recurrent . heals by steroid but reoccurring . surprisingly no pain . what are D/D ? please help
looking at picture I suppose pt.is tobacco addict. so may be malignant ulcer. other causes are--- vit.b12 and folic acid deficiency constipation any systemic disease give b complex folic acid orasep ot mouth paint local application
apathus ulcer? Avoid spices and chilly etc Tab Rebazen tid for 14 Days Tab Folic acid OD Tab Metronidazole TID for 7 days Tab Fluconazole 150 mg weekly cream Laxanox application Betadine gargle with water 3 to 4 times / days.
floor of ulcer is yellowish but no pain it is unusual site of pain recurrence -biopsy is must even it is small
Apthous ulcer Lizolid
It is truely aphthous ulcer.Its nature is heeling and reappearing.They are also called as STRESS ULCERS.History wise pt is suffering with Irritable bowel syndrome.A part from routine treatment start with Fluoxetine 10 mg after break fast for 1 to 3 months.No need of biopsy in this case.
Aphthous ulcers. Give amlenox gel for long term. Clonazepam may help to relief stress. Any offending habit like betel nut chewing is to be stopped. If ulcer persists for more than 3 weeks recommendation is go for an incision biopsy.
Stomatitis if recurring biopsy HP to r/0 malignancy
Apthus ulcer, advised biopsy.
It looks like a typical recurrent apthous ulcer. it usually persists for 7-14 days and heals off. Typical symmetrical lesion with surrounding erythematous halo suggests acute inflammatory nature of the lesion. Steroids reduce inflammation and leads to healing. Initial investigation to be performed is complete hemogram. Finding a cause for such lesions is actually difficult. many etiology starting from nutrition deficiency, stress, immunological causes, viral etiology have been suggested
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