Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor. I appreciate any help you can give me without actually SEEING me. Ill try to explain my problem the best I can... I am a 57 year old female. I smoke, approx. 1/2-3/4 of a pack of cigarettes a day. I NEVER drink alcohol. My primary doctor has retired and I have not been able to find a replacement yet... however, I do have a specialist that I go to for arthritis pain... she has been absolutely NO help with this at all. My problem started almost 7 months ago. I was just sitting at the computer and all of a sudden my mouth started FILLING with blood. I had my daughter look at the inside of my mouth and she saw a small (approx. 2mm) raised spot where the blood was coming from, on the roof of my mouth... that first time it happened, and I had just started using a new prescription, Voltairen (sp?) Cream for arthritis pain... I was told by my specialist that the main side effect of this cream was excessive bleeding, so I was kind of leery about using it too often, and didnt... but every time I did use it the sore on the roof of my mouth would open up and it would start bleeding again... the bleeding would last off & on for 2- 3 days and then stop as quickly and unexpectedly as it started. Needless to say, I stopped using the cream and have not used it at all for at least 8 weeks. Then today the sore opened up and has been bleeding off and on all day, so it was NOT the cream, although I do not have as MUCH bleeding as I did when I was using it. Also, I get steroid injections in my back approx. every 3-4 months and just had one last week, but nothing else new or different. The slightly raised sore is located on the roof of my mouth, in the center & it feels like its on the hard, not soft part... it hurts only if I put pressure on it. It stops bleeding when I use ice chips or rinse my mouth with cold ice water. I have also been under a great deal of stress this past week, and it also seems like whenever this problem has occurred in the past is when Im having some type of stress or another. If it was not for the bleeding I wouldnt even know there was a problem, because it is so small and not raised or open until its already started to bleed. I cant eat anything or drink anything hot or it will bleed. Please let me know what you think it is, or since I dont have a doctor, if I should go to the emergency room to at least have some tests done? Thanks, M~
[|AI|]  Hello, Thanks for your detailed information. Initially, the cause of bleeding from floor of mouth has to be evaluated. Discontinue and replace the Chat Doctor. I would advise you to get a clinical evaluation by a dentist to rule out any chance of periodontal infection or deep caries associated. Maintain oral hygiene well. Plenty of fruits as well as vitamin C supplements has to be administered. Discontinue smoking. Take care.