Recurring Oral Blisters: Causes and When to See a Doctor - Otolaryngology

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Oral blisters


Hello, doctor.
I have a recurring blister about 0.2 cm in size at the junction behind the last upper and lower molars on the right side, close to the throat.
I believe this area is referred to as the retromolar pad.
The blister seems to appear every two to three days, and I'm not sure if it’s being accidentally ruptured and then healing, or if it disappears and reappears.
I do not wear braces, and there are no teeth in that area.
The blister is neither painful nor itchy.
I have noticed this issue for about three weeks now.
What could be the possible cause? Should I urgently see a doctor? The location is quite similar to the patient in the link below (but this is not me, and I do not wear braces): https://www.ptt.cc/bbs/teeth_salon/M.1544198265.A.146.html

Nn, 20~29 year old female. Ask Date: 2021/06/05

Dr. Zheng Jueyi reply Otolaryngology


Hello: Currently, it is difficult to determine the cause.
Oral small blisters are commonly associated with issues related to the minor salivary glands.
If they persist without improvement or continue to enlarge, it is advisable to seek medical evaluation for confirmation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/06/05

More Info


Recurring oral blisters, especially in the area you described near the molars and towards the throat, can be concerning and may have various underlying causes. Given that these blisters appear every few days and are not painful or itchy, it is essential to consider several possibilities.

One common cause of oral blisters is aphthous ulcers, also known as canker sores. These are small, painful lesions that can develop on the soft tissues of the mouth, including the gums, tongue, and inside of the cheeks. However, since you mentioned that the blisters are not painful, this may not be the case.
Another possibility is mucoceles, which are fluid-filled cysts that can occur when a salivary gland duct is blocked or damaged. They often appear as painless, swollen areas in the mouth and can recur if the underlying cause is not addressed. Given your description of the location, it is plausible that a mucocele could be forming in that area.

Allergic reactions to certain foods, dental products, or medications can also lead to the formation of blisters in the mouth. If you have recently changed any products or introduced new foods into your diet, this could be a contributing factor.

Infections, such as viral infections (e.g., herpes simplex virus), can cause blisters in the mouth. However, these typically present with additional symptoms, such as pain, swelling, or fever. Since your blisters are not associated with discomfort, this may be less likely.

Oral lichen planus is another condition that can cause recurring lesions in the mouth. This is an inflammatory condition that can lead to white patches or blisters. It is often associated with stress or certain medications.

Given that you have noticed these blisters for about three weeks and they recur every few days, it is advisable to consult a healthcare professional, particularly a dentist or an oral specialist. They can perform a thorough examination and may recommend further tests, such as a biopsy, if necessary, to determine the exact cause of the blisters.

In terms of urgency, while the blisters are not painful, their recurring nature warrants a visit to a doctor. It is essential to rule out any serious conditions and to receive appropriate treatment if needed. Early intervention can help prevent further complications and provide peace of mind.

In summary, while there are several potential causes for your recurring oral blisters, a professional evaluation is crucial to identify the underlying issue accurately. Make an appointment with a dentist or an oral specialist to discuss your symptoms in detail and receive tailored advice and treatment.

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