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What Causes White Patches In The Mouth?

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Posted on Tue, 3 Oct 2017
Question: I have developed a white patches in my mouth for few days , image attached herewith, is it just a fungal infection or something else & what medicine shall I try. Though it has no pain, no bleeding now. Not increasing though, slightly decreased since its occurred. Non smoker, non drinker, never chewed tobacco.

1.Exactly for how long this lesion is there?
For 15-20 Days

2. If this kind of lesion is present in any other site inside mouth?
No. only one place as attached in image  
doctor
Answered by Dr. Prof. Kunal Saha (53 minutes later)
Brief Answer:
Wait and watch. If it persists, get a histopathological study done

Detailed Answer:
Thanks for the updates.

I would insist you to wait and see whether the lesion subsides in a week or so. Also note if it is associated with a sense of altered sense (like numbness). Based on that a topical anesthetic gel can be applied. However, in case it lasts for more than a week it would perhaps be advisable to get a histopathological study of the lesion done to rule out leukoplakia, a precancerous lesion. For that, a sample would need to be obtained from the lesion.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (38 hours later)
Image update. One black point is occurred on this lesion. What is it. Was it look better than the previous condition. No altered sense or numbness present.
doctor
Answered by Dr. Prof. Kunal Saha (46 minutes later)
Brief Answer:
Apply Candid mouth paint. If that does not help, get biopsy done.

Detailed Answer:
Thanks for the update. But that does not help. There are two broad possibilities to consider. The first is oral candidiasis, the second is leukoplakia. The first would respond to Candid Mouth Paint (clotrimazole). The possibility of leukoplakia would need to be excluded by getting a biopsy done.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (1 hour later)
Shall It be a mouth cancer in anyway, as these things keep me worried all the times.
doctor
Answered by Dr. Prof. Kunal Saha (15 minutes later)
Brief Answer:
Precancerous, not cancerous

Detailed Answer:
No, leukoplakia does not mean that you have cancer. Nevertheless, it indicates a likelihood to develop cancer and therefore needs to be removed. Treatment comprises of:
* Removal of leukoplakia patches. Patches may be removed using a scalpel, a laser or an extremely cold probe that freezes and destroys cancer cells (cryoprobe).
* Follow-up visits to check the area. Once you've had leukoplakia, recurrences are common.

You may go through:
http://www.nhs.uk/Conditions/Leukoplakia/Pages/Treatment.aspx

Regards
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Causes White Patches In The Mouth?

Brief Answer: Wait and watch. If it persists, get a histopathological study done Detailed Answer: Thanks for the updates. I would insist you to wait and see whether the lesion subsides in a week or so. Also note if it is associated with a sense of altered sense (like numbness). Based on that a topical anesthetic gel can be applied. However, in case it lasts for more than a week it would perhaps be advisable to get a histopathological study of the lesion done to rule out leukoplakia, a precancerous lesion. For that, a sample would need to be obtained from the lesion. Regards