Unusual Lip and Oral Mucosa Sensations: Causes and Solutions - Dentistry

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The mucosa of the lips feels strange when licked?


Hello doctor, I have a question.
Recently, I've been feeling something unusual with the mucosa at the corners of my mouth and my lip mucosa.
Sometimes it feels dry, and at other times it feels like there are ulcers, but there are no visible wounds! Appearance-wise, there doesn't seem to be anything particularly wrong, but it feels strange and dry when I lick it! Additionally, those areas have become sensitive to spicy and salty foods! Also, there is a raised line on the right corner of my mouth (the left side has one too, but it seems like it was already there; however, the right side has become more pronounced in the past couple of days).
It’s not hard, painful, or itchy, and the color looks normal; it appears to be loose skin.
Am I experiencing excessive heat in my body, or could it be another issue?

Mr. Hsu, 30~39 year old female. Ask Date: 2015/06/23

Dr. Zeng Guanghui reply Dentistry


The symptoms described may indicate irritation of the oral mucosa, leading to hyperkeratosis.
The raised fold at the right corner of the mouth, which is a pre-existing wrinkle, is asymptomatic and shows no abnormalities.
This could be a reaction of the oral mucosa due to stress, emotional factors, or lack of sleep.
It is advisable to consult a dentist for further evaluation and treatment.

Reply Date: 2015/06/23

More Info


Unusual sensations in the oral mucosa and lips can be concerning, and it's important to understand the potential causes and when to seek medical attention. Based on your description, it seems you are experiencing a combination of symptoms, including a strange texture in the mucosa, sensitivity to spicy and salty foods, and changes in the appearance of the lip folds.

Possible Causes
1. Oral Mucosal Irritation: The sensations you describe could be due to irritation of the oral mucosa. This can occur from various factors, including:
- Chemical Irritants: Certain foods, especially spicy or acidic ones, can irritate the mucosal lining, leading to a burning or tingling sensation.

- Allergic Reactions: Allergies to certain foods, dental products, or even environmental factors can cause changes in the mucosa, resulting in discomfort or unusual sensations.

- Infections: Viral infections, such as herpes simplex, can cause lesions or discomfort in the oral cavity, even if visible sores are not present.

2. Dehydration or Nutritional Deficiencies: If you have been experiencing changes in your diet or hydration levels, this could lead to dry mouth or changes in the mucosal texture. Deficiencies in vitamins, particularly B vitamins, can also lead to oral mucosal changes.

3. Stress and Hormonal Changes: Stress can exacerbate oral sensitivity and lead to conditions like burning mouth syndrome, where individuals experience a burning sensation in the mouth without an apparent cause. Hormonal fluctuations, especially after significant life changes (like pregnancy), can also affect oral health.

4. Underlying Medical Conditions: Conditions such as autoimmune diseases (e.g., lupus, Sjögren's syndrome) can cause changes in oral mucosa. If you have other symptoms, such as joint pain or fatigue, it may be worth discussing these with your healthcare provider.


When to Seek Medical Attention
Given that your symptoms have persisted and are causing you discomfort, it is advisable to consult a healthcare professional. Here are some guidelines on when to seek help:
- If the unusual sensations last longer than two weeks without improvement.

- If you develop additional symptoms, such as pain, swelling, or visible lesions.

- If you notice changes in your ability to eat or drink due to discomfort.

- If you have a history of allergies or autoimmune conditions that could be relevant.


Initial Steps You Can Take
1. Maintain Oral Hygiene: Ensure you are practicing good oral hygiene by brushing and flossing regularly. Consider using a mild, non-irritating mouthwash.

2. Stay Hydrated: Drink plenty of water to keep your mouth moist and help flush out any irritants.

3. Avoid Irritants: Try to avoid spicy, acidic, or very hot foods that may exacerbate your symptoms.

4. Monitor Symptoms: Keep track of when the symptoms worsen or improve, as this information can be helpful for your healthcare provider.


Conclusion
In summary, the unusual sensations in your oral mucosa and lips could stem from various causes, including irritation, allergies, or underlying health issues. It is essential to monitor your symptoms and seek medical advice if they persist or worsen. A healthcare professional, such as a dentist or an ear, nose, and throat (ENT) specialist, can provide a thorough examination and appropriate treatment options based on your specific situation. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out for help.

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