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What causes a lump on the tongue?

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Posted on Fri, 6 Jan 2017
Question: Hello.
I have a small lump in my tongue. It is about 1 - 2cm. Firm. You can see it when I look at bottom of tongue.
It is towards the front.
I had irritated my frenulum, and could feel a "pinching" feeling where the frenulum attached to tongue.
My Dr. Checked my lymph nodes, and took a look and said it is not cancer and "don't worry about it". It is like a " cyst. " and to come back in three months.

A dentist buddy felt it and described it as briney and encapsulated

I looked up cyst in tounge and am trying rinsing with salt water.

Thoughts?
doctor
Answered by Dr. Ivo Ditah (32 minutes later)
Brief Answer:
No reason to worry!

Detailed Answer:
Hi,

I have looked at attached image. Unless something else comes up, there is no reason to get worried about this at this time. I will suggest that you observe only and return in three months. Any test or further investigations at this time is not really justified by the findings on that image and may raise worries where there should be none. 3months is reasonable to further assess for need to investigate. In interim, report any changes such as pain, change in color, size, or any other symptoms for review.

I wish you well. Keep me posted as you monitor at this time.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (4 hours later)
Thanks.
My Dr is an Internal Medicine Specialist as well.
What do you think it could be?

If I pinch it is solid, and hurts.......if I squeeze it

Thanks
doctor
Answered by Dr. Ivo Ditah (2 hours later)
Brief Answer:
Most likely a small fluid cavity!

Detailed Answer:
Hi,

Probably a transit fluid collection. Monitor only and let's see what this turns into. However, am not bothered, even the least.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (3 days later)
Great - thanks.

I thought I had lost the response, so I actually resubmitted it.

I can't tell if it is getting larger. However, sometimes, the lump is more noticeable. A greyish white color, them sometimes, it is harder to see, although I can still feel it.

Should I continue with salt rinses? Any vitamins I should take? Or any other suggestions to help it go away?

Thanks
doctor
Answered by Dr. Ivo Ditah (13 hours later)
Brief Answer:
Only salt rinse!

Detailed Answer:
Hi,

Be relaxed and continue only salt rinse. If anything else comes up, we will address that accordingly.

I wish you well and do well to keep me updated!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (2 days later)
Thanks for your help.
The "cyst" has grown, at least it is "puffy" around it.

I am concerned.

I sent updated photo to my Dr. Going to see him tomorrow.

Is this growth "normal" for a transient fluid cyst??

Tried to send updated photo.

Thx
doctor
Answered by Dr. Ivo Ditah (17 hours later)
Brief Answer:
Rapid growth makes it more benign than concerning!

Detailed Answer:
Hi,

Am happy you will get it evaluated tomorrow. Because it has increased in size over a short time, it makes it less worrisome. Cancer related masses take several months to increase.

Let me hear what the doctor says after examination. I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (2 days later)
Hello. - I went back to my Dr. He said that if he was even the least bit concerned it was cancer, we would be acting on it. He looked at it again and said he didn't think it had grown at all. I think it has. He said textbook is "watch and wait". He told me a story about a patient that had the same thing that was my age, who was so worried that he arranged to see a specialist in XXXXXXX By the time he got in to see the specialist, 6 months later the lump was gone. I am in Winnipeg, so that is quite a distance to go.

My Dr said he had took the XXXXXXX of sending my photos that I had sent him on to a specialist in his practice. The Dr., a dermatologist, looked and apparently wasn't worried either. My Dr arranged for me to see him next week, to "calm my fears".

I asked why a dermatologist, and my doc told me that they look at tongue issues as well as ENT,etc. Of course, I googled it, (lol) and yes dermatologists are very involved with tongue issues.

At my first visit, my Dr said it was a cyst, which is what you said. I asked if was a mucous retention cyst. He explained the difference between mucous and mucus . ( I think I have that correct)

So the specialist is literally squeezing me on Tuesday.

I guess at the end of the day, I want the lump to absorb, dissolve and go away!

I don't know if these things just go away in time, continue to grow, stop. I don't like the thought of having things cut out! Especially out of the tongue- ouch!

Still a bit anxious, but hope and trust that on Tuesday the specialist will tell me to relax as well.



Any thoughts?

Thanks.
doctor
Answered by Dr. Ivo Ditah (35 hours later)
Brief Answer:
Wait and see is truly the best approach now!

Detailed Answer:
Hi,

I agree with your doctor on the wait and see approach. I will restraint from making further comments until after the visit. This way, we would be talking on something certain as opposed to possibilities at this time.

Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3922 Questions

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What causes a lump on the tongue?

Brief Answer: No reason to worry! Detailed Answer: Hi, I have looked at attached image. Unless something else comes up, there is no reason to get worried about this at this time. I will suggest that you observe only and return in three months. Any test or further investigations at this time is not really justified by the findings on that image and may raise worries where there should be none. 3months is reasonable to further assess for need to investigate. In interim, report any changes such as pain, change in color, size, or any other symptoms for review. I wish you well. Keep me posted as you monitor at this time.