Help!
Hello doctor, today I noticed sudden pain in my cheek and found some granular white spots on the inner side of my left cheek (near the upper teeth).
They feel rough to the touch, and my muscles are slightly painful.
At the same time, the muscles in my jaw are also painful.
Am I suffering from oral cancer? Am I going to die?
Xiao Hong, 20~29 year old female. Ask Date: 2002/08/18
Dr. Xu Zhenglong reply Dentistry
Hello, Xiao Hong: Regarding the issue you raised, may I ask if you have a habit of chewing betel nut? If not, the risk of developing oral cancer is somewhat lower.
You may be experiencing: 1.
An infection caused by friction between your teeth and cheek, such as cellulitis.
2.
Parotitis (salivary gland inflammation).
I recommend that you undergo clinical examinations (blood tests, X-rays, etc.) and see a dentist as soon as possible.
Dr.
Hwa, Hsu Cheng-Lung.
Reply Date: 2002/08/18
More Info
When it comes to oral health, the appearance of painful white bumps or lesions in the mouth can be concerning, and it’s understandable to worry about serious conditions like oral cancer. However, it’s essential to consider various potential causes before jumping to conclusions. Based on your description of painful white bumps on the inner cheek, along with muscle pain in the jaw and chin, there are several possibilities to consider.
One common cause of white bumps in the mouth is oral mucosal lesions, which can be due to a variety of factors including irritation, infection, or immune responses. Conditions such as oral thrush (a fungal infection), canker sores (aphthous ulcers), or even frictional keratosis (caused by chronic irritation from biting or rubbing against teeth) can manifest as white patches or bumps. These lesions are often painful and can be exacerbated by activities such as chewing or brushing teeth.
Another possibility is that you may be experiencing a condition known as oral lichen planus, which is an inflammatory condition that can cause white, lacy patches or bumps in the mouth. This condition is often associated with stress and can be aggravated by certain triggers, including spicy foods or dental work.
The pain you are experiencing in the jaw and chin muscles could also be related to temporomandibular joint (TMJ) dysfunction. TMJ disorders can cause pain in the jaw joint and surrounding muscles, leading to discomfort when opening or closing the mouth. This could explain the muscle pain you are feeling in conjunction with the oral symptoms.
While the concern about oral cancer is valid, it is important to note that oral cancer typically presents with more severe symptoms, such as persistent sores that do not heal, lumps that do not go away, or changes in the texture of the oral mucosa. If the white bumps are accompanied by other alarming symptoms such as difficulty swallowing, significant weight loss, or persistent pain, it would be prudent to seek immediate medical attention.
To address your current symptoms, here are some recommendations:
1. Maintain Oral Hygiene: Continue to brush your teeth gently and use a soft-bristled toothbrush to avoid further irritation. Rinse your mouth with a mild saline solution to help soothe the area.
2. Avoid Irritants: Stay away from spicy, acidic, or abrasive foods that could aggravate the lesions. Additionally, avoid tobacco and alcohol, as they can irritate the oral mucosa.
3. Pain Management: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help alleviate discomfort. However, be sure to follow the recommended dosages.
4. Stress Management: Since stress can exacerbate oral health issues, consider incorporating relaxation techniques such as deep breathing, meditation, or gentle exercise into your routine.
5. Consult a Healthcare Professional: If the white bumps persist for more than a week, worsen, or if you develop additional symptoms, it is crucial to consult a dentist or an oral health specialist. They may recommend a biopsy or other diagnostic tests to rule out serious conditions.
In conclusion, while the appearance of painful white bumps in the mouth can be alarming, there are several benign explanations for these symptoms. It is essential to monitor your condition and seek professional advice if necessary. Maintaining good oral hygiene and managing stress can significantly contribute to your overall oral health. Remember, early intervention is key to addressing any potential issues effectively.
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