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Dr. Anil Kumar
Dr. Anil Kumar, General Physician
Category: Health
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Experience:  M.D. with over 30 years of experience in practice.
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My 20-yr.-old daughter gets severely inflamed painful roof

Resolved Question:

My 20-yr.-old daughter gets severely inflamed painful roof of mouth (as if it has been burned) along with very swollen lips with a lesion that looks like herpes at one corner, but is not, according to the dermatologist we saw who was unable to diagnose it. She also has darkened splotches on each elbow, which are normally round darkened areas, but become itchy and scaly at the beginning of one of these episodes. The discoloration never goes away. The dermatologist biopsied the elbows, but found nothing. This usually goes away fairly quickly, but the mouth and lip condition may persist for a couple of weeks. This happened in the spring, then again end of July, and now just started again a day or two. She feels fine physically otherwise. Dermatologist said go to an allergist and get tested, but offered no other advice. She's away from home at college, so a bit difficult to know where to send her for diagnosis/treatment.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Anil Kumar replied 1 year ago.
Hello,
Does she suffer from nausea,heartburn?
Does she feel such painful roof of mouth and swollen lips related to some food,stress issues?
Itching around lips?
Mouth sores?
Have you seen her dentist?
Phlegm at back of throat?
Stuffy nose?
Throat irritation and constant clearing?
Is she taking any medications?
Any other medical history?

Thanks.
Customer: replied 1 year ago.

No nausea or heartburn and can't relate it to food or stress. Lips are dry and swollen, doesn't describe them as itchy. No mouth sores, just at corner of lip. She saw the dentist about a month ago. No issues. Hasn't mentioned phlegm at back of throat or stuffy nose or throat clearing. Not taking any medications. No particular medical history. Had a benign tumor removed from calf approx. two years ago. Had pneumonia as a child and had mononucleosis in high school.

Expert:  Dr. Anil Kumar replied 1 year ago.
Hello,
Thanks for providing more information.
As you describe,possible causes may include Burning mouth syndrome,Angioedema.
As she is far away from home so she can try some self care measures like
She should avoid hot,spicy foods.
Also drink plenty of water.
Apply cool compresses with ice packs on swollen lips.
And try OTC Claritin which helps in relieving her symptoms.
Avoid carbonated beverages.
Don't use tobacco products.
Avoid alcohol and products with alcohol.
Avoid products with cinnamon or mint.
Avoid acidic foods and liquids, such as tomatoes, orange juice, soft drinks and coffee.
Try different mild or flavor-free brands of toothpaste, such as one for sensitive teeth.

And if possible consult your nearby Allergist when she 'll come back to home during vacation.


I hope this helps.
If you have any further query then feel free to ask.
Positive feedback and bonus are highly appreciated.
Thank you.

Dr. Anil Kumar, General Physician
Category: Health
Satisfied Customers: 6713
Experience: M.D. with over 30 years of experience in practice.
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Dr. Anil Kumar
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