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Which doctor to go to? Has this problem happened to an... - 12/1/2010 5:23:15 AM   
CynthiaWVirginia


Posts: 1915
Joined: 2/28/2010
From: West Virginia, USA
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I will be going to a doctor over this, but I don't know which one to go to...and it's probably going to take a few weeks anyway.  Right now I am so paranoid that I've got the shakes, and my brain is in every which direction.   
 
This is the deal, I have a bump in the bone on the roof of my mouth about the size of a peanut, on the right side of that line.  I put my finger there earlier to see why I was having an uncomfortable pain.  There are no soft spots.  Oral temp is at 98.9.
 
My medical card covers almost squat for dental, only a checkup and yanking a tooth.  Yay for West Virginia.  I don't know if I would need a special type of dentist for oral surgery if it comes down to this.  My two favorite (regular) surgeons are both gone; one moved to another state and the other one retired, so I really hate this.
 
***I am so sick and tired of needles and surgeries that I feel like screaming.***
 
Anyway, if I go to a clinic I would have to wait maybe for a week or two to have an appointment and then get a referral to someone else and wait probably another week.  Or...I can run to my oncologist.  I've had chemo four times in the past for lymphoma and have been in remission for around four to five years.  All that chemo can give someone cancer.  I would rather not go to him unless another doctor hollers the C word at me, but I would be seen faster. 
 
Has anyone ever had a bump in the dental arch like this before and have it turn out to be nothing?  Some stupid benign thing, a cyst in the bone, something stupid like that?  (I will even settle for hearing about a twin I absorbed in my mother's womb.)  About two weeks ago my nose cartilidge had an inflammation for over a week, could this be something from that and probably nothing to worry about? 
 
If I didn't have to go to the bank shortly to go pay bills, I would take a sedative since I am not kidding about the shakes.
 
I want to do whatever is the least invasive,  not have needles digging into my bones right now for needle biopsies, and doctors at my hospital tend to overreact anytime I get the sniffles or something and they hear I've had cancer.  Any chance that just an x-ray or ultrasound would settle this?  Then antibiotics?
 
Again, I AM going to a doctor soon.  Just typing this out helped because now I will be able to tell the doctor about that awful inflammation I had for a week to a week and a half.  (A small puncture from one of my indoor kitties.  I was kissing her fat little tummy and got nailed by a playful claw.)
 
I have to get several things done first though, so it won't be for probably a week.  Last time something bad happened and I shattered my right lower leg and had to have plates and screws; I was sent home that very day and had to drive to a pharmacy and get my own pain meds, and then go to the grocery store.  (There are valid reasons why I need to delay having this seen for a week  I want to pay bills and go grocery shopping and take my mother out shopping.)
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RE: Which doctor to go to? Has this problem happened t... - 12/1/2010 5:51:33 AM   
LadyConstanze


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Why not try a general practitioner first? It could be anything from a mouth ulcer to a cyst to something more serious, but I would act as quickly as possible because if it is something serious, it's important to react fast, also if it is something harmless, you will be able to relax.

Of course a dentist or an oral surgeon might be your best bet, but I would say if you go to a GP and it is something he or she can't handle, they will send you to the right doctor.

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RE: Which doctor to go to? Has this problem happened t... - 12/1/2010 6:21:04 AM   
LanceHughes


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Google is your friend. [insert standard "I ain't no doctor, but the internet says..." warning here]

First, I found out what such a growth is called, namely a "torus palatinus."  And that leads to wikipedia at http://en.wikipedia.org/wiki/Torus_palatinus, where we find:  "Palatal tori are usually a clinical finding with no treatment necessary."

That is, your GP will probably say, "Oh, yeah.  We call that a torus palatinus.  It's usually harmless, but with your history of cancer, you should have the onocolgist look at it."

In surfing around it seems most soft growths are generally cancerous (benign or not), but your description jives with this:
----------------
You may be concerned if you suddenly notice a strange lump or bump anywhere on your body, including in your mouth. Lumps or growths on the roof of your mouth are often benign and easily treated, but sometimes can indicate a more serious condition. If you notice any strange lesion, growth, bump or cyst on the roof of your mouth, see your dentist as soon as possible for an evaluation.

Torus Palatinus
A torus palatinus is a lump of bone that grows on the roof of the mouth. According to the Atlanta Dental Group, this condition may be more likely if you grind your teeth. It may consist of one large bump or several smaller bumps. They are usually painless, unless you bump or scratch them while eating. You might not notice that it is growing at all until it gets quite large. Most of the time, it doesn't require any treatment. If you need to have dentures fitted, though, the torus might get in the way. Your dentist can remove it with local anesthesia in his office.
----------------
The article continues with other growths on the roof of one's mouth, but this seems to fit the bill.  The snippet above is from:
http://www.livestrong.com/article/186359-what-are-the-causes-of-a-growth-on-the-roof-of-the-mouth/

As I was looking around, local (nasal) infections seem to be implicated as casual, but nothing firm until Wiki says [at the same place as above], "Consequently, it is believed that mandibular tori are the result of local stresses..."  i.e. nasally located infections and such.

