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Ash-colored patch spreading inside mouth with gum pain and burning sensation
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Dental & Oral Disorders
Question #10772
1 day ago
75

Ash-colored patch spreading inside mouth with gum pain and burning sensation - #10772

G. Rakshitha

Initially, I noticed a small ash-colored patch on the inner skin between my side jaw and cheek around a year ago. Over time, it slowly spread and now affects a larger area inside my mouth, including the inner cheek and jawline. The affected area is grayish/ash-colored, painful while chewing, and very sensitive to spicy or hot food. I also feel gum pain and skin irritation on that side of my mouth, but there’s no visible swelling outside. The discomfort has been persistent for a long time and affects my daily eating. I consulted a doctor earlier, and they prescribed Kenacort New 0.1% Buccal Paste, which contains Triamcinolone Acetonide 0.1% w/w, along with some mineral tablets. However, I didn’t find any significant relief, so I discontinued it. Lately, I’ve been using home remedies like turmeric paste application and warm salt water gargling, which give temporary relief but don’t solve the problem. It’s been over a year, and I am worried as it’s spreading inside the mouth. I would like to know what this could be, whether it's serious, and what treatment or further investigation is recommended. Please help.

Age: 23
Chronic illnesses: Pcod
300 INR (~3.53 USD)
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Doctors’ responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
1 day ago
Please visit a general surgeon or Dental surgeon for better assurance.
348 answered questions
77% best answers

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
1 day ago
Hello dear Please be advised See as per clinical history it seems either lichen planus or intradermal nevus Differential diagnosis includes oral submucous fibrosis Since you haven't shared any clinical pic so I cannot confirm the exact diagnosis Kindly share clinical pic since all the above conditions are premalignant and biopsy or fnac may be required Regards
269 answered questions
72% best answers

0 replies
Dr. Zahir Zolih
I am a General Practitioner who kind of lives on the frontline of everything, really. From sneezes to serious stuff, I handle a mix of it all—and weirdly, that’s what I love about being a GP. I get to see newborns coming in for their first jabs, and then later that day maybe I'm talking through meds with someone who's managing diabetes or heart disease for years. There’s a lot of variety, which keeps me on my toes—nothing ever feels too routine. Most days, I’m diving into a bit of everything—diagnosing infections, keeping an eye on chronic conditions like asthma or hypertension, helping folks plan their health goals, or sometimes just being a good listener when they need to vent. Preventive care’s a big deal for me. I like to catch things early, before they grow into something more serious. Sometimes all it takes is one small observation or something a patient casually mentions—and that changes everything. What I try to do is treat people, not charts. It's about who they are, what matters to them, and what really works in their life—not just what the textbook says. Every treatment plan I make is adjusted based on the real-world challenges each person’s facing. I also explain stuff in plain language. Like, no jargon for the sake of sounding clever. If someone doesn’t understand their condition, how can they take care of themself properly? Oh, and I do my best to keep learning constantly. Medicine doesn’t pause, right? Whether it’s a new guideline, research update or clinical tool—I keep checking, reading, taking notes (sometimes at midnight, honestly). All of this helps me feel confident that what I’m offering isn’t outdated or guesswork. What keeps me going is the trust people place in me. Being someone’s go-to doctor, knowing they’ll come to me when they’re worried or confused—that’s a big responsibility. But also kinda a gift. I don’t just see symptoms, I see stories—and I get to be part of their health journey from day one to who-knows-when. It's not perfect, and yeah, sometimes I feel I missed something or could’ve said something better. But I’m always trying, always caring, and I’m really here—for all of it.
1 day ago
Hello, Your condition could be :- 1. Fungal -> can be treated by Natifungal 2.lichen Planes -> steroids can help ( you alert used) 3.OSMF (Oral Submucosal Fibrosis) -> FNAC and follow up 4.LeukoplaKia-> have to remove Means some alarming conditions also there, diagnose and treatment them earliest. Kindly consult Dental surgen / Orofavial surge Avoid Irritants: - Spicy, acidic, or hot foods. - Alcohol-based mouthwashes. - Tobacco/smoking (if applicable). Supportive Care: - Continue warm saltwater rinses. - Consider soft diet to reduce trauma. With regards
33 answered questions
42% best answers

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Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
19 hours ago
Oral Lichen Planus (OLP) – Most likely based on your symptom Or Leukoplakia / Erythroleukoplakia – Potentially pre-cancerous White/grey patch that does not rub off May slowly enlarge over time Investigation Biopsy of the lesion Exfoliative Cytology / Smear Blood tests CBC, fasting sugar (rule out diabetes), Vitamin B12, iron studies Treatment till biopsy is done Tacrolimus 0.03% oral ointment Apply a small amount with clean hands 2–3 times a day after meals. Avoid eating/drinking for 30 min afterward. Antoxid HC tablet once daily post meal DO: Eat bland, soft food Use a soft-bristle toothbrush Rinse with salt water or antiseptic mouthwash e.g., Betadine When to Urgently Seek Help If lesion becomes ulcerated or bleeds Mouth opening reduces Sudden growth in size or thickness Lymph node swelling in the neck Kindly get biopsy done as it is growing since 1 year
269 answered questions
78% best answers

0 replies
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