Differences Between Sublingual Gland Cyst and Heatiness

Ranulas and heatiness (internal heat) exhibit significant differences in symptoms, disease course, and causes. Ranulas typically result from blockage or damage to the sublingual gland duct, leading to retention or extravasation of saliva and the formation of a cyst. They present as a soft, bluish swelling beneath the mucosa on one side of the floor of the mouth, with a disease course that may last from weeks to months. In contrast, heatiness refers to internal heat syndrome caused by an imbalance of yin and yang in the body. It commonly manifests as redness and swelling of the oral mucosa accompanied by pain, such as swollen and painful gums or sore throat. The disease course of heatiness is relatively short, usually resolving within several days. Ranulas require surgical treatment, whereas symptoms of heatiness are generally relieved with heat-clearing and detoxifying medications. Thus, ranulas and heatiness differ significantly in their causes, symptoms, and treatment approaches.