Lie Bumps on Tongue

White bumps on tongue are medically referred to as ‘Transient lingual papillitis’. In this condition, the fungi-form papilla of the tongue becomes inflamed.  This condition is also commonly known as ‘lie bumps’.

These are special kinds of bumps that occur on the tongue’s surface. Fungiform papillae consist of taste buds, which are particularly regulator of bitter taste, temperature sensory- receptors and have considerable supply of blood. These papillae are present on the surface as well as the sides of tongue. Since their color is pink – which camouflage with the tongue – they are not distinctively visible. The count as well as the size of these papillae differs. Females have more of such papillae as compared with males. After women reach their menopause the number of these miniscule appendages increase. Certain nerve related issues often cause reduction in the count and can decrease the sensation of taste.

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Clinical characteristics of White Bumps on Tongue

Classic form of Transient Lingual Papillitis is often characterized with a painful elevated white bump on the tongue, which may also be reddish sometimes. This kind of irregularity of tongue lasts usually for around 1-2 days then disappears. However, these may disappears in weeks, months or years later. The condition is not commonly associated with enlargement of lymph glands or illnesses. In few cases, the lesions are more than one and may sometimes disappear in hours or days. These may sometimes cause tingling sensation and burning as well. In rare cases, lesions may not be accompanied with any other symptoms.

Papulokeratotic variation of White Bumps on Tongue

These white bumps are often recurrent. When a person is affected with papulokeratotic, there may be more than one white bump appearing on the skin. These bumps may not cause any symptoms but they may persist for long time. Medical aid must be needed in most cases to treat the condition faster.

 Eruptive variant of White Bumps

This condition is a systemic illness that is associated with enlargement of lymph gland and fever. This onset of the irregularity is spontaneous. A child when affected with the disorder may loath to eat and produce excessive saliva. In this condition inflamed papillae are seen on the tip of the tongue as well as the sides but not on the upper surface. These papillae may resemble pustules in appearance.

The average period of persistence of Eruptive lingual papillitis is around 1 week. Recurrence of such white bumps is seen one to two months later with same clinical characteristics. In adult the condition may start as sudden intense sensation of burning which gets aggravated by food. The clinical occurrence of the condition is similar in children as well.

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Who is affected with lingual papillitis: What are the Causes?

The typical form of White bumps on tongue affects around 50% or more of the entire population. The condition appears to be common in younger women; however, it may affect anyone irrespective of the age. Common cause of this type of the condition is trauma or irritation of fungiform papillae of the tongue. According to experts there are many other possible factors that cause the condition.

Eruptive form of this condition is common in children and may affect their family members as well. This irregularity is common in spring, but it may affect during any part of the year. The condition is contagious and may spread through contact. It is explained that a viral infection is usually the cause of the condition that runs in a family. One of the highly believed theories is that the virus can affect during childhood and may manifest in recurrent episodes throughout life-time, thus, occurring as typical form of white bumps on tongue during adulthood.

People who have had eczema, hay fever and asthma are also said to suffer from fungiform papillary glossitis. Experts who put forward such theories explain that condition is caused due to increased sensitivity of tongue against environmental factors.

Treatment of White bumps on tongue

Usually, typical form of ‘lie bump’ does not need any medical intervention and may ebb away within hours or sometimes days. There are certain home based treatments that provides relief from the condition; these are as follows:

  • Rinsing mouth using salt and water
  • Cold fluids
  • Taking soothing fluids such as yogurt
  • Mouthwashes containing antiseptic and local anesthetics
  • Steroids in topical form

However, majority of sufferers found no relieve from such home remedies but medical aid has significant effects on the condition. In case of eruptive lingual papillitis doctor may prescribe medicines such as paracetamol, antiseptic lotion and ibuprofen, etc., but these medicine have no effect on the children. The best way to obtain effective treatment is by meeting a doctor and getting yourself diagnosed. Diagnosis of the condition would include physical examination by your doctor in clinic itself. If the condition is difficult to diagnose, then your doctor may suggest tests such as mucosal biopsy, etc.

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