What causes painful bumps under the tongue?
several conditions possible
In most cases, these are just enlarged papillae of the tongue which is a normal variation of tongue anatomy. These may become more prominent over some time or as a reaction to some food or smoking. This should not be treated. Some more serious causes are rare and include infectious issues such as aphthous ulcer, herpes or syphilis but these would manifest with painful red bumps and fever. Lastly, tumors and other pathologies are rare in your age and this is usually manifested as one large and painful bump, mostly located in other parts of the mouth. Another cause is lymphoepithelial cysts which are benign things.
I suggest seeing ENT doctor if symptoms persist or bumps grow. At this point, there is no need to be worried.
Hope I have answered your query.
Let me know if I can assist you further.
Yes, HPV, smoking and alcohol are risk factors for oral cancer but generally this cancer is very rare and most lesions in mouth are benign. These risk factors should be avoided. But I don't think that some urgent exam is required. Only if there will be increasing pain and lump growth then you should see ENT doctor.
Dr. Ivan R. Rommstein,
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