This is a case of Aphthous ulcer. Management Avoid spicy food, hot drinks. Avoid tobacco chewing. B Complex supplements. Betadine mouth wash. Triamcinolone buccal paste for L/A. Iron, Folic acid supplements if anemic. Aphthous ulcer heels gradually over 1 week. If recurrent, investigate. Rule out diabetes, other immuno compromised states. Stop habit of tobocco chewing if present. R/o traumatic ulcer due to sharp tooth.
That's one big aphthous ulcer. Considering the age r/o any loose tooth,dm.oral hygiene is a must. Efcorlin pellets are useful along with wokadine gargles. Analgesics.
aphtus ulcer...application of LAXONAX plus oral past locally. .flucanazol 150 stat..folic acid 5mg.. dewormirng tab..IVORAL FORTE on 5 day interval repeat.
apthous ulcer,,stomatitis,,mucopain gel or orasep gel or clenora gel for la,,acenac-sp t.id along with metro-400 t.i.d along with tb.b.complex
Very nice case Dr Chandralal!! Patient have pain in the right side of her tongue, and the lesion is typically located over the lateral margin of the tongue with surrounding inflamation, and this lesion is not multiple (apthous ulcer is ruled out, as by 4 th day patient would have multiple ulcers)... This lesion goes in favour of typical dental cause ulcer over the lateral margin of tongue!! The Mx lies in removal of the inducer of this ulcer, that is the sharp tooth or the broken part of the tooth, which can be done by drill down the sharp part or file down the sharp part or use hand held burr to remove the same, if there's carious tooth treat in the same way or through your own way, so that nothing sharp part is producing point friction over the tongue!! Now take care of the dental ulcer over the tongue with oint mucopain or dentogel tdac and oint kenacort tdpc for 2 weeks is suffice!! I think this will definitely work!! Thank u!!
most likely apthous ulcer. could also be traumatic after tongue bite. symptomatic Rx 1.)triamcilone gel local application. 2.)before food tantum (benzhexidine) oral gargles without dilution. salicylic acid gel l/a for pain relief. metronidazole + betadine oint l/a other than these most other like multivitamins etc don't change the duration of disease process. I don't recommend them.
Apathus ulcer Blood sugar F PP Rebazen tid for 12 days Fluconazole 150 weekly Folic acid OD for one month metronidazole TID for 7 days Laxanox application Betadine gargle with water Grinding of sharp teeth .
it looks like aphthous ulcer on tounge as it is big in size it may cause pain even when patient bite his /her tounge and painful ulcer is mostly not a serious concern and heal with treatment Rx Lexanox oral paste (amlexanox) or kenacort 0.1% Tab. Rebagen (Rebamipide 100 mg) BD Cap. Becosule BD also for pain Orahelp gel
Its apthous major with sec.infected Rx Tab . Deflazacrt 6mg od 5days Tab. (l-methyl bifolate) bd for 5 days Tab . metronidazole 400mg bd for 5 days Mucopain+Tess for Ta(mixed)..for thrice daily...Regards
Undoubtedly Apthous ulcer...Pls check if this lady has digestion issues I can find teeth pointed so this could happen due to friction She could be having..overshelling stress....
Cases that would interest you
- Login to View the image
pt c/o pain and burning sensation in the mouth while taking foods and beverages for past 1 week k/c/o hypertension and diabetes under regular medication o/e multiple ulcers are evident in the buccal mucosa and over the lower lip diagnosis ? investigation and treatment plan?Dr. Mogeshvaar Gopinath6 Likes37 Answers
- Login to View the image
Ten health benefits of Black Pepper. Black pepper (scientific name: Piper nigrum) is a hot, pungent spice with a host of health benefits. In fact, it is used extensively in Ayurvedic medicine. It has an active component called piperine that gives black pepper its characteristic taste. Plus, it contains iron, potassium, calcium, magnesium, manganese, zinc, chromium, vitamins A and C, and other nutrients. Black pepper usually is added to savory dishes when they are done cooking, otherwise its volatile oils tend to evaporate and diminish its flavor. Freshly ground black pepper has the most flavor. Peppercorns work well in soups, stews, marinades, and other sauces that are cooked slowly. 1. Increases Nutrient Absorption The piperine in black pepper enhances the bioavailability of various nutrients such as vitamins A and C, selenium, beta-carotene, and others, thereby improving your overall health. Bioavailability refers to the amount of a nutrient or supplement that is absorbed by the body. For example, researchers have found that it can increase the bioavailability of the compound curcumin (found in turmeric) twentyfold. Curcumin helps fight cancer, infection, and inflammation. Moreover, piperine stimulates amino acid transporters in the intestinal lining and inhibits enzymes that help metabolize nutritional compounds. It also prevents the removal of substances from cells and reduces intestinal activity, so more substances enter the body in active form and remain available for use. 2. Improves Digestion Black pepper stimulates the taste buds and increases the secretion of hydrochloric acid in the stomach, which in turn aids proper digestion. Interestingly, most digestive problems are caused by a lack of hydrochloric acid rather than excess amounts of it. By improving digestion, black pepper relieves issues like colic, bloating, indigestion, flatulence, and constipation. It also has antibacterial qualities that help treat intestinal diseases caused by bacteria. 3. Stimulates Appetite Besides adding flavor to your food and promoting digestion, black pepper works as an appetite stimulant. Research has shown that black pepper helps improve the appetite through olfactory stimulation. This makes it an excellent, simple remedy for those with a poor appetite. An Ayurvedic remedy specifically for this purpose calls for consuming a mixture of one-half teaspoon of black pepper and one tablespoon of jaggery powder (gur). Take this remedy on a regular basis till you see improvement. 