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White lines on inner cheeks, swollen and painful mouth, trouble swallowing, pressure in head

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ENT Specialist
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I have white lines on both sides of my inner cheeks, my mouth feels swollen and painful, and have trouble swallowing. It feels like I am having inflammation and pressure in head and from nose to mouth.
Posted Thu, 6 Sep 2012 in Ear, Nose and Throat Problems
Answered by Dr. Naveen Kumar 2 hours later

Thanks for the query

The white lines on both the sides of the buccal mucosa are due to the teeth bite. This is the junction where the teeth of the both upper and lower jaw XXXXXXX and this part of the buccal mucosa usually gets trapped in between the jaws while chewing the food. It is a harmless condition and disappears slowly when the irritation passes off.

Regarding the painful swelling in the oral cavity, it could be mucositis or inflammation of the buccal mucosa secondary to vitamin deficiency or allergy to some food/medicines. This will require a thorough examination of the oral cavity and throat as well as blood investigations to rule out anemia.

If you can mail me a photograph of the oral cavity, I will be able to help you in a better way.

For the time being you can try the following measures which will give you some relief:
1. Drink plenty of warm water; avoid hot/cold food and beverages.
2. Avoid fizzy drinks, alcohol and smoking if any.
3. Try taking mild anti-inflammatory medicines such as diclofenac or paracetamol for the pain relief and multivitamins for increasing the body immunity.
4. Also, you can try taking short course of oral steroids such as prednisolone for a quick relief.

Hope I have answered your query; I will be available for the follow-up queries.

Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by
Follow-up: White lines on inner cheeks, swollen and painful mouth, trouble swallowing, pressure in head 12 minutes later
Did I upload the pictures correctly? Also, this happens every time I eat and my vitamin intake seems to be good, I have had my b12, folic acid, iron, vitamin d checked recently and all in normal levels. I almost feel as if my jaw sounds like its craking when I open an close it. Again, I do have the vocal cord motion disorder and gastroporesis and have had unusual eye symptoms since January where I'm senstive to light and see an abundance of new floaters.
Also, what is the best CT testing to show the mouth and jaw? I will be having a sinus and neck cat scan. Can this show irregularities in the mouth/ears as well? I am also feeling fullness in my ears and the clicking.
Answered by Dr. Naveen Kumar 8 hours later

Thanks for writing back

Yes, I do have received the images and I have examined it thoroughly. You seem to be having mucositis (inflammation of the mucosa) over the soft palate which could be secondary to the pharyngeal infection. If this is recurrent, then further evaluation has to be done to look for any chronic infection in the sinuses/throat and acid reflux disease.

The crackling sound could be either due to opening and closing of the Eustachian tube following sinus inflammation or temporomandibular joint dysfunction. In either of these conditions there can be noise in the ear during jaw movements and yawning as well as fullness in the ear.

CT scan of the paranasal sinuses will rule out any sinus pathology, it can also show any irregularities in the mouth. But for the ears, a different position has to be adapted and finer cuts are required; it is a high resolution CT scan of the temporal bone.

If you can revert back to me after the CT scan, I will be able to come to a conclusion and advice you accordingly. Meanwhile, you can follow the instructions as I mentioned in my previous response.

I wish you good health.

Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by
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