailed Answer: Hi, Thank you for your query. 1. It will be helpful if you can upload a close-up image. 2. Your description seems to be indication a mucocele or 'ranula' arising from the sub-lingual salivary glands. Get a direct examination done. This will help rule out rarer causes such as a sub-mandibular duct stone, leukoplakia and so on. 3. Get a Neck USG (Ultrasound) to check the depth of this lesion. 4. Since it appears inflamed, request your physician to start with Clindamycin which attains high levels in saliva. I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.