Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
165 Doctors are Online
Ask a Dentist   »  

Painless purple vein on roof of mouth, white patches in mouth, raised patch on gum. Is it lichen planus?

User rating for this question
Very Good
Answered by

Dentist, Prosthodontics
Practicing since : 1995
Answered : 77 Questions
I have noticed for sometime a purplish/blackish vein on the roof of my mouth in the part that faces me when I open my mouth you can say it is on the upper XXXXXXX of my palet but on the lower right quadrant of the roof of the mouth. It is not paining or anything . There are also some mild whitish patches in my mouth besides a linear while patch in between the lower lip and the gum on the right side, which is raised and hard to the touch but not painful, that one doctor had said was lichen planus.It has not perceptibly changed in shape in the last six seven months. But I am on no specific medication for that.
I take pan with tobacco but don't currently smoke and have abstained from alcohol for the last nerly 22 months. I was a heavy drinker before that and have ethanol induced compensated CLD as a result, I also have hypertension and diabetes type 2 both of which are under fairly control with a glycosylated Hb score of around 6.2 ( as on 23.10.2011) and BP of about 120./90. My liver enzymes are within normal range with an AG ratio of 1.15 ( as on 24.11.2011)
Is the vein in the mouth and the white patches worrisome and what should I do
Posted Sat, 14 Apr 2012 in Dental Health
Answered by Dr. Ramesh B. Hegde 12 hours later
Thank you for posting your query!
Asymptomatic purplish/blackish areas may be normal variant or consequence of smoking earlier, however, a final conclusion may be drawn only after direct evaluation by dentist. If it is a normal variant, it does not need any treatment.
The linear white patch which has been diagnosed as Lichen planus gets aggravated in people with more psychological stress and is sometimes habit related. Since you do not have any symptoms, there is no need of any treatment but follow up visits with your treating physician are required to keep this patch under observation.
I would strongly recommend you to quit taking tobacco in every form since tobacco is associated with a host of adverse effects ranging from cancer to heart disease. Additionally, a stress-free life would also help. You could reduce your stress levels by practicing yoga and meditation. This may reverse the white patches of Lichen planus to normal mucosa.
Your reports are normal and a healthy lifestyle would help you remain in good stead for a long time.
I hope I have answered your query.
Please accept my answer if you have no further queries.
With regards

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Dentist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor