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What Causes A Grey Green Pale Discoloration Around The Mouth?

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Posted on Thu, 9 Jun 2016
Question: I have noticed a grayish green paleness color around my mouth recently. I am 66 year old female with well controlled Blood Pressure on meds. I'm usually high energy but I have been unusually tired lately but no other symptoms.
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Answered by Dr. Prakash H Muddegowda (41 minutes later)
Brief Answer:
Vitamin B deficiency

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Prakash HM and I will be answering your query.
Based on your query and image sent, my opinion is as follows:

1. It appears to be mild hyperpigmentation possibly due to vitamin deficiency.
2. B-complex group of vitamins, particularly Vit B12 and B6 and sometimes with B1. I would usually advise my patients to take the complete B-complex group, as particular deficiency is difficult to identify. There is no complication of hypervitaminosis and it can be continued as long as necessary.
3. You can take Vit B-complex supplements, daily once. Symptom reduction would usually take upto 1-2 months. Also maintain good hydration (At least 5-6 liters of water per day) along with protein rich diet.
4. Hope there is no unusual weight gain. If there is, hypothyroidism will require evaluation. Otherwise, tiredness can be due to vit B-complex deficiency.

Do start the supplements along with nutritional improvement through diet.

Hope it helps.
Any further queries, here to help again.

Dr. Prakash HM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Prakash H Muddegowda (14 minutes later)
Thank you, Dr Muddegowda,
My weight has been very stable for the past 10 years (135-140). I walk 2.5 a 3.0 miles a day and have been a vegetarian for 4 years. I will start the B complex vitamins now and supplemental B-12. Hopefully, that will fix my problem. Respectfully, Margaret Eaton
doctor
Answered by Dr. Prakash H Muddegowda (2 hours later)
Brief Answer:
Vegetarians can have vit B12 deficiency particularly.

Detailed Answer:
Hi XXXXXXX Eaton,
Thanks for replying.

Good to known your weight is stable and are having an active life.
The Vegetarian diet can lead to Vitamin deficiency, particularly Vit B12.

Do start and continue supplements as long as it is necessary.

If you do not have any further queries, you can close the discussion and rate the answer. If you have any, do ask.
Thanks for asking.

Dr. Prakash HM
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prakash H Muddegowda

Geriatrics Specialist

Practicing since :2004

Answered : 2138 Questions

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What Causes A Grey Green Pale Discoloration Around The Mouth?

Brief Answer: Vitamin B deficiency Detailed Answer: Hi, Thanks for asking. I am Dr. Prakash HM and I will be answering your query. Based on your query and image sent, my opinion is as follows: 1. It appears to be mild hyperpigmentation possibly due to vitamin deficiency. 2. B-complex group of vitamins, particularly Vit B12 and B6 and sometimes with B1. I would usually advise my patients to take the complete B-complex group, as particular deficiency is difficult to identify. There is no complication of hypervitaminosis and it can be continued as long as necessary. 3. You can take Vit B-complex supplements, daily once. Symptom reduction would usually take upto 1-2 months. Also maintain good hydration (At least 5-6 liters of water per day) along with protein rich diet. 4. Hope there is no unusual weight gain. If there is, hypothyroidism will require evaluation. Otherwise, tiredness can be due to vit B-complex deficiency. Do start the supplements along with nutritional improvement through diet. Hope it helps. Any further queries, here to help again. Dr. Prakash HM