### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I take glucosamine HCL 1500mg MSM 1000mg everyday for osteoarthritis. Also vitamin D 2000 Iu. I tale sometimes DGL for acid reflux due to hiatal hernia.I have white lesions in the mouth upper right gums for 4 yrs. Now did biopsy which showed it a hyper keratosis and chronic mucositis.I have some random red spots in the mouth on both cheeks.Do I need to stop or reduce glucosamine dosage if that is the cause for red spots. Also have eczema which shows up as finger cracks and itching and callus on both knees due to eczema.Please advice if the side effects of medicines causing these.

### output:

Hi. Thanks for the query. Red spots on inner cheeks can be due to causes like allergic reaction, side effects of medications, traumatic injury, burning with hot foods etc. Certain habits like cheek biting, tobacco chewing, smoking, reverse smoking etc. can also cause red spots inside mouth and cheeks. Inflammation of sebaceous glads can also be a cause. If the spots are present for more than a month and does not show any signs of improvement then you should consult an Oral Surgeon and get evaluated and a biopsy of the spots can be done for confirmation. You should also consult your Physician and get evaluated so that he if it is the side effect of medication then the dose can be titrated or Chat Doctor. . For now, you should start doing warm saline gargles and take vitamin B complex supplements. Avoid spicy and hard foods. Hope this helps. Regards.