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

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 : 40 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
Question is related to
Lab Tests
© 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