Oral Mucosa Thinning: Causes and Remedies - Otolaryngology

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It feels like the oral mucosa has become thinner..?


I have recently developed a strong craving for hawthorn candy...
one piece after another...
At first, when I eat more than about ten pieces, my mouth feels astringent and dry...
Drinking water doesn't help...
I've been eating them for almost two months now...
and now, whenever I eat spicier foods, my mouth feels very uncomfortable...
I can handle some spice, but my mom can't tolerate any at all...
Recently, my mom dipped meat in sweet chili sauce, and she said it was delicious...
but I found it extremely spicy...
I can't even eat garlic sauce...
I smoke...
I smoke menthol cigarettes...
and recently, I've noticed that the smoke irritates my mouth...
I also can't eat cookies because the crumbs make my whole mouth uncomfortable...
My husband chews betel nut...
and he said he experienced the same discomfort at first...
He mentioned that the oral mucosa of betel nut chewers becomes thinner...
Am I feeling uncomfortable in my mouth because mine has also become thinner? If so, is there a treatment?

Zhu Zhu, 40~49 year old female. Ask Date: 2019/12/17

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is indeed possible that this is related to thinner oral mucosa, which can be more susceptible to irritation and sensitivity.
It is recommended to drink plenty of water and rinse your mouth, and to avoid spicy foods.
If discomfort persists, it is advisable to seek medical evaluation.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/12/17

More Info


Understanding oral mucosa thinning and its associated discomfort can be quite complex, especially when considering various lifestyle factors and dietary habits. Based on your description, it seems that you are experiencing symptoms that could be linked to a thinning of the oral mucosa, which can lead to increased sensitivity and discomfort when consuming certain foods or substances.


Causes of Oral Mucosa Thinning
1. Dietary Habits: Your recent consumption of hawthorn candy, which is often high in sugar and acidity, may contribute to irritation and thinning of the oral mucosa. Sugary and acidic foods can disrupt the natural balance of the oral environment, leading to inflammation and discomfort.

2. Smoking: The use of tobacco products, even if they are lighter varieties, can have a detrimental effect on oral health. Smoking can lead to changes in the oral mucosa, including thinning and increased sensitivity. It can also impair blood flow and healing processes in the oral tissues.

3. Irritants: Spicy foods, hot sauces, and even certain types of sauces can exacerbate the discomfort in individuals with already sensitive or thinning mucosa. If you are finding that foods that were once tolerable are now causing pain, this could be a sign of mucosal changes.

4. Genetic Factors: Some individuals may have a genetic predisposition to thinner oral mucosa or may experience changes in sensitivity based on family history, as you mentioned regarding your mother’s sensitivity to spicy foods.

5. Underlying Conditions: Conditions such as oral lichen planus, autoimmune disorders, or vitamin deficiencies (like Vitamin B12 or folate) can also lead to thinning of the mucosa and increased sensitivity.


Remedies and Management Strategies
1. Dietary Adjustments: Consider reducing your intake of acidic and sugary foods, including hawthorn candy. Instead, focus on a balanced diet rich in vitamins and minerals that support oral health. Foods high in antioxidants, such as fruits and vegetables, can help maintain the integrity of the mucosa.

2. Hydration: Ensure you are adequately hydrated. Drinking plenty of water can help maintain moisture in the oral cavity and may alleviate some discomfort.

3. Oral Hygiene: Maintain good oral hygiene by brushing gently with a soft-bristled toothbrush and using a mild, alcohol-free mouthwash. This can help prevent irritation and promote healing.

4. Avoid Irritants: Try to avoid smoking and limit exposure to spicy or irritating foods. If certain foods cause discomfort, it may be best to eliminate them from your diet temporarily.

5. Consult a Healthcare Professional: If your symptoms persist, it is advisable to consult a dentist or an oral health specialist. They can assess your oral mucosa and determine if there are any underlying conditions that need to be addressed. They may also recommend topical treatments or mouth rinses that can help soothe irritation.

6. Consider Supplements: If you suspect a vitamin deficiency, discuss with your healthcare provider the possibility of taking supplements or adjusting your diet to include more nutrient-rich foods.


Conclusion
In summary, the discomfort you are experiencing in your oral cavity may indeed be related to thinning of the oral mucosa, influenced by your dietary habits, smoking, and possibly genetic factors. By making some dietary changes, improving oral hygiene, and consulting with a healthcare professional, you can work towards alleviating your symptoms and improving your overall oral health. Remember, early intervention is key to preventing further complications, so don’t hesitate to seek professional advice if your condition does not improve.

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