Patient's Query
Hi doctor,
I have a red patch on the inside of my cheek that can be seen only with bright light. It is painless and feels like sandpaper when I put my tongue on it. I have been having this for around five days now and I used some oral gel for ulcers but I feel no difference. I have no other symptoms. Kindly help.
Thank you.
Hi,
Welcome to icliniq.com.
I can understand your concern.
I have seen the lesion, and because the photo (attachment removed to protect the patient's identity) is without any flash, you will have to tell me whether this sandpaper feeling that you are having is felt throughout the inside of the cheek. Also, when was the last dental visit that you had? Have you had any dental procedures or filled teeth in the upper or lower jaw?
Not all oral lesions are precancerous or cancerous; most are inflammatory and harmless. If you let me know about how you feel, the extent of the lesion when you touch your tongue, and your past dental history, I will suggest remedies after I diagnose. You should probably start rinsing your mouth with Chlorhexidine gluconate mouthwash at night, and lukewarm salt water five to seven times which will help. However, these are insufficient to remove the lesion, and for prescribing any topical or oral gel, I need to diagnose you first.
Thank you.
Patient's Query
Hi doctor,
Thank you for your response.
My last deep cleaning was around three months ago. I underwent periodontitis treatment around three years ago and since then I have done cleaning every three to four months.
The lesion is felt with my tongue inside the cheek just under the upper left teeth and a bit below. If I do not use my tongue, I do not feel it and forget about it most of the time. I smoke daily, and I do not know if it is related, but I have a fungal rash on my neck, which is going away with treatment (cream). I did not have any dental procedures done over the last year or had any pain, only the occasional gum bleeding when I brushed my teeth due to the mild gum disease. These gum problems that I have are most probably due to smoking. I hope this helps to make a diagnosis. Is anything else needed?
Thank you.
Hi,
Welcome back to icliniq.com.
Glad to have you back.
That was a good explanation. It certainly helped. I got an idea now. When did you get this fungal rash on your neck? You observed this lesion also post this infection only, right? I want to know which cream you are applying to your neck. I will suggest and change accordingly to eliminate both infections simultaneously if they are interlinked.
I know quitting smoking would be challenging, but that makes you more predisposed to develop precancerous lesions quickly. I have an effective remedy that I can give you, but you need to reduce the number of smokes at least every day.
Please share details about the anti-fungal gel that you are using and when did this rash on the neck occur? Your answers can help me guide you further.
Thank you.
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Answered byDr. Achanta Krishna Swaroop
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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