[21F] With raised white bumps and peeling inside cheeks

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Oral Lichen Planus: This is a chronic inflammatory condition that affects the mucous membranes inside your mouth. It can cause white, lacy patches, red swollen tissues, or open sores. The exact cause is unknown, but it may be related to an immune system response.

  • Treatment: Typically involves corticosteroids to reduce inflammation, and other medications to manage symptoms. Good oral hygiene and avoiding irritants like spicy foods can help.

• Canker Sores (Aphthous Ulcers): These are small, shallow lesions that develop on the soft tissues in your mouth or at the base of your gums. They can be triggered by stress, minor mouth injuries, acidic or spicy foods, and certain medical conditions.

  • Treatment: Usually involves topical treatments to reduce pain and inflammation. Avoiding trigger foods and maintaining good oral hygiene can help.

• Medication Side Effects: Effexor (venlafaxine) can sometimes cause dry mouth and other oral symptoms. The changes in your mouth might be a side effect of this medication.

  • Treatment: Discussing with your doctor about the side effects and possibly adjusting the dosage or switching medications.

• Oral Thrush (Candidiasis): This is a fungal infection that can cause white patches in the mouth. It is more common in people with weakened immune systems or those taking certain medications.

  • Treatment: Antifungal medications are typically prescribed to treat oral thrush.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Maintain Good Oral Hygiene: Brush your teeth at least twice a day and floss daily. Use a mild toothpaste and a soft-bristled toothbrush.
2. Avoid Irritants: Stay away from spicy, acidic, or rough-textured foods that can irritate your mouth.
3. Stay Hydrated: Drink plenty of water to help with dry mouth and overall oral health.
4. Rinse with Salt Water: A saltwater rinse can help soothe your mouth. Mix 1/2 teaspoon of salt in a cup of warm water and rinse your mouth several times a day.
5. Monitor Your Symptoms: Keep track of any changes in your symptoms and note any potential triggers. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Increased Pain or Discomfort: If the bumps or peeling become painful or more bothersome.
• Spreading or Worsening Symptoms: If the white bumps or peeling skin spread or worsen.
• Difficulty Eating or Swallowing: If you have trouble eating or swallowing.
• Fever or General Illness: If you develop a fever or feel generally unwell.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.