Although I am not able to provide an actual diagnosis online, what you are describing sounds a lot like a benign condition known as "Fordyce Granules". Fordyce Granules are oil producing glans and they often show on the insides of the cheeks, lips and occasionally on the lip as well.
I would strongly suggest making an appointment with your Dentist who may be able to address your concerns and give you a clinical diagnosis.
Benign Mucous Membrane Pemphigoid is most likely to be seen in Jewish women over the age of 50, however it can be seen in patients of any age race or sex.
It is an autoimmune disease, essentially self attacking self. With BMMP the skin or mucous membranes separates from the underlying connective tissue. Since your mother is already being seen at U or P she should contact the Dental School and make an appointment for a consult with either an oral pathologisrt or a specialist in oral medicine.
I am sorry you are having pain. Unfortunately I cannot diagnose you online.
I would suggest, if you continue to have this problem that you keep a kind of pain diary, rate or on a scale of 1 to 10 with 10 being the worst pain you can immagine. When does it happen, does it wake you from sleep, how long does it lady, does anything make it go away faster, if you take pain medicine does it go away faster, does it get worse when you are eating, is time of day an issue, do certain foods trigger it?
Is it visible or can only you see it? If it look worse when you are not at the doctors office take a photo and give it a date and te stamp.
The more information you can provide your dentist or physician the more accurate they will be in their diagnosis.
Angular Cheilitis is NOT a sexually transmitted disease. (I will get back to this later in my response).
Although I cannot diagnose you online what you have described does seem to fit into the clinical diagnosis of angular cheilitis.
Before I respond to your question you should be aware that candida is a normal part of your oral flora and is supposed to be in your mouth. It helps keep the bacteria and microorganisms that also live in your mouth in check. Therefore testing to see if you can grow candida on an agar plate is a waste of time and money, of course a culture will show growth of candida, as it is supposed to live in your mouth.
A very very (very) long time ago Angular Cheilitis was thought to be a vitamin deficiency specifically a vitamin b deficiency. However, unless you have a GI disease like Irritable bowel syndrome or an intrinsic factor disorder where you are not absorbing nutrients through your gut, it is virtually impossible to have a vitamin b deficiency in this country as everything is vitamin fortified or enriched.
Oral candidiasis, colloquially referred to as "thrush', is a common fungal infection that may present in both immunocompetent and immuno- compromised patients.
Oral candidiasis may result in pain on swallowing, oral discomfort, localized swelling, bitter or sour taste and loss of function in addition to angular cheilitis.
It is associated with numerous local and systemic conditions including decreased vertical dimension, dry mouth, braces, drooling during sleep, immunosuppression, HIV infection, chemotherapy, poorly controlled diabetes, xerostomia, and denture stomatitis. To name a few.
Chronic Angular Cheilitis: Presents as perioral erythema and/or cracking, fissuring and superficial ulceration at the corners/commissures of the mouth. It can be quite painful if left untreated.
What I can tell you is that regardless of why you have angular cheilitis, the clinical presentation of angular cheilitis is always due to a yeast infection.
Can you get it or give it to a partner during sex. Yes but the much more likely explanation is that you have an over growth of the fungal organisms that are supposed to live in your mouth.
My recommendation is to figure out first if you have an intra oral yeast infection. If you do, treat it with an OTC or prescription anti fungal preparation and most likely the corners of your mouth will improve.
The WORST possible thing to do is apply petroleum jelly to the affected area. Petroleum jelly is hydrophilic it will suck the moisture out of the thin skin of the lips and make the problem much worse and last longer. Vaseline is great for elbows but not the delicate skin of the lips.
So angular cheilitis is a chronic yeast infection. It will go away however dry mouth, dentures, medication, air conditioning, may all affect how quickly you will feel better.
If it continues to bother you I recommend seeing your dentist or physician for a prescription or checking with the pharmacist for an OTC remedy.
I am sorry you are having a problem after your surgery. Although it is a "minor" surgery, it is normal for patients to feel uncomfortable a week after an extraction and you had four.
I know it seems like your sore throat and your extractions are related - because they are happening in the same part of your body - but a sore throat may simply be a sore throat.
While it is possible that your sore throat is viral in origin it is virtually impossible for it to be shingles. Shingles also known as herpes zoster is a secondary reactivation of the chicken pox virus (varicella zoster).
Shingles is always unilateral in presentation. The chicken pox virus will "sleep" in your spinal cord (forever) once you have had chicken pox and you cannot have shingles if you never had chicken pox.
After you have gotten over chicken pox the virus that caused it will 'sleep' in your spinal cord for the rest of your life. When the virus 'wakes up' (activated) the virus will either affect only the right OR left side of one nerve branch which corresponds to how the nerves come out of the spinal cord.
Clinically shingles affects one peripheral sensory nerve or a branch of one nerve, tends to be extremely painful and develops chicken pox like blisters in the skin and mucous membrane along the branch of the affected nerve.
Patients with shingles affecting multiple sites and both the right and left sides are almost always immune compromised, HIV, AIDS, uncontrolled diabetic etc.
So the likelihood of your sore throat being caused by shingles is almost impossible, the virus simply does not present that way.
Hopefully you will be feeling better by now and this is an academic response to a resolved clinical question.
Although I cannot diagnose you on line the most common reason that patients present with bilateral irritation on the sides of the tongue is that they have been clenching or grinding. As this often happens at night the patient may be unaware that it is happening.
Once the tongue becomes sensitive patients are concerned and they look at the tongue, often, and stock it out as far as it will go. Unfortunately this can really irritate the tongue. Because it is an acute situation and it is symmetric I can tell you with a degree of confidence that it is a temporary situation and it will go away on its own. However, It will resolve faster if you don't poke it or pull it.
If your tongue is still bothering you after a couple of weeks you may want to see your dentist or physician.
I do not have enough information to guide you and it would be irresponsible of me to suggest treatment without the benefit of X-rays and a clinical assessment. I know it seems straightforward however there are numerous clinical issues and concerns that go into treatment planning , appropriate assessment and overall patient care and this is an extremely complicated problem.
I hope that this helps and that you will find some answers to your questions.
Although i cannot diagnose you online, what you are describing is not consistent with a clinical description of intraoral melanoma.
Having said that with your history and your families history I would strongly suggest that you have the tissue removed and sent for a biopsy. I suggest that you see an oral surgeon as intraoral manifestations of skin diseases often do not present with the same clinical features as they do when they are seen on the skin.
I know this is scary however you need to have the area examined by an oral surgeon. As this is a surgical procedure it should be covered by your medical coverage not your dental coverage.
I hope this helps, please let me know of the follow up.
Geographic tongue is a variation of normal. It can be sore when it is in an active phase but in general it is annoying but nothing to worry about.
Anecdotally, I can tell you that in my patients stress seems to make geographic tongue more painful and slower to resolve.
Geographic tongue does have a relationship to psoriasis and many people believe that geographic tongue is an oral manifestation of psoriasis.?Microscopically it looks like psoriasis and may even show features of candidiasis. However, unless it is painful or is secondarily infected with candida most providers will not treat geographic tongue.
Geographic tongue is not typically associated with candidiasis and the raised slightly white halos that surround the areas of depapillation are a part of the diagnosis of geographic tongue but are often misdiagnosed as candidiasis especially by health care providers unfamiliar with the diagnostic criteria.
If it starts to act up or become painful speak with your dentist or pharmacist to find a product - either OTC or by prescription - which can help alleviate some of the symptoms.
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