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Swelling below the lower lips and drying of mouth - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 1723 Questions
User :   I have what appears to be swelling below my lower lip on the outside of the mouth. The inside feels like 'burning mouth syndrome' including mucous membrane harding in a line from the inside middle of check to front of my lower lip on both sides of my mouth. Also, I feel very thirsty and have excess saliva in mouth with dryness at the same time. I do not have sjogrens, many tests have been completed to eliminate this diagosis. I had an evaluation from an Oral Surgeon and suggested I not worry about it. He said there is not evidence of edema swelling. Why does it look swollen to me on the outside of the lower lip? Do you have any suggestions on what this could be? I am a 50 year old female.
Doctor :   Hi
Doctor :   Let me read the query.
Doctor :   Since when have you noticed these symptoms?
User :   April 2010, after a tooth extraction. I also have fibromyalgia and this is cronic for 10 years.
Doctor :   Ok
Doctor :   Do you have the swelling since April?, I mean did you have the swelling when you consulted you doctor?
User :   Yes, although It is becoming worse. Although they assure me it isn't edema swelling. He said it could be just age and form of the skin below the lip. I feel like this is incorrect, since it feels swollen and the membrane doesn't look normal in my mouth. Also, this occured so quickly.
Doctor :   Ok
User :   My speech seems to be affected as well. I mispronounce words often.
Doctor :   You report that you feel the mucous membrane appears thick, do you notice white spots appearing in the affected region?
User :   They also did a lip biopsy that is normal. Salivary flow test normal.
User :   No white spots. Doctor said no cancer.
Doctor :   And may I know when did you get the biopsy?
User :   Approximately 8 months ago.
Doctor :   Ok
User :   I have tear duct plugs in my eyes because of dryness. I am constantly thirsty and continue to wonder if it could have sjogrens. Although, all testing indicates no. I am in cronic muscle pain.
Doctor :   Ok
Doctor :   Let me brief you.
Doctor :   Siting on one of the computer, I cannot give a proper opinion on the exact cause why you have these symptoms, but
Doctor :   I shall provide you with some information that should be able to help you.
Doctor :   Based on your description, the following may be the cause
User :   OK
Doctor :   1. Cause is an idiopathic where often doctors don't find any particular cause for the symptoms.
Doctor :   This is managed using symptomatic medications
Doctor :   2. Possible oral lichen planus.
User :   They indicated it is not oral lichen planus. No sores or lessions.
Doctor :   If you feel that your mucus membrane is progressively getting thickened, you may need a repeat of the biopsy.
User :   I thought that may be necessary.
Doctor :   Discuss with your doctor's regarding this.
Doctor :   I feel a repeating biopsy should clarrify most of the doubts.
User :   Do you know of any disease cause thickening.
User :   I will have the biopsy repeated. Thank you for your help.
Doctor :   3. Symptoms may be related to somatic factors which also effect fibromyalgia.
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