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Dark blotches on the inner side of lips, white bumps - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Sun Burn
Answered by

General & Family Physician
Practicing since : 2004
Answered : 36 Questions
User :   Please type your query here. Since this query is directed to our panel of specialists and super-specialists, please mention your problem in as much detail as possible. Do not forget to highlight your Age, Gender, Medical History and Treatment History of the problem you are facing                                                                                
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   Please proceed with your health query
User :   hi, a few days ago i noticed a dark blotch on my upper lip left and right side. today, i noticed that in the corner i have some very small white bumps.
User :   it doesnt hurt or itch. it is on the inside of the lip. my race is african american.
Doctor :   ok.
Doctor :   Please provide your age, gender, location, occupation, height, weight marital status, details of past medical illness if any
User :   any thoughts. it is kind of freaking me out.
Doctor :   what other symptoms are you having?
User :   that is it.
User :   i have some allergies going on.
User :   nasal congestion. that 's about it.
Doctor :   ok. are you on any medications?
User :   i am on clariton
User :   i was taking ventolin a last week- i had a bad cough.
Doctor :   is it possible for you to send me a picture of the blotches? if yes, please send it to YYYY@YYYY
User :   very driy cough
Doctor :   ok
User :   i can send. but it will take me a bit of time to get camera and load. do i buy the 30 mnute plan
Doctor :   you already are on an 30 minute plan
User :   ok. wait
Doctor :   if you have option to send it via web cam or phone camera it would be fine
Doctor :   tel me when you have sent it
Doctor :   are you there?
Doctor :   are you back?
Doctor :   please proceed with your query. please describe the appearance of the dark blotches in detail. how did they start ?
User :   just go back.
User :   i just looked up and i had them on both sides almost same place. and then i had another one show up an dnow i have a bunch of little bumps. i am going to send pic but it was hard to take a good pic
Doctor :   ok.
Doctor :   do you still have the allergy symptoms and the dry cough?
User :   dry cough gone so stop ventolin a couple of days ago.
User :   allergye is much better but took a clariton today.
Doctor :   ok
User :   last week, my allergies were very bad a lot of nasaul congestion and a dry cough.
Doctor :   ok
Doctor :   do you have any history of sexual contact prior to appearance of the bumps
Doctor :   or the blotches?

User :   i had a protected experience about 2 months ago. i wore a condom for both oral and vaginal sex.
User :   i check condom afterwards by putting in water to ensure no holes. everything looked fine
Doctor :   ok.
Doctor :   have you been able to send the picture?
User :   it was in mid late april... do u think i have a std.
User :   yest.
User :   pic sent.
User :   what std would cause a blotch on lips.
Doctor :   ok. let me check
User :   note: the white bumps are too tiny to show up.
Doctor :   ok. i will remember that when looking at it
Doctor :   you have another 2.5 minutes left,
Doctor :   you may want to recharge to be able to continue the discussion
Doctor :   i still have not received your picture.
Doctor :   it is taking time
User :   ji am trying to recharge
User :   how do i selct the plan
Doctor :   ok
Doctor :   just click on any plan
Doctor :   it will take you to payment page
Doctor :   you can select package as per your need.
Doctor :   the pictures that you have sent suggest possibility of a mole, as there is no itch or discomfort associated
User :   no it is definitely not a mole.
User :   these just popped up and they are too big to be a mole.
User :   the pic is not very good.
Doctor :   yes, i agree that the pic is not very good
User :   i do have herpes I but only have had sores on penis
Doctor :   are these blotches elevated from surrounding skin?
User :   no very flat.
Doctor :   are you on treatment for herpes?
User :   the white bumps look kinda like a cluster of herpes but they are smaller and dont itch or burn
User :   no i am not on treatment for herpes
Doctor :   when was herpes detected? did you take treatment at that time?
User :   it has been about 4 years. i do take valtrex when it flares up.
Doctor :   did you have further unprotected sexual contact after this?
User :   usually about 2-3 times a year.
Doctor :   ok
User :   i also had a hpv wart removed about 3 years ago.
User :   i was surprised to get herpes as teh only unproctected sex i had was receiving oral (blowjob)
User :   i have been quite active but always wear condom
Doctor :   oral jobs can lead to transmission
User :   now i know!
User :   i got herpes 1.
Doctor :   any exchange of body fluids can lead to transmission
Doctor :   i would suggest you to get these examined by your health care provider, and get a repeat STD screening done for yourself to see what is causing them
User :   i dont know how else to describe it but it is about 4 mm and flat not raised. the texture doesnt look any different than my lip it is just dark. i have 3
Doctor :   early diagnosis and treatment will be better
User :   what std would cause dark blotches on inside of lip
Doctor :   i can barely make out 3 small whitish spots in one of your pic
User :   what std would cause this.
