Causes and treatment of red spots on roof of mouth

red spots on roof of mouth
Medically reviewed by Dr. Asim Cheema

Overview

Red spots on the roof of the mouth can stem from several underlying causes. Infections like oral herpes, fungal, and bacterial infections often present with additional symptoms alongside the red spots. Allergies to certain foods, medications, or oral care products can also lead to red spots, as can irritants like spicy or acidic foods, tobacco, or alcohol. Red spots on the roof of the mouth can arise from trauma, such as eating hot foods or encountering sharp objects, which cause the tissue to heal with visible red spots. Keep reading to learn more about the causes, symptoms, potential treatment options, and prevention strategies for red spots in your mouth.

What does an infection on the roof of the mouth look like?

Infections on the roof of the mouth can appear in several ways, depending on the underlying cause:

  • Red spots or patches indicate inflammation and increased blood flow, often accompanied by visible spots or patches.
  • Pain or discomfort can be caused by infections, especially when eating or drinking.
  • Swelling can occur in the affected area due to the body’s immune response.
  • Due to fungal growth, white patches or lesions can appear in certain infections, like oral thrush.
  • Fluid-filled blisters or painful sores develop in case of viral infections like oral herpes.
  • Difficulty in swallowing may be experienced due to throat swelling, making swallowing uncomfortable.

If you notice these symptoms, particularly persistent red spots or other concerning signs, it’s advisable to consult a healthcare professional for proper diagnosis and treatment.

Red spots on the roof of the mouth can be concerning. Seek professional help from home in minutes

Why do I have red spots on the roof of my mouth?

If you have red spots on the roof of your mouth, you may have concerns about your oral health. These red patches can arise from various causes, ranging from minor irritations to more serious health issues. Here are some common causes to help you identify the source and decide on the best action.  

Infectious causes

  1. Bacterial infections: Bacterial infections, such as strep throat caused by Streptococcus bacteria, can lead to red spots on the roof of the mouth. Other symptoms like fever, sore throat, and swollen lymph nodes often accompany these spots.
  1. Viral infections: Viruses like the herpes simplex virus (HSV) can cause cold sores, often presenting as red spots or fluid-filled blisters on the roof of the mouth. Hand, foot, and mouth disease (HFMD) caused by enteroviruses also leads to red spots that can blister and cause discomfort.
  1. Fungal infections: Oral thrush, a fungal infection caused by Candida, results in white or red patches on the mucous membranes of the mouth. It often affects those with weakened immune systems, those who wear dentures, smoke, or have certain medical conditions.

Autoimmune and systemic causes

  1. Autoimmune disorders: Conditions like lupus and inflammatory bowel disease (IBD) can cause red spots and sores in the mouth due to inflammation and immune system activity.
  1. Dermatologic conditions: Diseases like lichen planus, which cause chronic inflammatory rashes or lesions, can affect the mucosal linings, including the roof of the mouth.

Environmental causes

  1. Dietary factors: Spicy, acidic foods and certain allergens can irritate the mouth and cause red spots. Nutritional deficiencies, such as lack of iron, folate, or vitamin B12, can also lead to oral sores.
  1. Drug use: Tobacco and alcohol use can irritate the mouth’s mucosal lining, leading to red spots and increasing the risk of oral cancers. Certain medications, including those for chemotherapy, can cause mouth sores.
  1. Stress: Mental stress and fatigue can trigger red spots or ulcers in the mouth, exacerbating oral health issues.
  1. Cancer: Conditions like erythroplakia, often linked to excessive tobacco and alcohol use, present as red patches that can be early signs of oral cancer. These patches are usually smooth and velvety and can cause a burning sensation.
  1. Physical injury: Injuries from hot foods, sharp objects, or ill-fitting dentures can cause red spots or sores on the roof of the mouth.
  1. Sexually transmitted infections (STIs): Certain STIs, such as syphilis, can cause red spots or sores in the mouth. Considering these causes is important, especially if other symptoms are present.
  1. Canker sores: Canker sores are small ulcers with a red border that can develop on the roof of the mouth. They are not contagious and usually heal within a week or two but can cause significant discomfort.

If red spots on the roof of your mouth persist or are accompanied by other symptoms, consult a healthcare professional for a proper diagnosis and treatment plan.

Antibiotics can help eliminate infectious red spots in the mouth. Whether strep throat or STI, get treated without delay.

How do I get rid of red spots on the roof of my mouth?

Red spots on the roof of the mouth can be bothersome and, in some cases, a sign of an underlying issue. If symptoms persist for over a week or are very painful, it’s best to consult a doctor for a proper diagnosis and treatment. The treatment approach depends on the cause, ranging from medications to natural remedies.

Medications for red spots

  1. Antibiotics and antifungals: If a bacterial infection is identified, your doctor will prescribe antibiotics. Antifungal medications will also be recommended for fungal infections. Viral infections, on the other hand, do not respond to antibiotics.
  1. Anti-inflammatory medications: For autoimmune diseases causing oral inflammation, steroids and other anti-inflammatory drugs might be prescribed to reduce inflammation.
  1. Diet counseling: Diet plays a significant role in oral health. Your doctor might suggest specific dietary changes to address symptoms related to nutritional deficiencies or food sensitivities.

Common medications doctors usually prescribe include: 

  • Antiseptic gels or mouth rinses: Products like Orajel™ or Anbesol® can help numb the pain and prevent infection.
  • Steroid ointments: Topical steroids like triamcinolone can reduce inflammation.
  • Immunosuppressants: In severe cases, medications that suppress the immune system may be prescribed.

