Symptoms of HIV and Oral Cancer: What to Look Out For - Otolaryngology

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What are the early symptoms of HIV or oral cancer?


Hello Doctor: In mid-June, I had an oral candidiasis and lost 6 kilograms in two months.
However, after applying the medication for three days, I was completely cured, and there has been no recurrence since then.
I also underwent an oral cancer examination during that time, which showed no issues, and I have gained back 2 kilograms.
Now, I am experiencing some pain about one centimeter behind the last tooth on the lower left side of my mouth (around the base of the tongue), which can be felt by touch.
Sometimes, it hurts when I swallow saliva or talk, but I can't bite that area with my teeth, so I'm unsure how it could be injured.
This makes me wonder if it could be related to HIV or oral cancer.
I would like to ask the doctor what symptoms are associated with HIV or oral cancer in the mouth when they manifest, and whether having a lot of heat in the body can cause oral injuries.
Thank you for your assistance.

Xiao Zhi, 20~29 year old female. Ask Date: 2010/08/10

Dr. Chen Jianzhi reply Otolaryngology


Dear Inquirer,
Based on your literal question, oral lesions associated with HIV primarily manifest as candidiasis, while oral cancer is characterized by mass-like lesions.
However, most painful oral lesions are benign, and only a very small number that do not heal within a month should raise suspicion for neoplastic changes.
If you have serious concerns about your oral condition, it is advisable to visit a nearby otolaryngology or dental clinic for evaluation.
Sincerely,
Dr.
Chien-Chih Chen, Lecturer at Fu Jen Catholic University

Reply Date: 2010/08/10

More Info


When considering the symptoms of HIV and oral cancer, it is essential to understand that both conditions can manifest in various ways within the oral cavity, but they typically present different signs and symptoms.

HIV Symptoms:
HIV (Human Immunodeficiency Virus) can lead to a range of oral health issues, particularly as the immune system becomes compromised. Some common oral manifestations associated with HIV include:
1. Oral Candidiasis (Thrush): This is a fungal infection that can cause white patches in the mouth, soreness, and difficulty swallowing. It is often one of the first signs of HIV infection, especially when the immune system is weakened.

2. Oral Hairy Leukoplakia: This condition appears as white patches on the tongue and is caused by the Epstein-Barr virus, which can reactivate in individuals with HIV.

3. Gingivitis and Periodontitis: People with HIV may experience severe gum disease, leading to swollen, bleeding gums and tooth loss.

4. Kaposi's Sarcoma: This is a type of cancer that can appear as purple or brown lesions in the mouth and is associated with advanced HIV infection.

5. Painful Ulcers: HIV can lead to painful sores in the mouth, which can be mistaken for other conditions.

Oral Cancer Symptoms:
Oral cancer can also present with various symptoms, and early detection is crucial for effective treatment. Some common signs of oral cancer include:
1. Persistent Sores: Non-healing sores or ulcers in the mouth that do not heal within two weeks.

2. Lumps or Thickening: Any unusual lumps or thickening in the tissues of the mouth, including the gums, tongue, or lining of the mouth.

3. White or Red Patches: Leukoplakia (white patches) or erythroplakia (red patches) in the mouth can be precursors to cancer.

4. Difficulty Swallowing or Speaking: Changes in speech or difficulty swallowing can indicate a serious issue.

5. Pain: Persistent pain in the mouth, throat, or ear can be a symptom of oral cancer.

In your case, the pain you are experiencing near the root of your tooth could be due to several factors, including inflammation, infection, or even a benign condition. It is important to note that while HIV can lead to oral health issues, the presence of pain alone does not necessarily indicate HIV or oral cancer, especially since you have already been evaluated for oral cancer and found to be clear.

Given your history of oral candidiasis and recent weight loss, it is wise to monitor your symptoms closely. Stress and anxiety can also exacerbate oral discomfort, leading to habits such as teeth grinding, which may cause pain or irritation in the mouth.

If you are concerned about the possibility of HIV or oral cancer, it is advisable to consult with a healthcare professional who can conduct a thorough examination and possibly recommend further testing, such as blood tests for HIV or a biopsy if there are suspicious lesions. Regular dental check-ups are also crucial for maintaining oral health and catching any potential issues early.

In summary, while both HIV and oral cancer can present with oral symptoms, they typically have distinct characteristics. Monitoring your symptoms and seeking professional advice is the best course of action to ensure your health and peace of mind.

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