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Concerns About a Dark Spot in My Mouth

8/3/2025, 11:40:18 AMMale25-34

F24, White, weighing 47 kg, standing at 156 cm. I don't consume alcohol or tobacco. I am currently treated for chronic gastritis caused by stress, taking Omeprazole 40 mg and Gaviscon. Just yesterday, I noticed a dark spot on my palate. I'm uncertain whether it’s a recent development or something that has been there for a while. The spot appears flat and has a blue-black hue. Fortunately, it doesn't cause me any pain. Since I haven't undergone any dental procedures, I doubt it could be related to dental work like a filling. I'm quite anxious that this could be indicative of oral melanoma or a similar condition. I do have an appointment with my dentist set for next week. In the meantime, I'm curious if this situation warrants a biopsy.

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

8/3/2025, 11:40:34 AM

OpenHealth AI

It's understandable to feel anxious when noticing changes in your health, especially something as concerning as a dark spot in your mouth. Here’s what you need to know:

Summary of Key Points:

  1. A dark spot on the palate, especially if flat and painless, can have various causes, and while it’s good to be aware, many spots are benign.
  2. It’s wise to monitor the spot until your dental appointment, which you already have scheduled.
  3. Consider whether a biopsy is necessary based on your dentist's evaluation.

Explanation:

The dark spot you’ve noticed could be due to several reasons, such as a benign pigmentation (like a mole), a bruise from minor irritation, or something else harmless. Oral melanoma is rare, especially in individuals without risk factors such as smoking or excessive sun exposure in the mouth area.

Since you have chronic gastritis and are under treatment, this condition doesn't typically correlate with oral spots. It's also reassuring that the spot is painless, as painful spots often warrant more immediate concern.

Next Steps:

  1. Monitor the Spot: Keep an eye on its size, color, and any changes. Take note of any new symptoms (like pain, bleeding, or changes in texture) that may develop.

  2. Avoid Irritants: While you wait for your dental appointment, try to avoid any irritants such as spicy foods or rough textures that might aggravate your oral cavity.

  3. Prepare for Your Appointment: When you see your dentist next week, share your observations in detail. Mention when you noticed the spot and any concerns you might have. Your dentist may evaluate whether a biopsy is necessary based on their findings.

  4. Stay Calm: Anxiety is common in such situations. Remind yourself that the majority of oral spots are not serious, and getting a professional evaluation is the best course of action.

If you notice any significant changes before your appointment, don’t hesitate to reach out for advice or seek care sooner.

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