Oral Mucosa Roughness and Persistent Nasal Wounds

Roughness of the oral mucosa on both sides / Nasal wounds that have not healed for a long time?

Hello, Doctor:
1.
Last week, I experienced vomiting and diarrhea for five days due to gastroenteritis, during which I had very little to eat and focused on replenishing lost electrolytes.
However, this morning while brushing my teeth, I noticed a whole area of bumps on both sides of my oral mucosa, the hard palate, and the lower lip.
When I touched them with my tongue, they felt noticeably uneven.
Upon inspection, they resemble allergic papules, and they are neither painful nor itchy.
This is something I have never experienced before, and it feels strange.
I would like to know if this condition could be considered an autoimmune dysregulation resulting from gastroenteritis.
Additionally, how long should I wait before seeking further evaluation if the bumps do not resolve?
2.
I have a history of allergic rhinitis, and for the past few months, the inner side of my left nostril near the upper edge has developed a sore.
Initially, I suspected it was due to excessive force while blowing my nose, but now the wound has not healed.
When I press on it from the outside, I feel a slight stinging sensation.
Although I would like to ignore it, I find it difficult to avoid blowing my nose in daily life, and any pressure causes discomfort.
Should I really just leave this wound alone, or would it be more appropriate to have an evaluation by an otolaryngologist?

Niming, 20~29 year old female. Ask Date: 2016/03/27

Dr. Zheng Jueyi reply Otolaryngology

Hello! It is advisable to seek medical attention for a wound that has not healed after one week.
Wishing you health and happiness! Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/27

More Info

Understanding the symptoms you are experiencing with your oral mucosa and nasal wounds is essential for proper management and care. Let's break down your concerns into two main parts: the oral mucosa roughness and the persistent nasal wound.

Oral Mucosa Roughness
1. Symptoms and Possible Causes: You mentioned that after experiencing gastroenteritis, you noticed rough patches on your oral mucosa, which resemble allergic hives but are not painful or itchy. Gastroenteritis can lead to dehydration and nutritional deficiencies, which may affect the mucosal lining of your mouth. The roughness you are feeling could be due to several factors, including:
- Dehydration: This can cause the mucosa to dry out and become rough.

- Nutritional Deficiencies: If your diet was limited during your illness, you might be lacking essential vitamins and minerals, which can affect mucosal health.

- Allergic Reaction: It’s also possible that you are experiencing a mild allergic reaction to something you ingested or came into contact with after your illness.

2. Autoimmune Considerations: While it is unlikely that your symptoms are directly due to an autoimmune disorder triggered by gastroenteritis, stress on the body can sometimes lead to transient immune responses. If the roughness persists beyond a week or two, it would be prudent to consult a healthcare professional for further evaluation. Persistent changes in the oral mucosa can sometimes indicate underlying conditions that may require treatment.

3. Follow-Up: If the rough patches do not resolve within a week or if you notice any additional symptoms (such as pain, swelling, or changes in taste), it is advisable to seek medical attention. A healthcare provider can perform a thorough examination and possibly recommend treatments such as topical medications or dietary adjustments.

Persistent Nasal Wound
1. Symptoms and Initial Assessment: You have a persistent wound in your left nasal cavity that you suspect may have been caused by excessive force while blowing your nose. Given your history of allergic rhinitis, it is possible that the area has become irritated and has not healed properly due to ongoing trauma from nasal blowing.

2. Management of Nasal Wounds: In general, minor nasal wounds can heal on their own, but if a wound persists for more than a week without improvement, it is advisable to seek medical evaluation. The presence of pain upon pressure suggests that the area may be inflamed or infected, which would warrant further investigation.
3. Consultation with an ENT Specialist: Given your ongoing symptoms and the fact that the wound has not healed, it would be wise to consult an Ear, Nose, and Throat (ENT) specialist. They can perform a thorough examination, possibly using nasal endoscopy, to assess the wound and determine if there are any underlying issues such as infection or structural problems that need to be addressed.

4. Avoiding Further Irritation: In the meantime, try to minimize any actions that may irritate the area, such as forceful nose blowing. Keeping the nasal passages moist with saline sprays may also help promote healing.

Conclusion
In summary, both your oral mucosa roughness and the persistent nasal wound warrant attention, especially if symptoms persist or worsen. It is essential to monitor these conditions closely and seek medical advice if necessary. Proper hydration, nutrition, and gentle care of the affected areas can aid in recovery. If you have any concerns about the duration or severity of your symptoms, do not hesitate to reach out to a healthcare professional for personalized advice and treatment options.

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