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Suggest Treatment For Hard Bump On The Underside Of Tongue

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Posted on Mon, 1 Feb 2016
Question: I have a hard bump on the underside of my tongue. Last Wednesday I had lithotripsy. After the procedure, the side of my tongue was very sore and the doctor said that it was normal as my tongue was pushed to one side of my mouth during the procedure. Yesterday (Saturday), I noticed my tongue still didnt feel quite right and i noticed a hard bump on the bottom of my tongue. At first, i thought it was filled with pus. However, it is very hard and I actually punctured the surface with my fingernail and nothing drained from the spot a punctured.

So I am wondering if this was a result of something during my lithotripsy procedure or is it unrelated and what I should do about it. Thank you.
doctor
Answered by Dr. Sumit Bhatti (47 minutes later)
Brief Answer:
Looks like a salivary duct stone.

Detailed Answer:
Hi,

Thank you for your query.

1. This looks like a sub mandibular salivary duct (Wharton's Duct) stone.

2. You should get X-rays or an MRI Sialography done, after which this mass should be surgically removed under local anaesthesia and sent for examination.

3. Sialendoscopy is a new option if required.

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

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (27 hours later)
Hello Dr. Bhatti,

I went to the local general practioner and she refered me on the an ENT. She admitted she had never seen a duct stone, but she assumed they were hard. When she used a tongue depresser on mine, she said it gave a little and felt almost rubbery. Could that still be a stone? I'm not able to see the ENT until next week so I get a little anxious about things like this. Thank you for your time.
doctor
Answered by Dr. Sumit Bhatti (6 hours later)
Brief Answer:
There is no cause for worry.

Detailed Answer:
Hi,

Thank you for writing back.

1. There is no cause for worry. It looks benign and a slight delay is of no consequence. A hard object surrounded by soft tissue will feel rubbery when palpated with a tongue depressor as it moves and the surrounding tissue is compressed.

2. Whatever it is, it has to be investigated and then removed (unless it falls out on its own). The final histopathology examination (HPE) report will confirm the diagnosis.

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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Suggest Treatment For Hard Bump On The Underside Of Tongue

Brief Answer: Looks like a salivary duct stone. Detailed Answer: Hi, Thank you for your query. 1. This looks like a sub mandibular salivary duct (Wharton's Duct) stone. 2. You should get X-rays or an MRI Sialography done, after which this mass should be surgically removed under local anaesthesia and sent for examination. 3. Sialendoscopy is a new option if required. I hope that I have answered your query. If you have any further questions, I will be available to answer them. Regards.