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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Bumps On The Tongue?

My tounge has been hurting really bad for the past 3-4 days. It has white and red bumps on the tip and to the sides. I've tried avoidng acidic, salty, spicy, and sour foods. I've also been keeping my mouth extra clean with mouth wash. Also, I've putten ice on it, soaked it in cold water, and took motrin which hasn't helped one bit. It throbs and I could have bitten it I guess but the bumps are all over and they hurt so bad. I can not bare this pain, what is is and what should I do? Please help!
Tue, 23 Jun 2015
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Dentist 's  Response
Hi..
Can understand your concern..

As per your complain small painful bumps on the surface and side of the tongue seems most probably to be Apthous Ulcers or Canker sores..
Apthous ulcers can be due to a number of reasons like Nutritional deficiency, Low immunity like in HIV, Diabetes,digestive problems like Acid reflux,excessive intake of sour food etc and at times it can occur due to unknown causes too..

They can also be due to due to Viral infection causing HERPES and is caused by herpes simplex virus causing cold sores..

I would suggest you to consult a dentist and get evaluated..

In case of canker sores and not being relieved by the remedies you have done you need to take a Steroid therapy like Medrol twice daily for 5 to 7 days..
Salt water rinses can help..
Gargle with 1:1 solution of milk of magnesia and benadryl can help..
Apply numbing gels over the sores like oragel to avoid discomfort..
Maintain a good oral hygiene..

In case it is diagnosed as herpes Oral and topical antiviral drugs can help in preventing further outbreaks as they do not treat the infection and can only prevent outbreak..
The present sores will gradually subside in about 10 to 15 days..

Hope this information helps..

If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation..

Thanks and regards..
Dr.Honey Nandwani Arora..
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What Causes Painful Bumps On The Tongue?

Hi.. Can understand your concern.. As per your complain small painful bumps on the surface and side of the tongue seems most probably to be Apthous Ulcers or Canker sores.. Apthous ulcers can be due to a number of reasons like Nutritional deficiency, Low immunity like in HIV, Diabetes,digestive problems like Acid reflux,excessive intake of sour food etc and at times it can occur due to unknown causes too.. They can also be due to due to Viral infection causing HERPES and is caused by herpes simplex virus causing cold sores.. I would suggest you to consult a dentist and get evaluated.. In case of canker sores and not being relieved by the remedies you have done you need to take a Steroid therapy like Medrol twice daily for 5 to 7 days.. Salt water rinses can help.. Gargle with 1:1 solution of milk of magnesia and benadryl can help.. Apply numbing gels over the sores like oragel to avoid discomfort.. Maintain a good oral hygiene.. In case it is diagnosed as herpes Oral and topical antiviral drugs can help in preventing further outbreaks as they do not treat the infection and can only prevent outbreak.. The present sores will gradually subside in about 10 to 15 days.. Hope this information helps.. If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation.. Thanks and regards.. Dr.Honey Nandwani Arora..