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Q. I have a hard lump under my tongue. Will it be cancer?

Answered by
Dr. Naveen Thomas
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 11, 2018 and last reviewed on: Sep 18, 2020

Hi doctor,

I have developed a large, hard lump on the underside of my tongue. It is grayish white in color and does not hurt at all. It feels like a hard ball in my tongue. Also, I have other small red bumps.

I do not know how long they have been there and I just noticed it before two days. These are weird and seem to be growing. I have never noticed it before. I have suddenly started getting acne all over my face and I never had it before in my life.

Could this be related somehow? I am 25 now. I used to smoke but stopped some months ago. I drank a lot for a couple years. Do not know if that is relevant. Please help.

Dr. Naveen Thomas

Dentistry Endodontist Paediatric Dentistry Periodontist


Welcome to

The hard lump under your tongue is mostly inflammation which usually gets very hard due to the structure of tongue. The bumps are formed when the inflamed tongue presses against the teeth causing that particular pattern.The inflammation of tongue usually becomes very hard to touch and grayish in color, it will take at least a week or two to return to normal.

The acne problem might be due to increased hormonal activity in your body mostly and is not related to the other. I would suggest you to wait for 10 days for the tongue to return to normal.

If you could take medicines over-the-counter, I would suggest you to take anti-inflammatory medication twice for five days. Kindly answer me, so that I can diagnose any other possible condition if necessary.

  • Do you have any sign of fever or other health problem currently?
  • Recently, did you bite your tongue accidentally? Did you change your food habits recently?
  • Do you have any ulcerous lesion in your tongue other than the lump which causes pain?

Revert back with the answers for the above questions to a dentist online -->

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Hi doctor,

I have not changed any of my food habits. Nothing else hurts in my mouth. I do not remember biting of my tongue, but maybe I did. Do you think I should see a doctor? I am afraid of it being like an oral cancer or something. It feels like a small marble in my tongue.

Dr. Naveen Thomas

Dentistry Endodontist Paediatric Dentistry Periodontist


Welcome back to

I have seen such cases in my patients; it is due some accidental injury. So, do not worry about it for at least 10 days. If you are unsure and want to confirm then you can approach a dentist for biopsy of the inflammation and perform pathological examination.

It would be mostly a fibrous deformation and take at least 10 days for healing. The only problem is biopsy which would cause further injury to the area and take few more weeks for complete healing. It is better to wait without worry.

For further information consult a dentist online -->

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