Natural ways to get rid of mouth sores

Natural remedies can help ease discomfort and speed healing for minor mouth sores. Here are some effective home treatments:

  • Avoid hot, spicy, salty, citrus-based foods and foods high in sugar.
  • Gargle with salt water to reduce inflammation and clean the affected area.
  • Avoid alcohol and smoking, as both can irritate the mouth and slow healing.
  • Consuming cold foods like sherbet, ice pops, and ice can soothe the affected area.
  • Avoid picking or squeezing blisters or sores to prevent further irritation.
  • Use analgesics like Tylenol (acetaminophen) to alleviate pain.
  • Gently dab a mixture of water and hydrogen peroxide on the sores. You can also apply a thin paste of baking soda and water.
  • Drink plenty of water to keep your mouth moist and body hydrated.

If red dots on the roof of the mouth persist or worsen, seeking medical advice to rule out serious conditions and get appropriate treatment is essential.

Not sure about the cause of the red dots in your mouth? Consult before the infection spreads

How can red spots on the roof of the mouth be prevented?

While it is difficult to prevent mouth ulcers and red spots completely, you can take several measures to reduce your risk and maintain optimal oral health:

Oral hygiene practices

  • Brush twice daily: Use fluoride toothpaste to brush your teeth twice daily.
  • Floss daily: Floss once a day to remove food particles and plaque between your teeth.
  • Use a soft-bristled toothbrush: This helps avoid irritating the delicate tissues in your mouth.
  • Use mouthwash: Incorporate a mouthwash or oral rinse at least once a week to kill bacteria and freshen your breath.

Dietary habits

  • Healthy diet: Eat a balanced diet rich in fresh fruits, vegetables, and nutrients.
  • Avoid irritants: Limit consumption of spicy, acidic, and sugary foods that irritate the mouth.

Regular dental visits

  • Routine checkups: Visit your dentist regularly for checkups and professional cleanings.
  • Professional advice: Seek advice from your dentist if you experience persistent red spots or other oral health issues.

Lifestyle choices

  • Avoid tobacco: Do not use tobacco products as they can irritate the mouth and increase the risk of oral cancers.
  • Manage dry mouth: If medications cause dry mouth, drink plenty of water, chew sugarless gum, and limit alcohol intake.

If you have a condition that causes mouth sores, work with your healthcare provider to manage it effectively. By following these tips, you can improve your oral hygiene and reduce the likelihood of developing red spots on the roof of your mouth. 

How long do red spots in the mouth last?

The duration of red spots in the mouth varies based on the underlying cause and individual factors. Generally, minor irritations such as canker sores and trauma-induced spots heal within a week or two. Infections like oral herpes and oral thrush can persist for several days to a few weeks, depending on treatment effectiveness. 

Allergic reactions typically resolve quickly once the allergen is removed, though this can differ among individuals. Persistent or severe red rash on the roof of the mouth may indicate more serious conditions, such as autoimmune diseases or gastrointestinal issues, and require medical consultation for proper diagnosis and treatment.

Consult a doctor

Pain on the roof of your mouth occasionally requires medical attention. Seek medical assistance if you experience: 

  • Severe persistent worse pain 
  • Infection symptoms, such as pain accompanied by fever, edema, or pus 
  • Oral trauma that results in significant bleeding or infection 
  • Fever 103°F or higher that doesn’t go down or doesn’t respond to cooling techniques, such as taking over-the-counter medications to lower your body temperature 
  • Irritated palates that cause difficulty breathing and swallowing food or liquids
Worried about painless red spots in your mouth? It could be erythroplakia. Treat it before it gets worse.

FAQs about red spots on the roof of the mouth

Can you have red spots on the throat without strep?

Yes, red spots on the throat indicate various medical conditions other than strep throat. These include common, easily treatable conditions as well as more serious issues like mouth cancer. Red spots can indicate an infection or another medical condition that a doctor should evaluate.

Can anxiety cause red spots in the mouth?

Yes, anxiety can impact oral health. High stress and anxiety levels can lead to conditions such as canker sores, dry mouth, and lichen planus (characterized by lacy white lines, red areas, or mouth ulcers on the cheek, gums, or tongue).

What virus causes red spots on the roof of the mouth?

Coxsackievirus, which causes hand, foot, and mouth disease, can lead to painful blisters and red spots on the roof of the mouth and on the hands and feet. This virus primarily affects children under five but can occur in individuals of all ages.

What is the red spot in the mouth without pain?

A red spot in the mouth that doesn’t cause pain could be erythroplakia. Erythroplakia is a smooth, red lesion caused by tissue injury or disease. Often asymptomatic, these lesions might not cause discomfort, making them easy to overlook. They are typically noticed only upon close examination of the mouth.

Why do I keep getting sore spots on the roof of my mouth?

Many different things might cause red spots or bumps on the roof of the mouth. Food irritation, oral or throat infections, and dentures are common reasons. Though they can be bothersome, red patches on the roof of the mouth are primarily benign and will go away on their own. Consult to get a diagnosis.

Your Doctors Online uses high-quality and trustworthy sources to ensure content accuracy and reliability. We rely on peer-reviewed studies, academic research institutions and medical associations to provide up-to-date and evidence-based information to the users.

  • Verma, Nirmal. The Red Tin Roof. Orient Blackswan, 1997.
  • Sánchez-Carnero, N., et al. “Assessment of different models for bathymetry calculation using SPOT multispectral images in a high-turbidity area: The mouth of the Guadiana Estuary.” International Journal of Remote Sensing 35.2 (2014): 493-514.
  • Barlow, George W., and John W. Munsey. “The red devil-Midas-arrow cichlid species complex in Nicaragua.” (1976).

 

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