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Thought to be oral HSV! now possible papilloma???
Dr. H... I've had recurrent oral sore issue every 2 to 4 weeks for past year. I have been having recurrent symptoms of lip and hard palat sores. Lip sores are always singular, raised and somewhat firm. They show up and simply shrink or regress in 10 to 12 days. Lately its been more like 7 days. Also have had area of concern in the same spot on hard palat upper roof of mouth that also subsides in 12 days or less. Dr's I visited attributed it to HSV1 initially since my blood tests come back positive for HSV1. After a swab of lip sore came back with no herpes detected, it baffled my doctor and he sent me to an oral surgeon. I went in for hard palat sore, he did see enough evidence to justify biopsy. biopsy result came pack as "benign papilloma" as told to me by secretary. nurse call me back later. Nurse said it was not herpetic. Her words were lets call it a "benign lesion".
1) I thought papillomas were cauliflower-like projections? I have never seen anything like that?
2) How can it be a papilloma that comes and goes in less than 12 days?
3) How can it recur so often as to even overlap at times?
3) my lip sore looks more like a raised blister than wart. Again, never fluid filled, firm, painlful to touch with teeth, and simply shrinks and subsides. Never wheeps or scabs and never has wart-like appearance
4) thoughts on this occurring on lower lip and hard palat at the same time.?
5) Never spreads or increases in severity.
6) area on hard palat is never raised, seems to be flat with slight swelling at onset that subsided but is very painful especially to eat
7) I have swished with hydrogen peroxide and hard palat area bubbles up like a dirty cut on your finger would. How could a pappiloma be effected by peroxide?
8) I actually noticed a small "bump" on my lip 4 days ago. That is what prompted me to call oral surgeon before follow-up visit. They want me to come for lip laser treatment Monday. The "bump" is nearly gone already....
1) I thought papillomas were cauliflower-like projections? I have never seen anything like that?
2) How can it be a papilloma that comes and goes in less than 12 days?
3) How can it recur so often as to even overlap at times?
3) my lip sore looks more like a raised blister than wart. Again, never fluid filled, firm, painlful to touch with teeth, and simply shrinks and subsides. Never wheeps or scabs and never has wart-like appearance
4) thoughts on this occurring on lower lip and hard palat at the same time.?
5) Never spreads or increases in severity.
6) area on hard palat is never raised, seems to be flat with slight swelling at onset that subsided but is very painful especially to eat
7) I have swished with hydrogen peroxide and hard palat area bubbles up like a dirty cut on your finger would. How could a pappiloma be effected by peroxide?
8) I actually noticed a small "bump" on my lip 4 days ago. That is what prompted me to call oral surgeon before follow-up visit. They want me to come for lip laser treatment Monday. The "bump" is nearly gone already....
MEDICAL PROFESSIONAL
To balzac100:
After my inital response I went back an re-read our earlier interactions as well as your interactions with Terri Warren. Having done so, this just strenghtens my recommendation that you not worry about these lesions being an STD and that you work with your oral surgeon, and perhaps a dermatologist, to sort this out. EWH
After my inital response I went back an re-read our earlier interactions as well as your interactions with Terri Warren. Having done so, this just strenghtens my recommendation that you not worry about these lesions being an STD and that you work with your oral surgeon, and perhaps a dermatologist, to sort this out. EWH
MEDICAL PROFESSIONAL
Welcome to our Forum. It appears that you have a positive blood test for HSV-1 and recurring oral lesions but that the lesions are not due to HSV. Your questions seem to be directed at the issues of what these lesions might be. A few comments:
1. Not all recurring oral lesions are due to HSV, even in persons with infection. Over 60% of adults have HSV-1 and in the majority of them do not experience recurrent outbreaks due to their infections. This may be well the case in your situation.
2. There are many non-STD processes which can cause recurring oral lesions. I am not an expert in these non-STD issues and think that the correct way to address this is to work with you oral surgeon and perhaps a dermatologist with expertise in mucous membrane processes to address what this might be.
Now I can offer a few comment on your specific questions as well:
1. Papilloma is a non-specific descriptive term used by pathologist. Many people equate the term papilloma with warts of HPV infection. This is not always the case. Further, not all papillomas need to be "heaped up".
2. Again the descriptive term is the key here. I think you are thinking of HPV infections.
3. Not sure what the question is here. The description you provide is no consistent with HSV-1 and that is comes and goes does not suggest HPV infection but some sort of recurring or reactivating process.
4. Not an STD. There are many systemic illnesses which can cause recurring irritations and ulcerations. As I mentioned above, I would start with a dermatologist or oral specialist.
5. See above.
6. The pain is because of the sensitivity of the hard palate which does generate lots of discomfort when an inflammatory, swelling lesion is present.
7. No
Sorry I am not more help here. On the other hand, I pride myself in being willing to tell clients when their questions do not have answers that I can provide. From what you describe, as I said earlier, this is not related to your HSV-1 infection and is unlikely to be any sort of STD. I recommend you keep working with your oral surgeon to sort this out.
I hope these comments are helpful to you in providing direction even if they do not provide the answers you are seeking. EWH
1. Not all recurring oral lesions are due to HSV, even in persons with infection. Over 60% of adults have HSV-1 and in the majority of them do not experience recurrent outbreaks due to their infections. This may be well the case in your situation.
2. There are many non-STD processes which can cause recurring oral lesions. I am not an expert in these non-STD issues and think that the correct way to address this is to work with you oral surgeon and perhaps a dermatologist with expertise in mucous membrane processes to address what this might be.
Now I can offer a few comment on your specific questions as well:
1. Papilloma is a non-specific descriptive term used by pathologist. Many people equate the term papilloma with warts of HPV infection. This is not always the case. Further, not all papillomas need to be "heaped up".
2. Again the descriptive term is the key here. I think you are thinking of HPV infections.
3. Not sure what the question is here. The description you provide is no consistent with HSV-1 and that is comes and goes does not suggest HPV infection but some sort of recurring or reactivating process.
4. Not an STD. There are many systemic illnesses which can cause recurring irritations and ulcerations. As I mentioned above, I would start with a dermatologist or oral specialist.
5. See above.
6. The pain is because of the sensitivity of the hard palate which does generate lots of discomfort when an inflammatory, swelling lesion is present.
7. No
Sorry I am not more help here. On the other hand, I pride myself in being willing to tell clients when their questions do not have answers that I can provide. From what you describe, as I said earlier, this is not related to your HSV-1 infection and is unlikely to be any sort of STD. I recommend you keep working with your oral surgeon to sort this out.
I hope these comments are helpful to you in providing direction even if they do not provide the answers you are seeking. EWH
Doc... One last but of evidence. Twice I have bitten a small piece of dry skin on my lip to pulled it off. Next morning a sore was right there! Again, subsided in a week or so
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
