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Caviar tongue is a condition characterized by the purplish nodular swelling of veins found on the undersurface of the tongue. [1]It is normal for there to be veins visible underneath the tongue, partly because the mucous membrane is so thin and translucent in this region, but where these vessels become dilated and tortuous, they may appear round and black like caviar. [2]
The tongue is moved side to side and inspected; it should be pink, moist, smooth and glistening. Assessment of the ventral (bottom) surface of the tongue is done by having the patient touch the tip of their tongue against the roof of their mouth. If healthy, it should have prominent veins and be pink, smooth, moist, glistening and free of lesions.
The lingual veins are multiple veins of the tongue with two distinct courses: one group drains into the lingual artery; another group drains either into the lingual artery, (common) facial vein, or internal jugular vein.
Look out for tongue bumps along with these 9 little body changes that could reveal a much bigger health problem. The worst case scenario… Although rare, bumps on the tongue could be a sign of ...
Look for a red, bumpy rash, strawberry-colored tongue, flushed face, fever, sore throat, and red lines in the folds of skin around the armpits, knees, neck, groin, and elbows.
The tongue is attached to the floor of the oral cavity by the frenulum. Sketch of an open mouth showing the frenulum and surrounding structures. Superficial veins run through the base of the frenulum known as varicosities. Their presence is normal, becoming more and more prominent as one ages. [5]
Other symptoms include a metallic taste, throat closing or tightening, coughing fits, itchy throat, and choking. Larger tonsil stones may cause recurrent bad breath, which frequently accompanies a tonsil infection, sore throat , white debris, a bad taste in the back of the throat, difficulty swallowing, ear ache , and tonsil swelling. [ 12 ]
Some people have small (<1 cm) horn-like triangular flaps of "skin" under their tongue. They are on each side of the frenulum (the piece of tissue connecting the bottom of the tongue to the inside of the mouth) under the tongue and run parallel next to the two distinct veins.