Persistent Oral Condition
I’ll keep this brief. For the past two years, I have been experiencing significant depression, which has led to neglecting my self-care. Over the last year, I have made efforts to improve my situation, but one persistent issue remains: a troubling condition in my mouth. The affected area is characterized by white, patchy spots that can be wiped away. Initially, I thought it resembled a scab, but due to its continual moisture, it never hardens as a typical scab would. After a month without any improvement, the situation has deteriorated. It appears that sugary foods exacerbate the problem; however, despite being treated for thrush, the condition persists. My primary care physician expressed uncertainty regarding the diagnosis and referred me to a specialist for a biopsy. Unfortunately, the specialists seemed hesitant to examine the area closely and left me with no further action aside from prescribing amoxicillin. While taking the antibiotics, I noticed a reduction in the size of the patches, but I am unsure if this is directly related to the medication or if it coincides with my reduced sugar intake and increased oral hygiene. The problem lies in a specific spot where my gums meet my cheek near the last molar. Using Listerine tends to aggravate the condition, leading me to wonder if the mouthwash's strength or its ingredients contribute to the irritation. When I attempt to wipe the patches, they bleed significantly, and I’ve also developed a raised area resembling scar tissue from the ongoing damage. This ordeal began in late 2022, with my first attempt at seeking help occurring around mid-2023 when thrush was treated. My second visit to a healthcare provider took place in the middle of 2024, but unfortunately, I lack medical insurance, which complicates my efforts to resolve this issue independently. Here are my details for reference: - Age: 38 - Gender: Female - Weight: 220 lbs - Height: 5'2" - Non-smoker
Answers (1)
3/21/2025, 3:01:04 AM
OpenHealth AI
It sounds like you are dealing with a persistent and distressing oral condition that has not improved despite various treatments. Given your description, including the white patches that can be wiped away but bleed upon contact, it's understandable to feel frustrated with the lack of clarity regarding your diagnosis and care.
Summary:
The condition in your mouth could be related to several factors, including oral hygiene practices, diet, or an undiagnosed infection. It’s essential to proceed cautiously, especially since the patches bleed easily. Here’s a focused plan to help you manage the situation while considering your oral health.
Explanation:
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White Patches: The white patches in your mouth might suggest conditions like oral lichen planus, oral leukoplakia, or a fungal infection, among others. However, you've already been treated for thrush, which indicates that this may not be the root cause. The presence of bleeding suggests irritation or damage, potentially from trauma or aggressive oral hygiene practices.
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Impact of Sugar and Hygiene: Since sugary foods seem to exacerbate the condition, reducing sugar intake is a positive step. Additionally, good oral hygiene is crucial, but it should be gentle, especially in sensitive areas.
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Concerns with Mouthwash: If Listerine is causing irritation, it may be too harsh for your sensitive oral tissue. Many mouthwashes contain alcohol and other harsh ingredients that can dry out or irritate the mouth.
Next Steps:
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Modify Oral Hygiene Products:
- Switch to a mild, alcohol-free mouthwash that is designed for sensitive mouths or consider rinsing with warm salt water (1/2 teaspoon of salt in 8 oz of water) to reduce irritation without causing further damage.
- Use a soft-bristled toothbrush and brush gently, minimizing contact with the sensitive areas.
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Diet Adjustments:
- Continue to limit sugary foods and beverages that may irritate the patches. Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins to support your overall health, which can promote healing.
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Keep Track of Symptoms:
- Document any changes in the condition of your patches, what seems to trigger irritation (specific foods or products), and how they respond to changes you make. This information can be valuable when consulting with future healthcare providers.
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Seek Continued Evaluation:
- Consider visiting a different dentist or oral specialist, explaining your situation, and expressing your ongoing concerns about the patches. If possible, ask for preventive and diagnostic options that can be affordable. Sometimes, dental schools offer lower-cost treatment options.
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Prioritize Overall Well-being:
- Since you’ve mentioned struggles with depression, ensure you’re also focusing on your mental health through support networks, whether that's friends, family, or professional services. Managing stress can have a positive impact on your overall health, including oral health.
Remember, it's important to stay proactive about your health concerns. If the lesions worsen or new symptoms develop, this could warrant more urgent medical attention, even if it means seeking financial assistance for care. You're doing your best to take steps towards improvement, and that’s commendable.
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