A 74 yrs old female PT Having recurrent stomatitis.C/o burning sensation mainly to tongue at tip and borders on only spicy food intake.On regular medicine of Tenoric 25 and Tab.GlynaseMF. Sugar well controlled on OHA. No Asthmaor any skin disease. On regular walking exercise,Pure vegetarian.Taken Folvite,B complex for some days but recurrancy in symptoms. Hb- 11.7,TC_7400,Differential count WNL,MCV-89.14,MCH-28.89,MCHC-32.41,HAEMATOCRIT-36.1(40-54),NORMOCYTIC,NORMOCHROMIC. Resp.Drs pl guide line of management.

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Borax and Chelidonium Q can cure it

Please add Candid oral gel for local application

Oral Candidiasis with B12 defeciancy Please treat with Antifungals and B12 Supplements.

Isolated recurrent oral ulcers can occur with herpes infection, HIV, and, rarely, nutritional deficiency. Viral testing and serum hematologic tests can identify these conditions. Drug reactions may mimic RAS but are usually temporally related to ingestion

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? ATROPHIC GLOSSITIS .. ? BM .. SYNDROME .. NEED'S.. ORAWAYS .. MULTIVITAMINS.. PROBIOTICS ..

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It's oral manifestation of lichen planus, as the women is diabetic topical steroid will reveal her.

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Oral Candida infection..... Prescribe candid oral gel 3 times a day for 1... and asked her to follow oral hyegine and keep Hydrated well

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Stomatitis Tongue Defeciency of Riboflavin & b complex Add B complex tablets OD Antioxidants Dentogel apply NSAIDS PPI Strictly control Diabetes Some times stomatitis and burning sensation common on diabetes patients

Use dentogel for that ulcers and give b complex tablets along with some antioxidants Ask her to take a dentists appointment to rule out whether she is having any sharp margins on her teeth

Give topical oral triamcinolone gel
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Geographic tongue with stomatitis ? Defeciency of Vit B Complex Ad Becosule zn 1 bd daily

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