[33M] Concerned about a persistent oral lesion

What might be happening

Based on the information you've provided, the red, smooth, painless bump under your tongue could be due to a number of conditions:

• Mucocele: These are harmless, fluid-filled swellings that occur on the inside of the lips, cheeks, or under the tongue. They are often caused by damage to a salivary gland and can be soft or firm. They usually don't cause pain unless they rupture.

  • Treatment: Mucoceles often go away without treatment. However, large or persistent ones may require surgical removal.

• Oral Fibroma: This is a benign growth that can occur anywhere in the mouth. It is usually smooth and can be pink or whitish in color. It is often caused by irritation or trauma.

  • Treatment: Oral fibromas can be removed surgically if they cause discomfort or interfere with normal oral function.

• Oral Cancer: Although less likely given your age and lack of risk factors (such as tobacco use), any persistent oral lesion should be evaluated for the possibility of oral cancer.

  • Treatment: Treatment for oral cancer usually involves surgery, radiation therapy, and/or chemotherapy.

What you can do

While waiting for your appointment, here are some things you can do:

1. Avoid irritating the bump. Try not to bite or scratch it.
2. Maintain good oral hygiene. Brush your teeth twice a day and consider using a mouthwash to keep your mouth clean.
3. Stay hydrated and maintain a balanced diet.

What you should look out for

You should seek immediate medical attention if:

• The bump grows rapidly or changes in appearance
• You start to experience pain or discomfort
• You have difficulty swallowing or speaking
• You notice unexplained weight loss

Remember, while I strive to provide accurate information, I'm not a doctor. It's important to consult with a healthcare professional who can examine you and give a proper diagnosis.