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Nodule under the tongue, painful, getting bigger, speech affected - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Dental Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi, I am a 31 year-old female 5 7 120 lbs. I have a hard pea-sized nodule that has appeared inside my tongue, near the midline and toward the front. It has gotten bigger throughout the day and become increasingly more painful. It is affecting my speech and causing tooth and jaw pain now. I have noticeable swelling on the affected half of my tongue as well as some visible redness directly over the lump. Additionally, I am recovering from a mild cold, sore throat, and pink-eye (not sure if that s related). What could this be, and should I go to the ER or make an appt. with my doctor in the morning?
Doctor :   Hi
User :   Hi
Doctor :   please give me a couple of mins to read the query
Doctor :   Hi
Doctor :   may i ask you a few questions related to this ?
User :   Sure
Doctor :   may i know if you have diabetes or high blood pressure ?
User :   Neither
Doctor :   ok
Doctor :   when did this swelling develop?
User :   I woke up with minor pain and no swelling. The swelling and more intense pain has developed over the last 5-6 hours, along with redness and slurred speech.
Doctor :   ok
Doctor :   did you have any recent history of tongue bite/injury?
User :   No. No injury.
Doctor :   ok
Doctor :   may i know if you smoke or consume alcohol?
User :   Never smoke and consume alcohol only occasionally.
Doctor :   ok
Doctor :   since you have had a history of recent fever and cold
Doctor :   this could have developed following it
User :   No fever with my cold
Doctor :   I suggest you to take an analgesic
Doctor :   an over the counter analgesic like IBUPROFEN for the pain
Doctor :   and not to strain much
Doctor :   drink lot of fluids and keep yourself hydrated
Doctor :   you can see the doctor with an appointment in the morning
Doctor :   this could be due to the illness you are recovering from
Doctor :   sometimes vitamin deficiencies also cause this
Doctor :   meanwhile avoid spicy food , hot water, coffee , tea also
Doctor :   an examination will be needed to come to a conclusion
Doctor :   it could be a cyst as well
Doctor :   do you have any dental problems? like caries teeth, gum bleed ,etc ?
User :   No. I have healthy teeth and gums.
Doctor :   ok
Doctor :   i suggest you to follow these things and if the temperature goes up and the pain does not subside, you may have to see the doctor immediately
User :   Ok. Thank you for your time. I appreciate the peace of mind.
Doctor :   pleasure here
Doctor :   did you follow my suggestions?
Doctor :   are there any more questions for me to help you with ?
User :   I will follow your recommendations and call my doctor in the morning assuming I don't develop a fever. I don't have any more questions. Thanks again!
Doctor :   pleasure here
Doctor :   wish you good health
Doctor :   thank you
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