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Mouth Diseases

Inner Cheeks and Gums White Pimple Like

11/02/2010

Question:

Week ago had feeling in mouth like inner cheeks and inner upper and lower cheek feels like chemical burn, tip of tongue. Just puffy swollen like an allergy. urgent care gave me Doxycycline 100 mg 2 times day for 10 days a week ago. Didn`t help. yesterday I started chewing 2 acidolphilus tabs, swished around mouth 10 min then spit out. Now I am getting white pimples starting inner cheek and gums. I have not had sex for 8 yrs so nothing going on std wise.Zero action. They took culture but I had brushed teeth w/baking soda before, so I am not sure if he got baking soda or pimple sample. I could not see any white spots whatsoever before culture was taken.Said yeast! I go to workout gym, ate granola bar afterwards, spent a few minutes picking granola out with out washing hands from Gym before all this! Help! 59 yr old male.

Answer:

First off we all carry yeasts in our mouths, some persons more than others and the species can also vary between individuals. (See Ghannoum, M. et. al. Plos Pathogens, January 2010, Vol 6 #1). So, your eating granola even at the gym may contain more fungal isolates that the dirt on your hands going into your mouth.

I am not sure why they put you on Doxycycline (tetracycline) except for the fact they were under the impression you had some kind of bacterial infection. If in fact you did, you may have developed a Candida yeast infection as a consequence of the antibiotic. Or are you susceptible to fungal infections?

What do you mean by “pimples” and how do you describe the “pimples” that are on the inside of your mouth? Are they clear fluid filled and burst or are they white and rub off easily, or are they yellowish and appear under the mucosal tissue? Have you recently changed mouth wash or toothpaste? Have you modified your diet or started eating more of some specific food stuff? Do you have a history of oral herpes (Simplex or Zoster)? Is this problem associated with fever, malaise, sore throat, mild cough? Has this problem occurred in the past (seasonal variation)?

Have you started or have been on any medications prescribed by your primary care physician?

I would strongly suggest that you have your dentist or primary care provider evaluate your condition especially while the “pimples” are present. I hope this helps.

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Response by:

Richard J Jurevic, DDS, PhD Richard J Jurevic, DDS, PhD
Formerly, Assistant Professor of Biological Sciences
School of Dental Medicine
Case Western Reserve University