Doctor :   STD like syphilis or gonorhea can cause this
Doctor :   others would be viral in nature
Doctor :   or fungal too
Doctor :   which cause whitish spots/bumps
Doctor :   sometimes the brownish kind of spots can appear even with allergic reactions
User :   syphilis would be on feet and hands. i do have some spots on my feet ... but they been there for at least 4 years.
Doctor :   so causes can be many. a thorough examination along with tests will help to identify the exact cause.
User :   i havent had any unprotected sex (oral) since december of last year. do you think it would showing up now?
Doctor :   sometime they can show up late when immunity levels come down due to any other viral infection like an upper respiratory tract infection
User :   i had an hiv test about 2.5 years ago and it was negative.
Doctor :   ok
User :   i had an uti about 4 weeks ago.. this is why i started the ventolin
Doctor :   ok
Doctor :   do you mean to say UTI (urinary tract infection) or URI (upper respiratory tract infection)
User :   sorry... uri
User :   not uti
Doctor :   the dark blotches can also result from various causes of hyperpigmentation.
Doctor :   do the lesions appear to be similar in lips and your feet?
User :   i dont think it would take 5 months for a std to show up. i dont think the last encounter casued this.
User :   much smaller.. like pin dots.. maybe 1-2 mm.
User :   one on my heel and a few on the soles. i showed a dermotologits a cuople of times and they said not to worry about it.
User :   i thought it was hyperpigmentation until the white bump cluster showed up.
Doctor :   yes, they are not to be worried about if they are due to simple hyperpigmentation
Doctor :   the white bumps do need to fr examined
User :   these are much bigger and darker
Doctor :   it could be a simple manifestation of your recent allergy
Doctor :   or a fungal infection or may be herpes reappearing
User :   ok. but i have allergies all the time.
Doctor :   have you found the cause for your allergies?
Doctor :   an allergen patch test will help to identify them, such that you can avoid them in future.
User :   i have always had them.. allergic to grass, dust,,,it comes and goes. usually have once a month. it is manageable.
Doctor :   also if there are a few allergens found in that test, a correlation can be made if they have potential to cause such dark patches and white bumps
User :   ok. i know that it is tough to diagnose on the internet.
User :   i just wanted to make sure that it wasnt oral cancer or hiv/aids or sometihng
Doctor :   yes it does makes it difficult since I am not able to examine you personally
Doctor :   hence i can give you the possibilities as i have done
Doctor :   such that you can discuss about them with your physician and
Doctor :   proceed with the work up as needed
Doctor :   to arrive to an exact cause and start with treatment
User :   ok. so i can sleep well tonight. can you tell me if it is low probablity of cancer or sign of hiv.
Doctor :   since they are very small in size and not too many, i feel it to be low probability for both
Doctor :   since there are no other symptoms associated
Doctor :   and yout HIV status if fine
Doctor :   *is
User :   well, there have been 8 girls since my last test, but everyone was protected (just one unprocted oral in december)
Doctor :   ok. then a repeat test will not do any harm.
Doctor :   just in case there was any transmission
User :   any transmission of?
Doctor :   of any STD
User :   yes, but condoms will protect me right. i understand for oral gonoreha and syphillis are possible but i would have seen symtpoms before now since that was back in december of last yaer.
User :   u still there doc
User :   i have another question since i have some time lefet
Doctor :   yes I am, I am chatting simultaneously with other patients
Doctor :   you can proceed with your query
User :   my girlfireld just got diagnose with urinary tract infection - ecoli... it is her 3 rd one this year. should she be concerned.
Doctor :   for the STDs, to show their appearance, it sometimes takes longer if the person has good immunity and maintains a healthy lifetsyle
Doctor :   for her, since it is recurrent infection
Doctor :   suggest her to get a higher antibiotic treatment from her physician and complete the course
User :   yes, she is doing it now... ecoli is not std related is it.
Doctor :   and also discuss possibility of doing a cystoscopy and renal ultrasound to see if the infection has affected and become chronic.
Doctor :   not usually STD related, but can appear along with other STD
Doctor :   e coli infection in UTI can affect in women especially
Doctor :   if she wipes vagina after intercourse from anus to vagina
Doctor :   which cause transfer of bacteria
Doctor :   and recurrent infection
User :   no she doesnt... and she lways washes afterwards.
Doctor :   suggest her to wipe it the opposite way
Doctor :   doe she wipe after washing? if so in which direction?
User :   anyway, i will see doc tomorrow. i still cant believe it is std related.. i think i would have more syptmoms for syphills gonnaerha or hiv
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