### 30 years old lady presents with such lesions over the mucous membranes of lips in and off and for which she took Kenacort Gel (Triamcinolone) OTC but didn't improve. Diagnosis and treatment ???

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Thanks Dr Shofique for tagging me. It is a case of recurrent minor Aphthous stomatitis. As exact cause is not known recurrence is difficult to prevent . It is a T - cell mediated immune response triggered by a variety of factor like - Nutritional deficiencies - local trauma - stress - Hormonal influences - Allergies - Genetic predisposition In many patients a family history is known. Association with SLE and IBD is known . Treatment- Mainstay of treatment is topical analgesics, anaesthetics and antiinflammatories. Benzydamine mouth washes and spray are effective. Silver nitrate cauterisation can be tried in resistant cases. Topical metrogyl gel is also used Oral folic acid and other zinc conaining B- complex vitamins are helpful. Oral ornidazole 500 mg B.D for 3 days help in treating secondary anaerobic infections

Apthous ulcers/recurrent stomatitis Causes.. Vitamin deficiency Stress Acid reflux Treatment.. Multivitamins Prebiotics, probiotics Locally ointment Hexidine with Lignocaine

Recurrent Minor Apthous Stomatitis

Recurrent aphthous stomatitis mostly premenstrual, treat with choline salicylate8.7%,lignocaine jelly and local triamcilone0.1% application

Apthous Ulcer.....check instance.... duration ...any allergy.....any relation to PMS.....get lab tests Hb and CBC done ..... prescribe bit.b complex and rexidine m forte gel TDs for 1week

Apthous stomatitis

Apthous ulcer Most probably due to stress.. Advice chlorhexidine mouth rinse and topical corticosteriods to relieve inflammation Will resolve in two weeks

Aphthous ulcer. Let her take Folic acid 5 mg , B complex supplements& T. Metro 400 mg bid for 7 days.

Apthous ulcers

Recurrent minor aphthous stomatitis

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