Internist Questions Internal Medicine

red bumps on tongue and altered taste

I have these little red bumps on my tongue and my taste has been altered for a couple of days. I’ve also felt like my saliva has been thicker. What could this be and how can I treat it?

Female | 25 years old
Complaint duration: 4 days

1 Answer

InternistInternalMedicine
The presence of red bumps on the tongue, altered taste, and changes in saliva consistency can be caused by various factors. While I cannot provide a definitive diagnosis, I can suggest some potential causes and actions to take:

1. **Transient Irritation:** Sometimes, minor irritations, such as consuming hot or spicy foods, using certain mouthwashes, or accidentally biting your tongue, can lead to temporary redness and discomfort on the tongue. These irritations often resolve on their own.

2. **Oral Thrush (Candidiasis):** Candidiasis is a fungal infection that can cause white or red patches or bumps on the tongue and other areas of the mouth. It can be more common in individuals with weakened immune systems, recent antibiotic use, or conditions like diabetes.

3. **Geographic Tongue:** Geographic tongue is a benign condition characterized by irregular, map-like patches on the tongue's surface. It can cause changes in taste perception and minor discomfort.

4. **Allergic Reactions:** Allergies to certain foods, oral care products, or medications can sometimes lead to tongue irritation, redness, and altered taste.

5. **Vitamin Deficiencies:** Deficiencies in vitamins like B12 or folic acid can sometimes result in oral symptoms, including changes in taste and tongue appearance.

6. **Infection or Viral Illness:** Some viral infections can cause oral symptoms, including redness and altered taste.

To determine the exact cause of your symptoms and receive appropriate treatment, consider the following steps:

1. **Maintain Oral Hygiene:** Continue with regular brushing and flossing to keep your mouth clean.

2. **Avoid Irritants:** If you suspect that something you consumed or used in your mouth may be causing the irritation, try to avoid it.

3. **Stay Hydrated:** Ensure you are drinking enough water to maintain proper saliva consistency.

4. **Consult a Healthcare Provider:** If your symptoms persist or worsen, or if you have any concerns, it's advisable to consult a dentist or healthcare provider for an evaluation. They may recommend specific tests, prescribe medications, or provide guidance based on the cause identified.

It's important not to ignore persistent oral symptoms, especially if they last longer than a week or if you have additional symptoms like pain, difficulty swallowing, or signs of infection. Seeking professional advice will help determine the cause and appropriate treatment.
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