[Good kitty.  Here, kitty, kitty..... Mama won't hurt you.... Oh, that mallet?  Think nothing of it, dear pussy.... Here, kitty, kitty.....]

That all said, I'd go to onocologist and have my mind put at ease regarding the possiblity of cancer.  Surgical removal seems to be less intense than most.  Maybe your cancer team can put you in for the surgery as a cancer prophilactive instead of your GP or dentist going the dental route.  And if the cancer guys can put you at ease, then you just have to convince your tongue that it's okay.. Just sayin' 

Good Luck!  [Here kitty, kitty..............]

< Message edited by LanceHughes -- 12/1/2010 6:39:30 AM >


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RE: Which doctor to go to? Has this problem happened t... - 12/1/2010 8:27:54 AM   
CynthiaWVirginia


Posts: 1915
Joined: 2/28/2010
From: West Virginia, USA
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Thank you LadyConstanze, and thank you, LanceHughes.
 
<And thanks to the CM friend who was on the phone with me for over an hour, while my head cleared from this train wreck>
 
When they opened, I phoned my oncologist's office.  Since I played hooky from going there for a year, I am on the newcomer list and have to wait until the last days of this month before I can have an appointment.  They will call if there is a cancellation (very unlikely to happen).
 
Thank you, Lance, for spelling all this out for me.  I am terrible about finding things on the web...if I do Google there is usually a zillion choices and the first dozen or so pages all lead me to the wrong place.  
 
quote:

this condition may be more likely if you grind your teeth.

Oh gosh, I used to be on some low level of something, maybe called zanax (not sure about the name anymore) when my bruxism was very bad.  It was only PTSD related though, when my nightmares would be more frequent and intense I would wake up with my teeth clenched so tight my jaws were spasming.  I thought I stopped gritting my teeth hard, as I haven't been having spasms waking me up for years now.  So...in trying to live a mostly pill free life, I gave this to myself?  <laughing>
 
Thank you so much for giving me this info.  I'm not as "paranoid" now, but I am having some reaction to all those hours of adrenaline being gone.  Planning to leave the house soon to buy chocolate.  I'm out of milk so I cannot even make hot cocoa (my cure all for everything).
 
Btw, about cats...my upper lip got pierced all the way through years back because a cat of mine was upset at having to have her bottom bathed, lol.  This new kitty...I named her after a vengeance demon on Buffy the Vampire Slayer... 
 
Still, I put my face into her soft belly and gave her loud smoochy kisses just a few days ago, again.    I didn't bleed this time.
 
I am NOT a macochist...well, only when it comes to kittens.  Even when their little flesh hooks have them dangling from my legs and climbing their way up...while I'm screaming I still think they are terribly cute.
 
I am trying to decide which doctor to go to before this other apointment.  Cannot stand dentists or any other kind of teeth doctors...(had braces as a kid, nuff said).   

(in reply to LanceHughes)
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RE: Which doctor to go to? Has this problem happened t... - 12/1/2010 1:22:10 PM   
LanceHughes


Posts: 4737
Joined: 2/12/2004
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[insert standard "I ain't no doctor, but I play on www.CollarMe.com" warning here]

My point was DON'T go to anyone else if it will stress you.  You've got the onocologist, so unless it goes soft or colorful or.... you know the signs.... and if it does that, then you go to Onocologist under EMERGENCY! heading. 'K?

 
Looks relatively harmless from everything I read. (Which wasn't all the links. LOL!)
 
Peace ! ! ! !

_____________________________

"Train 'em the right way - my way." Lance Hughes
"Advice is what we ask for when we already know the answer, but wish we didn't." Erica Jong

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(in reply to CynthiaWVirginia)
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RE: Which doctor to go to? Has this problem happened t... - 12/2/2010 6:20:04 AM   
CynthiaWVirginia


Posts: 1915
Joined: 2/28/2010
From: West Virginia, USA
Status: offline
quote:

ORIGINAL: LanceHughes

[insert standard "I ain't no doctor, but I play on www.CollarMe.com" warning here]

My point was DON'T go to anyone else if it will stress you.  You've got the onocologist, so unless it goes soft or colorful or.... you know the signs.... and if it does that, then you go to Onocologist under EMERGENCY! heading. 'K?

 
Looks relatively harmless from everything I read. (Which wasn't all the links. LOL!)
 
Peace ! ! ! !


Yes, it would have stressed me a lot, especially at this time of the year.  I will keep a careful eye on it (yeah, I got teeny dental type mirrors, lol) to make sure it doesn't get soft or erupt in strange colors. 
 
If something got worse, yes, I would beat my oncologist's door down, or take my business to the next town over...though I would have to change hospitals too, ugh. 
 
To anyone else reading this...I DO have an appointment now but I have to wait 4 weeks.  I described everything in detail to an RN at my oncologist's office, and if they thought it was an emergency I am sure they would arrange to see me sooner.
 
I appreciate the help...thank you.  It helped to calm and anchor me when I was feeling upset.
 
At the same time, now I feel like such a big  
 

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