### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hello i have small white bump on the back part of my tongue.. i have dipped for a year but have quit because it was not worth it... these bumps are small, painless and dont seem to just come off...i have been taken moxozylin for a ear infection but dont think its the cause... no pain when swallowing but mucus build up and fatique...i am worried for my health and am scared cause i think it is cancer

### output:

Hi Dear, Welcome to Chat Doctor. Understanding your concern. Thanks for your query. The bumps you mention on the back of your tongue are tongue papillae which are larger at the back of the tongue as compared to the front part of the tongue. These papillae are present in v shape pattern at the back of the tongue and in some people appear as if they are inflamed, but they are totally normal. You also mention in query that they are painless this also confirm that these are normal. I would suggest you to observe them if they grow in size with time or the change their color, or they taste different or getting painful, then it will because of concern. These white bumps can be inflammation of these papillae because of infection, continues irritation or trauma , lie bumps, oral thrush or cancer type of condition (rare possibility). The medicine you mention is amoxicillin which can also be the reason for tongue allergy as a side effect. So get your change by consulting your doctor. Then you should consult oral pathologist for proper diagnosis. Doctor will examine then physically and order biopsy to confirm the diagnosis and treat it accordingly. For now maintain proper oral hygiene, brush and floss twice a day, clean your tongue properly and do antiseptic mouthwash rinses (Listerine)Hope your concern has been resolved. Get Well Soon. Best Wishes,