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What Causes Small Reddish-white Bumps On Top And Sides Of Tongue During Pregnancy?

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Posted on Wed, 18 Nov 2015
Question: My daughter, who is 21 and 32 weeks pregnant, has a strange thing going on with her tongue. It's been going on for a couple of months, it comes and goes, it burns, it looks like splotches of red outlined with white. It's oddly shaped and only on the top front part of the tongue and front half of the sides. Not on the bottom or back of the tongue. She hasn't really tried any medication as we don't know what it is and not sure what to put on it. Each episode lasts from a few days up to a week, approx. I will upload a picture.
These flares ups on her tongue started before she started taking any of the previously listed medications. She has been on Celexa the longest, but still only for 3 going on 4 mths. and unfortunately she can't remember when the flares-ups began. I am trying to get a couple pics to you, but it's gonna be another few mins before I can upload it.
doctor
Answered by Dr. Sameer Kumar (1 hour later)
Brief Answer:
geographic tongue

Detailed Answer:
Hello, This is Geographic tongue , a condition that gets its name from its map-like appearance on the upper surface and sides of the tongue. It may occur in other areas of your mouth, as well.

You'll be relieved to know that geographic tongue is a harmless, benign condition that isn't linked to any infection or cancer. Two other names for geographic tongue are benign migratory glossitis and erythema migrans.

Affecting about 1% to 3% of people, geographic tongue can show up at any age. However, it tends to affect middle-aged or older adults more often. It appears to be more common in women than in men.

Symptoms of Geographic Tongue
The telltale signs of geographic tongue are irregular, smooth, red patches on parts of the tongue. These patches may:

Have a white or light-colored border
Vary in size, shape, and color
Appear one area, and then move to another area
Come and go or change very quickly in days, weeks, or months
Last up to a year
You may be unaware that you have geographic tongue until your dentist or other health care provider diagnoses it during an oral exam.

About one in 10 people with geographic tongue may have mild discomfort or a burning or painful sensation. This is often from sensitivity to substances such as:

Hot, spicy, or acidic foods
Cigarette smoke
Toothpaste
Causes and Risk Factors
Geographic tongue occurs when parts of the tongue are missing layers of small bumps called papillae. They normally cover the entire upper layer of your tongue. Why do you lose these papillae with geographic tongue? Nobody knows for sure. However, because geographic tongue tends to run in families, genetics may be a common link.

Geographic tongue has also been seen more frequently in people with psoriasis and in those with fissured tongue. In fissured tongue, cracks and grooves appear on the tops and sides of the tongue.

Treatment or Self-Care for Geographic Tongue
In most cases, any pain or discomfort will get better without treatment. But if you have severe, ongoing pain, medication can help. These are examples of what your doctor or dentist may prescribe:

Over-the-counter pain relievers
Anti-inflammatories
Mouth rinses with anesthetic
Corticosteroids applied directly on the tongue
Zinc supplements
If you're wondering about steps you can take to hasten the relief of symptoms, try limiting these substances or avoid them altogether:

Tobacco
Hot, spicy, or acidic foods or dried, salty nuts
Toothpaste with additives, whitening agents, or heavy flavoring (toothpaste for sensitive teeth is a better choice).
Regards

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1780 Questions

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What Causes Small Reddish-white Bumps On Top And Sides Of Tongue During Pregnancy?

Brief Answer: geographic tongue Detailed Answer: Hello, This is Geographic tongue , a condition that gets its name from its map-like appearance on the upper surface and sides of the tongue. It may occur in other areas of your mouth, as well. You'll be relieved to know that geographic tongue is a harmless, benign condition that isn't linked to any infection or cancer. Two other names for geographic tongue are benign migratory glossitis and erythema migrans. Affecting about 1% to 3% of people, geographic tongue can show up at any age. However, it tends to affect middle-aged or older adults more often. It appears to be more common in women than in men. Symptoms of Geographic Tongue The telltale signs of geographic tongue are irregular, smooth, red patches on parts of the tongue. These patches may: Have a white or light-colored border Vary in size, shape, and color Appear one area, and then move to another area Come and go or change very quickly in days, weeks, or months Last up to a year You may be unaware that you have geographic tongue until your dentist or other health care provider diagnoses it during an oral exam. About one in 10 people with geographic tongue may have mild discomfort or a burning or painful sensation. This is often from sensitivity to substances such as: Hot, spicy, or acidic foods Cigarette smoke Toothpaste Causes and Risk Factors Geographic tongue occurs when parts of the tongue are missing layers of small bumps called papillae. They normally cover the entire upper layer of your tongue. Why do you lose these papillae with geographic tongue? Nobody knows for sure. However, because geographic tongue tends to run in families, genetics may be a common link. Geographic tongue has also been seen more frequently in people with psoriasis and in those with fissured tongue. In fissured tongue, cracks and grooves appear on the tops and sides of the tongue. Treatment or Self-Care for Geographic Tongue In most cases, any pain or discomfort will get better without treatment. But if you have severe, ongoing pain, medication can help. These are examples of what your doctor or dentist may prescribe: Over-the-counter pain relievers Anti-inflammatories Mouth rinses with anesthetic Corticosteroids applied directly on the tongue Zinc supplements If you're wondering about steps you can take to hasten the relief of symptoms, try limiting these substances or avoid them altogether: Tobacco Hot, spicy, or acidic foods or dried, salty nuts Toothpaste with additives, whitening agents, or heavy flavoring (toothpaste for sensitive teeth is a better choice). Regards