[27M] With mouth sore and sinus irritation

Patient Description

A 27-year-old male presents with a single white sore behind the last molar on the left side of the mouth, approximately the size of a pencil eraser, with onset 3-4 days ago. The patient experiences pain from the sore and suspects additional sores further down the throat when drinking water. There is no recent history of mouth injury, dental work, or trauma. The patient also reports concurrent sinus irritation but is unsure of its relation to the oral sore. There are no other associated symptoms, such as fever or difficulty swallowing, and no skin lesions. The patient does not use tobacco products and has no known allergies or adverse reactions to medications. There is no medical history of immune-compromising conditions, and the patient is not on any medications. No pre-existing conditions or chronic illnesses have been reported.

Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

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 are not contagious but can be painful and make eating and talking difficult.
- Treatment typically involves over-the-counter topical products, mouth rinses, and pain medications. They usually heal on their own within a week or two.
Oral Thrush (Candidiasis): This is a condition in which the fungus Candida albicans accumulates on the lining of your mouth. It can cause white lesions, often on your tongue or inner cheeks.
- Treatment typically involves antifungal medications.
Oral Lichen Planus: This is an inflammatory condition that can affect the mucous membranes inside your mouth. Oral lichen planus can appear as white, lacy patches; red, swollen tissues; or open sores.
- Treatment typically involves managing symptoms, improving oral hygiene, and avoiding triggering factors.

What you can do

You should make an appointment with a healthcare professional for a formal diagnosis and treatment plan. Here are some things you can do in the meantime:

Avoid spicy, salty, or acidic foods that may irritate your mouth sore.
Rinse your mouth with a mixture of 1 part hydrogen peroxide and 1 part water. Follow this by rinsing with plain water.
Over-the-counter treatments like topical creams, ointments, or mouth rinses may provide temporary relief.

What you should look out for

Seek immediate medical attention if:

Your mouth sore lasts longer than two weeks.
You have difficulty swallowing or opening your mouth.
You develop a high fever or feel unwell.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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1 yr ago

Top picked over-the-counter products for Sore Throat: At-Home Management