23 female with no comorbidities with recurrent ? aphthous ulcers All treatments tried.. Still recurring.. Management???

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You should search the cause in the lifestyle of pt Stress is one of the cause for recurrence of apthous ulcers If pt is using any thing like tobacco gutka or supari Dietary habits as using more of Chinese food or dishes spicy junk food etc Check the tooth paste if salted tooth paste is used it do causes Bowel habits and oral hygiene to be care for Rx tab azithromycin 500mg 1od for 5days Tab surbex xt 1od Locally placentrax gel+kenacort frequently Keep followup

Thanx dr Ramesh Kumar Singh
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Recurrent apthous stomatis.Adv cap lycomax, trioplast gel, cap becasule, diet and stress counselling, increased hydration,oral prophylaxis, oral hygiene reinforcement . R/o trauma injury due to sharp cusp, h/o chronic gastritis, Hematinic deficiency ,food or drug allergy.

Aphthous ulcer Benign, recurrent , round or oval shaped ulcers Causes- unknown Risk factors vitamin deficiencies (B complex esp B12,iron, and folic acid ), trauma, immune dysfunction and stress, Rx Topical steroids Triamcinolone Flitcasone Dexna tabs to be crushed & paste over ulcers Local anaesthetic Lignocaine jelly L/A Sestemic steroids Prednisone on tapering dose PP i B12 tabs Rebazen 1 bd Chlorhexidine mouth rinse

There is no clear cut etiology. Iron deficiency B12 deficienc Folic acid deficiency. Immune etiology Anti septic gargle Local steroid cream Local anaesthetic cream Vitamin B12 folic acid iron deficiency rx See neutropenia conditions Oral steroids Oral thalidomide Oral dapsone Oral colchicine Oral pentoxyfyllin Avoid spicy hard foods

Dental hygiene is important. Multivitamin tablets. Tess ointment for local application. More liquids intake. Nsaid if pain is present. Get tested for vitamins levels if recur again.

Prednisolone sublingual, Bcomplex, Dental hygiene, antifungal therapy to be given. Provide diet and purgative as constipation increases problem

RECURRENT APHTHOUS ULCERS IN 23 YEARS FEMALE IF ASSOCIATED WITH IRITITIS GENITAL ULCERS ARTHRITIS THROMBOPHLEBITIS CAN BE BECHETES DESEASE

Recurrent Aphthous stomatitis may be multifactorial. Rx maintain Oral hygiene Vit B co. Od *2 wks Clohex-M M.w bid *1wk Adequate Hydration Oint. Benzocaine 2% 15 mins before meal. Follow-up after 1 wk.

Apthous ulcer May be Herpetic Give Tab ACUVIR 800 FIVE TIMES DAILY FOR TEN DAYS, CAP BECOSULE ONE DAILY, OINTMENT ACUVIR APPLY LOCALLY TWICE

Aphthous ulcer Adv Proton pump inhibitor Metronidazole B vitamin supplements

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