Raised fleshy grains at the root of the tongue may be contoured papillae of the tongue, which are normal tissues. However, it can also be caused by a variety of disease causes. Acute and chronic pharyngitis, infections of adjacent tissues such as acute tonsillitis and submandibular adenitis, and respiratory infections such as colds can cause proliferation of connective and lymphoid tissues at the base of the tongue, resulting in a small protruding granule at the base of the tongue, which usually feels foreign when swallowing. There may also be other abnormal proliferative diseases with different causes and different treatments. Common causes and treatments 1, acute and chronic pharyngitis: acute pharyngitis is often more pronounced in pain while the lymphatic tissue at the root of the tongue is proliferating, which is aggravated when swallowing. Chronic pharyngitis is less painful, and the foreign body sensation is more pronounced when swallowing. On examination, granular prominence of the tongue root and posterior pharyngeal wall and congestion and edema of the pharyngeal mucosa are common. Usually, oral antibiotics such as cefuroxime can be used to relieve the pain. 2. Infection of adjacent tissues: When inflammation of tonsils and submandibular glands involves the pharynx, it often also causes lymphatic follicular hyperplasia of the tongue root, accompanied by a foreign body sensation when swallowing, as well as symptoms of the primary disease, such as congestion and edema of tonsils and enlargement of submandibular glands, which can also be treated with oral antibiotics. 3. Respiratory tract infection: Such as cold or In acute purulent bronchitis, it may also lead to inflammation of the pharynx, causing inflammatory enlargement of the tongue root tissue, swallowing foreign body sensation as well as fever and other respiratory symptoms. Cold can be relieved by drinking a lot of water and vitamin supplements, etc.; if it is other respiratory diseases, sterilization or antiviral treatment should be carried out according to the prescribed course after diagnosis; 4. Proliferative diseases: If it is a tumor of the tongue root such as papilloma or malignant tumor, it may also cause fleshy bulge with foreign body sensation in swallowing, which is generally hard in texture and ineffective in antibiotic treatment. It should be promptly investigated in the hospital and surgical treatment should be performed under the guidance of the doctor after diagnosis. If it is clear that the raised granules at the root of the tongue with foreign body sensation in swallowing are caused by disease factors, extra attention should be paid to the diet during treatment to ensure a light diet, avoid spicy and stimulating foods, and drink appropriate water to help the recovery of the disease.