Red Spots Inside Cheek: Should You Worry About Oral Cancer?

Red spots on the inside of the cheeks?

Doctor, I recently noticed small red spots inside my cheek.
I first discovered them because my tongue felt rough and not smooth when I licked it.
Upon looking in the mirror, I saw some red spots distributed on the inside of my right cheek, which are a blood-red color.
Could this be oral cancer?

Ma Ke, 10~19 year old female. Ask Date: 2016/02/26

Dr. Zeng Guanghui reply Dentistry

The above situation may indicate the presence of small blisters on the inner side of the buccal mucosa.
It is recommended to consult a dentist for further diagnosis.

Reply Date: 2016/02/26

More Info

When it comes to red spots inside the cheek, it's understandable to be concerned about the possibility of oral cancer. However, it's important to consider several factors before jumping to conclusions. Oral cancer is often associated with specific risk factors such as tobacco use (including betel nut), heavy alcohol consumption, and certain viral infections like HPV (human papillomavirus).
The appearance of red spots in the oral cavity can be attributed to various benign conditions. For instance, these spots could be small blood blisters or petechiae, which are tiny red or purple spots caused by bleeding under the skin. They can occur due to minor trauma, irritation, or even certain medical conditions that affect blood clotting. In many cases, these spots are harmless and may resolve on their own.

If the red spots are accompanied by other symptoms such as persistent pain, difficulty swallowing, or changes in the texture of the surrounding tissue, it may warrant further investigation. A healthcare professional, particularly a dentist or an oral surgeon, can provide a thorough examination to determine the cause of these symptoms. They may perform a visual inspection and, if necessary, a biopsy to rule out any serious conditions, including cancer.

It's also crucial to monitor the duration of these symptoms. If the red spots persist for more than two weeks without improvement, it is advisable to seek medical attention. Oral lesions that do not heal or change in appearance over time can be a cause for concern and should be evaluated by a healthcare provider.

In addition to seeking professional advice, maintaining good oral hygiene and avoiding irritants such as tobacco and alcohol can help promote oral health. Regular dental check-ups are also essential for early detection of any potential issues.

In summary, while the presence of red spots inside the cheek can be alarming, it does not automatically indicate oral cancer. Many benign conditions can cause similar symptoms. However, if you notice persistent changes or additional concerning symptoms, it is essential to consult with a healthcare professional for an accurate diagnosis and appropriate management. Early detection and intervention are key in addressing any potential health issues effectively.

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