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What could be done to manage a painful bump in the mouth?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 40-year-old, and in my left lower retromolar trigone, a small bump sometimes appears when I eat, and it remains for one hour with little pain and then becomes normal, and thereafter it comes after two days or after eating, and it goes. It has been happening for more than four to five months. Please advise.

Thanks.

Hi,

Welcome to icliniq.com.

I understand your concern.

I will be answering your query shortly. Kindly check your follow-up messages.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

I have shared the image. Please check.

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

I have reviewed your reports (attachments removed to protect the patient's identity). The lesion is quite significant. There is a third molar also present. It could be because of that infection in the third molar, and vitamin E therapy will certainly work.

Do you have any other dental history or any medical issues? Do not worry. Nothing to be anxious about, but the lesion looks like a recurrent ulcer that needs multiple treatment strategies. Have you ever had deep dental cleaning or any other medications? Because according to you, it is only from four to five months. Vitamin E and Chlorhexidine will work, but I want to know your medical and dental history first.

I hope this information will help.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

No, I have not done any cleaning for my mouth, and right now, there is no bump. But the bump recurs at the same place during eating is also not always but after some meals, but I need to know after which meal. One morning, while eating a banana, I also felt the same. Is there any carcinoma-like symptom?

Please advise.

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

I am enclosing a list of measures, and please follow them. If this lesion persists past one week, please go for an in-clinic check-up. As long as the bump does not grow large, there is no need for a biopsy. Follow these measures and see if the bump is reducing over time. Any lesion that persists past one week should be checked for consistency by an oral surgeon in the clinic.

However, because you say this bump has been on and off over the last few months, it looks like a mild recurring cyst or pus lesion. If it persists past one week or recurs again, ideally, please go for a check-up, get deep dental scaling of all teeth from the dentist, and extraction of the lower third molar as pericoronitis infections also lead to cysts.

I hope this information will help.

Thanks.

Patient's Query

Hi doctor,

Thanks for the reply.

Kindly enclose the measures. What precautions should I take while eating? I did not have any past-dental history or gastric problems. Only my mother having gall bladder carcinoma, passed away seven years back. I have a small family, one son, and my wife.

Please help.

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Yes, follow these measures.

Daily Chlorhexidine, vitamin C after breakfast, vitamin E application, or Evion 40 mg, you must puncture and apply onto the retromolar area where you get the bump. These are preventive measures to prevent bumps from coming again. Otherwise, if you notice the bump is back, go to an oral surgeon. Eat fresh fruits, vegetables, rice, roti, whatever you want. Just make sure you avoid hot temperatures or too spicy peppers or foods. Do salt water rinsing several times a day along with mouth washing and vitamin E? If you follow these measures, the bump is unlikely to recur because vitamins E and C are anticancer agents, and if the bump is not white or hard, do not take tension. Consult your specialist doctor, talk with them, and take medications with their consent.

I hope this information will help.

Thanks.

Medically reviewed byiCliniq medical review team

Published At April 27, 2023
Reviewed AtNovember 13, 2024

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