OpenHealth Q&A

It's understandable to be concerned about new spots in your mouth, and while it's good that you don’t find it particularly painful, it's still important to be aware of what it could mean. The red and white spots under your tongue could be due to various reasons, such as frictional keratosis (often from irritation), canker sores, oral thrush, or even a benign anatomical variation.

Explanation:

1. Possible Causes: The appearance and location of the spots you described are common for:

   • Canker sores: Small, painful ulcers that can appear in your mouth.
   • Oral thrush: A fungal infection that can cause white patches and sometimes redness.
   • Irritation or trauma: If you’ve accidentally bitten the area or it's been irritated by hot foods, this might lead to spots.
   • Geographic tongue: A benign condition where patches on the tongue change in shape and size.

2. Non-urgent Nature: Given that the area is not extremely painful and is not bleeding or accompanied by fever or significant swelling, it likely isn't an emergency. However, it’s wise to keep an eye on it.

Next Steps:

1. Oral Hygiene: Maintain good oral hygiene by brushing your teeth and tongue gently and using an antiseptic mouthwash. This can help reduce any irritation and control bacteria.

2. Diet Adjustments: Avoid spicy, acidic, or irritating foods that may aggravate the sores until you get more clarity on their nature.

3. Monitor Changes: Keep track of any changes in the spots, including size, color, pain level, or if new spots appear. Take notes about how it feels during eating or drinking.

4. Hydration: Stay hydrated, as this can help your oral tissues heal.

5. Visit Your Doctor: When you do visit your doctor, share your observations, as this will help them assess the situation more effectively.

If at any point you notice increased pain, swelling, or any signs of infection (like fever), or if the spots change significantly, you may want to seek prompt medical attention.