Oral Lesions: What Your Symptoms Might Indicate - Otolaryngology

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Oral issues


Hello Doctor, I discovered several red spots on the hard palate two days ago, and there is a bit of blood on the left side of my mouth, but they are neither painful nor itchy, and the surface is flat without any protrusions.
Yesterday, I visited an ENT specialist who visually assessed it and suggested it might be related to hand, foot, and mouth disease, prescribing some medication.
However, I do not have any typical symptoms of hand, foot, and mouth disease, such as fever or discomfort.
Today, I woke up to find several small raised lesions in the same area on the hard palate, resembling small polyps.
The red spots have not developed into the blisters typically associated with hand, foot, and mouth disease.
I researched online and am concerned that the red spots in my mouth could be precursors to oral cancer.
Could you please evaluate my situation? Thank you.
Oral photos: https://imgur.com/a/Kp3gePj

Xiao Cai, 20~29 year old female. Ask Date: 2019/10/23

Dr. Zheng Jueyi reply Otolaryngology


Hello,
At first glance, it appears to be small petechiae caused by an infection, rather than oral cancer.
It is advisable to drink plenty of water and monitor the situation.
However, if it continues to enlarge, a follow-up visit to the ENT department for further evaluation is necessary.

Wishing you safety and health,
Director of ENT Department, Taoyuan Hospital, Ministry of Health and Welfare,
Dr.
Cheng Jue-Yi

Reply Date: 2019/10/23

More Info


When it comes to oral lesions, such as the red spots and small bumps you've described on your palate, it's important to approach the situation with a thorough understanding of potential causes and implications. Based on your symptoms, it seems you have developed several blood-red spots and small protrusions in your mouth, which can understandably cause concern, especially with the fear of serious conditions like oral cancer.

Firstly, the presence of red spots in the oral cavity can be attributed to a variety of factors. Common benign causes include irritation from dental appliances, trauma from biting, or even allergic reactions to certain foods or dental products. In some cases, these lesions can be associated with viral infections, such as the hand, foot, and mouth disease caused by enteroviruses, which may explain the initial diagnosis you received from the ENT specialist. However, since you do not exhibit typical symptoms of a viral infection, such as fever or malaise, it may be prudent to consider other possibilities.

The small bumps resembling "little meat granules" could be a form of irritation fibroma or a mucocele, which are benign growths that can occur in response to chronic irritation or trauma. These lesions are typically harmless but can be bothersome and may require treatment if they persist or cause discomfort.

It's also worth noting that while the fear of oral cancer is valid, especially with the presence of new lesions, the characteristics you've described—such as the absence of pain, itchiness, or ulceration—are not typical of malignant lesions. Oral cancer often presents with persistent sores, lumps, or patches that do not heal, along with other systemic symptoms. However, it is crucial to monitor any changes in your oral health closely.

Given your situation, here are some recommendations:
1. Follow-Up with a Specialist: Since you have already seen an ENT specialist, it may be beneficial to consult with an oral surgeon or a dentist who specializes in oral pathology. They can provide a more detailed examination and may recommend a biopsy if there is any suspicion of a more serious condition.

2. Monitor Symptoms: Keep an eye on the lesions. If they change in size, color, or if you develop new symptoms (such as pain, swelling, or difficulty eating), seek medical attention promptly.

3. Maintain Oral Hygiene: Ensure that you are practicing good oral hygiene. This includes brushing your teeth twice a day, flossing daily, and using an antibacterial mouthwash to reduce the risk of infection and irritation.

4. Avoid Irritants: Try to identify and avoid any potential irritants that may be contributing to the lesions, such as certain foods, dental products, or habits like chewing on hard objects.

5. Consider a Biopsy: If the lesions persist or if there is any doubt about their nature, a biopsy may be warranted. This procedure involves taking a small sample of the tissue for laboratory analysis to rule out any serious conditions.

In conclusion, while your symptoms may be concerning, they are not definitively indicative of a serious condition like oral cancer. However, it is essential to remain vigilant and proactive in seeking further evaluation and treatment as necessary. Your health and peace of mind are paramount, so do not hesitate to pursue further medical advice if you feel it is warranted.

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