Q. What could be the cause of a painful bump under the tongue with whitish-green patch?

Answered by
Dr. Bharat Joshi
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 24, 2022

Hello doctor,

My tongue is whitish-green in color and I also have a white bump under the tongue that is extremely painful.

Kindly help.

Thank you.



Welcome to

As per the clinical picture provided (attachment removed to protect the patient's identity), the tongue seems to have a traumatic ulcer underneath due to teeth bite or burn due to hot food intake. Additionally, the ventral surface seems to have nutritional deficiencies (probably vitamin B complex), showing features of a geographic tongue.

  1. I suggest you maintain reasonable plaque control and take a multivitamin, whichever suits you, once a day for 15 days.
  2. In addition, for traumatic ulcers, please apply Ora Heal (Choline salicylate and Lidocaine), Ora sore (Choline Salicylate, Lignocaine, Benzalkonium Chloride with Glycerine and Spearmint), or Dologel (Choline salicylate and Lidocaine) twice a day for five days.

Also, avoid eating from that affected site. In addition, please observe if the lesion goes away in 7to10 days. If not, then kindly revert.


Thank you.

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