4. Facilitates Weight Loss Although it stimulates the appetite, black pepper also can help you lose weight. The outer layer of peppercorns contains phytonutrients that encourage the breakdown of fat cells. A 2010 study of the effects of piperine on the metabolism of mice revealed that it suppresses fat accumulation in the body. Also, by improving your metabolism this fat-free food can help you burn calories. In addition, being a diuretic and diaphoretic herb, it promotes urination and perspiration, which in turn help flush toxins and excess water from the body. 5. Relieves Gas Being a carminative, black pepper relieves stomach gas and also helps prevent gas formation. If you are prone to stomach gas, try spicing up your food with black pepper instead of chili powder or peppers.To cure indigestion and heaviness in your stomach, you can have a glass of buttermilk mixed with one-quarter teaspoon each of black pepper and cumin powder.You can also massage your belly with black pepper oil mixed with carrier oil (a base oil) to relieve gas pain. 6. Helps Clear Congestion Black pepper can be used to clear up a stuffy nose and congestion as it helps loosen phlegm. It also has antimicrobial properties, which is why black pepper is included in various cough and cold remedies. Simply drink a glass of lukewarm water mixed with one-half tablespoon of black pepper powder, two or three times a day to clear the respiratory system.Alternatively, you can try steam inhalation from a pot of hot water mixed with some black pepper and eucalyptus oil.Another simple remedy is to sniff a mixture of black pepper and a few drops of sesame oil. It will induce sneezing but clear your sinuses. 7. Combats Arthritis The piperine present in black pepper is highly beneficial for treating arthritis due to its anti-inflammatory and anti-arthritic properties. In addition, this wonderful spice improves circulation, thereby preventing or reducing joint pain caused by poor circulation. Researchers have also found that black pepper helps reduce the perception of pain and arthritic symptoms. 8. Fights Cancer and Prevents Other Diseases Black pepper has antioxidant qualities that fight cancer, particularly colon and breast cancer. A study done at St. Louis University in Missouri found that black pepper can help inhibit colon cell proliferation due to its significant anti-proliferative activity. Furthermore, its polyphenol content protects against high blood pressure, diabetes, and cardiovascular disease. 9. Works as a Natural Antidepressant The piperine in black pepper acts as an antidepressant by increasing serotonin production. Serotonin is a neurotransmitter important for mood regulation. Low levels of serotonin are associated with depression Moreover, piperine increases beta-endorphins in the brain and promotes mental clarity. Endorphins work as natural painkillers and mood elevators. They reduce stress and promote a feeling of wellness that alleviates anxiety and melancholy. So, add black pepper in your daily meals to improve your cognitive functioning and lift your mood. 10. Treats Teeth and Gum Problems As it reduces pain and inflammation, you can use black pepper with its partner salt to reduce gum inflammation along with problems like bad breath and bleeding gums. Just mix equal amounts of both salt and pepper in a few drops of water, and massage your gums with the mixture.To alleviate a toothache, mix a pinch of black pepper powder in clove oil and apply it on the affected area.Dr. Sanjay Kumar Mallick11 Likes18 Answers
- Login to View the image
A 65 yr old female non DM non HTN with no known addictions, came to me with h/o painful ulcerations over the tongue,soft palate and buccal mucosa since 1yr...on and off...she received multiple treatments...including multivitamins, short courses of steroids twice in this one year..subsided in between.But this time she is having it since 1 month,not subsiding with treatment and severe pain along with difficulty in swallowing. I diagnosed it as recurrent aphthous stomatitis and adv workup. HIV negative,RBS normal,UGI endoscopy-Normal.ANA sent report awaited. There are no other signs and symptoms suggestive of malignancy or autoimmune or behcets disease. I suspected HSV stomatitis and so started her on acyclovir, but did not send tzanck smear...also put her on triamcinolone 0.1% buccal paste, amlexanox and lignocaine ointment and also started pentoxyfylline 400 tid...she came after 3 days with no improvement and so i added defcort 6 mg bid. what is the next course of action,should i get a biopsy. Need expert opinion plsDr. Vamsi Mohan Kodamarty8 Likes55 Answers
- Login to View the image
Respected Vaidyas, A female of 23 yrs came to OPD today. She is of Abadatta - Uddata complexion ( Shyamala Varna ) , want to take treatment for increase Uddata ( white ) complexion. Complaining of hyperpigmentation patches below the nails ( photographs below). Past history of Pimples on face and got cured after allopathic treatment. Personal history - Appetite - Good and Varies sometimes Bowel habit - Regular but occasional constipative Urinary habit - Normal Sleeping habit - Night awakening sometimes due to study. Menstrual History - Regular, but previously disturbed taking medications under allopath,sometimes associated with severe lower backache during menstruation Does the intellect curofians have any idea about the procedures of changing complexion from Shyamala to White ? I don't have any idea about this and never experienced such.Kindly help.Dr. Niranjan Ram3 Likes18 Answers
- Login to View the image
a case of non healing oral ulcer since 6 years , pt. on oframax fort , metronidazole ,fluconazole , multivitamins.. no response could be obtained ..pls give your valuable suggestion...Dr. Ajit Verma3 Likes54 Answers