[31M] With a non-painful dark red spot on the roof of the mouth

Patient Description

A 31-year-old male presents with a non-painful, dark red spot on the roof of the mouth, about the size of a pea, persisting for a month. The patient is aware of the spot's presence through tactile sensation with the tongue but reports no changes in size, shape, or color over time. There is no associated bleeding, difficulty swallowing, or speech alterations. The patient also had a transient bump on the lip, which has resolved. No use of tobacco products or recent dental trauma is reported. The patient has no significant medical, family, or medication history, including no known allergies or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, the red spot in your mouth could be due to a variety of conditions. Here are some possibilities:

  • Oral Hemangioma: This is a benign growth of blood vessels in the mouth. It can appear as a red or purple spot and is usually painless.

    • Treatment: If it's not causing any problems, it might not need treatment. If it's large, causing discomfort, or you don't like the way it looks, treatments include laser surgery, freezing (cryotherapy), and steroid injections.
  • Oral Pyogenic Granuloma: This is a benign growth often caused by irritation or physical trauma. It can appear as a red or purple spot and can bleed easily.

    • Treatment: This condition often goes away on its own, but it can also be removed with surgery or laser treatment.
  • Oral Cancer: While less likely, especially given your age and lack of risk factors (such as tobacco use), it's important to rule this out. Oral cancer can appear as a persistent red or white spot in the mouth.

    • Treatment: If oral cancer is suspected, a biopsy would be needed to confirm the diagnosis. Treatment typically involves surgery, radiation therapy, and/or chemotherapy.

What you can do

Given that the spot has been present for a month, it would be a good idea to have it evaluated by a healthcare professional. They can examine the spot and, if necessary, refer you to a specialist for further evaluation and treatment.

What you should look out for

If you notice any of the following changes, it's important to seek medical attention promptly:

  • The spot increases in size
  • The spot changes in color or shape
  • You experience pain or discomfort in the area of the spot
  • You have difficulty swallowing or speaking
  • The spot bleeds

Please remember that while I strive to provide accurate and helpful information, I am not a doctor. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

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People Also Ask


What are the common causes of a non-painful red spot on the roof of the mouth?

Common causes of a non-painful red spot on the roof of the mouth include oral hemangiomas, pyogenic granulomas, and less commonly, oral cancer. These conditions can vary in appearance and persistence.


How can I differentiate between a benign oral condition and something more serious like oral cancer?

To differentiate between a benign condition and oral cancer, look for changes in size, shape, or color of the spot, as well as symptoms like pain, bleeding, or difficulty swallowing. A healthcare professional can provide a definitive diagnosis, often through a biopsy.


What are the treatment options for an oral hemangioma?

Treatment options for an oral hemangioma include observation if it's not causing issues, or interventions like laser surgery, cryotherapy, or steroid injections if it's problematic or cosmetically concerning.


When should I seek medical attention for a spot in my mouth?

You should seek medical attention if the spot increases in size, changes in color or shape, becomes painful, bleeds, or if you experience difficulty swallowing or speaking.


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