[37M] With skin spots, oral discomfort, and thumb pain

Patient Description

A 37-year-old male presents with small, light red spots on the toes and hands that appeared gradually over two days. He also reports a burning sensation on the top of his tongue, similar to having eaten something hot, which has been constant for two days. Additionally, there is a cold sore on the lip and pain in the thumbs at the nails. The burning sensation in the mouth worsens with carbonation and salty foods. The patient experienced a fever five days ago. No known injuries to the tongue were reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Hand-Foot-Mouth Disease: This is a viral infection that can cause red spots on the hands and feet, mouth sores, and sometimes a fever. It's common in children but can affect adults.

    • Treatment typically involves supportive care, such as pain relief and hydration.

  • Herpes Simplex Virus (HSV): The cold sore on your lip suggests a possible HSV infection, which can also cause mouth discomfort.

    • Antiviral medications can help manage outbreaks.

  • Burning Mouth Syndrome: This condition causes a burning sensation in the mouth without an obvious cause. It can be triggered by stress, nutritional deficiencies, or allergies.

    • Treatment focuses on managing symptoms and addressing any underlying issues.

What you can do

  • Stay Hydrated: Drink plenty of water to help soothe your mouth and prevent dehydration.
  • Avoid Irritants: Steer clear of spicy, salty, or acidic foods and drinks that can worsen mouth discomfort.
  • Over-the-Counter Relief: Consider using topical oral gels or mouth rinses to ease pain.
  • Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

  • Seek Medical Attention: If your symptoms worsen, or if you develop a high fever or difficulty swallowing, consult a healthcare professional.
  • Monitor for Changes: Keep an eye on the spots and sores. If they change in appearance or become more painful, it's important to get them checked.

Remember, it's always best to consult with a healthcare provider for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask

What are the common symptoms of Hand-Foot-Mouth Disease in adults?

In adults, Hand-Foot-Mouth Disease can cause red spots or rashes on the hands and feet, mouth sores, fever, and sometimes a sore throat. The symptoms are usually mild and resolve on their own with supportive care.

How can I manage a cold sore caused by the Herpes Simplex Virus?

Cold sores caused by the Herpes Simplex Virus can be managed with antiviral medications, which help reduce the severity and duration of outbreaks. Over-the-counter creams and pain relievers can also provide symptom relief.

What is Burning Mouth Syndrome and how is it treated?

Burning Mouth Syndrome is characterized by a burning sensation in the mouth without an obvious cause. It can be triggered by factors like stress, nutritional deficiencies, or allergies. Treatment focuses on symptom management and addressing any underlying issues, often involving medications, dietary changes, and stress management techniques.

When should I seek medical attention for my symptoms?

You should seek medical attention if your symptoms worsen, if you develop a high fever, or if you experience difficulty swallowing. Additionally, if the spots or sores change in appearance or become more painful, it's important to consult a healthcare professional.

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