Hello Doc,

I performed oral on a woman. Within hours I began developing somewhat painful warts underneath my tongue. Two big ones on each side of under the tongue, then a bit of a column of a couple smaller warts on each side. Within a couple more hours they grew larger. I gargled with apple cider vinegar with salt for a couple days, and that appears to have shrunk the warts. I gargled for 2 days then stopped due to irritation. The warts have stayed the same (post-acv gargle) smaller size. It has been 7 days since occurrence. What do I have? Is it contagious? (note: HPV incubation is said to be 1-12 months). I don't usually get sick, so I assume my immune system is fine. Also noteworthy - she developed a yeast infection days later.

I attached a picture of the condition. I'm not sure if my second photo is attached, but if it is, it shows the tongue after the ACV w/ salt treatment. Thank you in advance for helping me.

Welcome to the Forum.  I will try to help.  There are no STIs, including HPV that produce symptoms or visible abnormalities within even 24 hours of a sexual exposure, much less within hours.  The picture you provided is a great example of the reason that we make it a practice of not commenting on pictures in our Forum.  Examination of lesions involves looking from multiple angles.  I suspect that what you have notices are not warts (even from the picture you have provided I feel comfortable saying this) but rather normal parts of the anatomy of the underside of the tongue.  they may have gotten irritated as you performed cunnilingus on your partner but I can assure you that they are not warts and are not something for you to worry about.  They may have shrunken after application of vinegar due to the astringency of the vinegar.  My advice is to not worry further.  If you feel the need for further assurance, I suggest you have a clinician who is familiar with HPV infections take a look.  These do not need treatment.  EWH
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Thank you Dr. Hook, I appreciate the help. Your words have been heeded, but I feel that I did not give you proper information in that the picture was not clear enough. I understand that in viewing this picture it is not a replacement of actually seeing me in person, but after viewing this clearer Image, I'd greatly appreciate you making whatever your best educated guesses are based on the limited info you have. I'd just like to note that I was alerted to these lesions because I felt the pain first (pain subsided in 2 days). I took this picture today. The left hand side shows very clearly a lesion I've never had anything like this under my tongue. Please advise, thanks Dr. Hook (beginning of message above picture)

Once again, the lesions under your tongue are likely normal glands or other structures which you only noticed because of you anxiety over you exposure.  There is no reason to be concerned about HPV and our policy of not commenting on pictures is not going to change because you have submitted another one.  If you want someone to put a name on the structures you have noticed, I suggest you ask a dentist or Ear, Nose and Throat physician.  EWH
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