30 year old male. no medical history. uncle and 3 first cousins were diagnosed with celiac. patient reports taking a blood test for celiac a few years earlier which turned negative. the patient started feeling a tingling in the mouth after eating a red grapefruit (no known issues with grapefruits) and in the next 2 days the sensation worsened and aphtae showed up on tongue and upper and lower inner lips. patient complains of painful aphtae, difficulty in eating and speaking.

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Mouth ulcer Mucopain for LA Cap flora BC BD x 15 days Cap rabikind D 1 BD before meal x 15 days Tab zanocin oz BD x 5 days Tab mactotal 1 BD x 1 month Maintain personal hygiene Improve general body health Intake Plenty of more water orally before meal, in between meal and after 1 hrs meal Avoid oily and spicy food spicy food spicy food egg fish chicken burger fast food pizza etc Uses Fibres Green leaf vegetables and fruits

Thanks Dr S kumar
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Multiple apthous ulcers. The patient can be immunocompromised. You should do elisa test rule out gerd also. Ask if he has having other symptoms associating with the ulcers. You can start with symptomatic treatment. Give dentakind l for application before food. Multivitamin and antioxidants Tell the patient to avoid spicy food

Apthous ulcer.
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Even S. tTG negative do not rule out Celiac disease. Please ask for Biopsy of second part of duodenum is normal than no celiac disease. Even30percent positivity noted in celiac relatives.

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APHTHOUS. ULCERS... Celiac. Disease..????? ADVISABLE ........ DUODENAL. BIOPSY..... MANAGEMENT....... 1. ) Gluten. Free. Diet .... 2.). Calcium +. D3. SUPPLEMENTS ..... 3). Gluten. Free. Antioxidants. and. Multivitamins..... 4). Gluten. Free. Dietary. SUPPLEMENTS....

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This could be celiac disease ....but these ulcers are looking like herpes labialis ......though the fever is missing...even then get Elisa done for hasv-1 &2

Thanks sir
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Aphthous stomatitis. Known to be associated with citrous fruits. But no idea about grapes.

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Apthous ulcer with stomatitis Triamcinolol oromucosal paste apply locally Cap B complex Maintain oral hygiene

Thanks sir
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1.Aphthous stomatitis.........2.medication topical corticosteroid, topical analgesics nd anesthetic, antiseptic with vit. Supplement........ 3Advice to maintain proper oral hygiene nd avoid oily spicy food...,..take green vegetable and fruits .....

Thanks mam
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Aphthus ulcer.

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@aphthus ulcers

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