[20M] With rough patches inside cheek

Patient Description

A 20-year-old male reports rough patches on the inside of his cheek for almost two weeks. These patches are not painful and are barely noticeable unless touched with the tongue. The patient denies any other symptoms, recent dental work, new dental appliances, or changes in diet. He does not use tobacco products and brushes his teeth often, though flossing occurs every 3-5 days. There are no habits like cheek biting, no significant past medical history, and no current medications.

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Arora's Assessment

What might be happening

Based on your description, here are some possibilities:

  • Frictional Keratosis: This is a common condition where the lining of the mouth becomes rough due to friction, often from teeth or dental appliances. It’s usually harmless and resolves on its own.

    • Treatment typically involves monitoring the area and maintaining good oral hygiene.

  • Oral Lichen Planus: A chronic condition that can cause rough patches in the mouth. It’s usually not painful but can be persistent.

    • Treatment may involve topical medications if symptoms worsen.

  • Mild Irritation: This could be due to minor irritation from food, drinks, or oral hygiene products.

    • Treatment involves identifying and avoiding the irritant.

What you can do

  • Maintain Oral Hygiene: Continue brushing regularly and try to floss daily to keep your mouth clean.
  • Monitor Changes: Keep an eye on the patches. If they change in appearance or become painful, consult a dentist or doctor.
  • Avoid Irritants: Consider avoiding spicy or acidic foods that might irritate your mouth.
  • Use MDandMe: You can use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.

What you should look out for

  • Seek Medical Advice: If the patches persist beyond a few weeks, become painful, or change in appearance, it’s important to see a healthcare professional.
  • Watch for Additional Symptoms: If you develop other symptoms like swelling, pain, or difficulty eating, seek medical attention.

Remember, while this information can be helpful, it’s important to consult a healthcare professional for a formal diagnosis and treatment plan.

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1 mo ago

People Also Ask

What is frictional keratosis and how is it treated?

Frictional keratosis is a condition where the lining of the mouth becomes rough due to friction, often from teeth or dental appliances. It is usually harmless and resolves on its own. Treatment typically involves monitoring the area and maintaining good oral hygiene.

What are the symptoms and treatment options for oral lichen planus?

Oral lichen planus is a chronic condition that can cause rough patches in the mouth. It is usually not painful but can be persistent. Treatment may involve topical medications if symptoms worsen.

How can I identify and avoid oral irritants that might cause rough patches?

To identify and avoid oral irritants, consider keeping a food diary to track what you eat and drink. Avoid spicy or acidic foods and pay attention to any oral hygiene products that might be causing irritation. If you notice a pattern, try eliminating the suspected irritant.

When should I seek medical advice for rough patches in my mouth?

You should seek medical advice if the rough patches persist beyond a few weeks, become painful, or change in appearance. Additionally, if you develop other symptoms like swelling, pain, or difficulty eating, it's important to consult a healthcare professional.

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