Small white granules on the tip of the tongue need to be treated according to their causes, such as physiological phenomenon, papilloma of the tongue, warts, oral ulcers, etc. After a clear diagnosis, general treatment, medication or surgery is chosen. 1. Physiological phenomenon: small white buds on the tip of the tongue may belong to the normal physiological tissue of the tongue, not a disease, without special treatment. 2. Tongue papilloma: accidental bites, bad restorations and other factors can stimulate the tongue and produce granulation tissue, belonging to the tongue papilloma, should be avoided to avoid the triggers, pay attention to the observation, and if necessary, surgical excision can be chosen. 3. Acromegaly: Oral infection with acromegaly can result in small white granules on the tip of the tongue. Treatment requires antiviral therapy, such as acyclovir ointment and ganciclovir ointment. 4. Mouth ulcers: white granules on the tip of the tongue may belong to the ulcers, the treatment can follow the doctor’s instructions to use cediriodine tablets, lidocaine gel to improve the symptoms. There are many reasons why there are white granules on the tip of the tongue, and after the symptoms, it is recommended to go to the hospital in a timely manner, the above drugs should be used under the guidance of the doctor, and should not be used indiscriminately, so as not to lead to adverse consequences.