Bumps on the back of the tongue are a common issue many experience at some point. While most bumps are harmless, they can be alarming if they appear unexpectedly. Understanding these bumps and why they occur is essential for knowing when to worry and when to let them pass. This blog post will explore the causes, treatments, and preventive measures for bumps on the back of the tongue.
Are Bumps on the Back of the Tongue Normal?
The tongue has a unique anatomy, with different types of papillae (small bumps) spread across its surface. These papillae help with the sense of taste and aid in moving food around the mouth. Some of these papillae are larger and located on the back of the tongue, such as the circumvallate papillae, which are normal and part of the tongue’s natural structure. However, bumps on the tongue can appear for various reasons, some benign, while others indicate a health problem.
Overall, not all bumps on the back of the tongue are abnormal. They may, for the most part, be harmless or temporary. However, understanding the various causes is essential for determining when to seek medical attention.
Common Causes of Bumps on the Back of the Tongue
1. Normal Papillae (Circumvallate Papillae)
These large papillae occur naturally at the back of the tongue and are entirely normal in appearance. They are usually round or oval and arranged in a V shape. They contribute to taste perception and are frequently more noticeable in some people than others.
2. Transient Lingual Papillitis (Lie Bumps)
Transient lingual papillitis, or “lie bumps,” develops when one or more small papillae become inflamed. These bumps are usually painful and appear unexpectedly, often due to irritation or injury. While uncomfortable, they typically resolve on their own within a few days and do not require treatment.
3. Canker Sores (Aphthous Ulcers)
Canker sores are small, round, white, or yellowish ulcers that can appear on the tongue, including the back of the tongue. They are frequently painful and can cause discomfort when eating or speaking. Canker sores are not contagious and typically heal in one to two weeks.
4. Oral Thrush (Fungal Infection)
Oral thrush is a fungal infection caused by an overgrowth of Candida yeast. This condition can cause white patches or bumps on the back of the tongue and other mouth areas. People with weakened immune systems or those taking antibiotics may be more prone to oral thrush.
5. Allergic Reactions
Bumps on the tongue can sometimes result from an allergic reaction to certain foods, medications, or other substances. Allergies can cause swollen tongues, which can be uncomfortable and cause bumps. If an allergic reaction is suspected, consult a medical professional and avoid the allergen.
6. Viral Infections (Including COVID-19 & HPV)
Certain viral infections, such as the flu, COVID-19, and human papillomavirus (HPV), can result in bumps or sores on the back of the tongue. These viral infections may cause additional symptoms such as fever, sore throat, and cough. You should seek medical attention if you suspect a viral infection, particularly if you have other symptoms.
7. Geographic Tongue
Geographic tongue is a benign condition characterized by irregular, map-like patches on the tongue’s surface, which bumps may accompany. These patches can change shape and location over time without causing pain or discomfort. However, in some cases, they can cause a burning sensation.
8. Scarlet Fever or Strep Throat
Scarlet fever, caused by a bacterial infection, can cause red, raised bumps on the back of the tongue, also known as “strawberry tongue.” Strep throat can also cause swollen lymph nodes and a red, irritated tongue, which may result in bumps. These conditions necessitate medical treatment, usually with antibiotics.
9. Oral Cancer (Rare but Serious)
Although uncommon, bumps on the back of the tongue may indicate oral cancer, especially if they persist for an extended period or are accompanied by other symptoms such as unexplained weight loss, difficulty swallowing, or chronic pain. You should immediately seek medical attention if you notice any unusual lumps or growths.

How to Treat and Prevent Tongue Bumps
Home Remedies
- Warm Saltwater Rinses: Gargling with warm salt water can reduce inflammation and discomfort caused by bumps or irritation on the tongue.
- Avoiding Spicy or Acidic Foods: Spicy, acidic, or hot foods can irritate the tongue even more, so avoid them while experiencing bumps.
- Staying Hydrated: Drinking plenty of water can help keep the mouth moist and prevent further irritation.
Medical Treatments
- Over-the-counter Pain Relief: Medications like ibuprofen or acetaminophen can alleviate discomfort from tongue bumps.
- Prescription Antifungals or Antibiotics: If an infection causes the bumps, your doctor may prescribe an antifungal or antibiotic to treat the underlying cause.
Preventive Measures
- Good Oral Hygiene Practices: Brush your tongue gently with a soft toothbrush to keep it clean and reduce the risk of infections.
- Managing Stress and Dietary Triggers: Managing stress and avoiding triggers such as certain foods or allergens can help prevent the recurrence of tongue bumps.
FAQs About Bumps on the Back of the Tongue
Are bumps on the back of the tongue dangerous?
Bumps on the tongue are generally not dangerous. However, if they persist or are accompanied by additional symptoms, it is critical to seek medical attention.
Can stress cause bumps on the tongue?
Stress can cause tongue bumps, especially in conditions such as transient lingual papillitis or canker sores.
How long do tongue bumps last?
Most tongue bumps, including those caused by transient lingual papillitis or canker sores, go away within a few days to a week.
Can I pop a bump on my tongue?
Popping bumps on your tongue is not recommended because this can lead to further irritation or infection.
What foods should I avoid with tongue bumps?
Avoid spicy, acidic, or hot foods, as they can aggravate the irritation and discomfort caused by tongue bumps.
Bumps on the back of the tongue are often harmless and resolve on their own. However, understanding the potential causes and knowing when to seek medical attention is critical for managing concerns. If you have persistent or painful bumps or are unsure of the cause, contact Zara Dental in Houston, Texas, for advice and treatment options. We’re here to help you maintain good oral health.