Beware of oral mucosal ulcers

There are many possible causes of oral mucosal ulcers such as local infection, systemic disease, physical, chemical irritation or allergic reaction, even spontaneous. In addition, in a normal state, the salivary flow will protect the oral mucosa against harmful factors, so dry mouth from any cause leads to stomatitis. Specific causes of oral mucositis can include:
Recurrent aphthous stomatitis (RAS) Due to the herpes simplex virus, herpes zoster causes stomatitis with blisters that spread and then form sores, common in lips, lips, oral mucosa, possible fever, pharyngitis, lymphadenopathy Caused by bacterial agents or Candida albicans fungi, common in malnourished patients, immunocompromised, fatigue and weakness Causes trauma Injuries: Heat burns when eating on the roof of the mouth, teeth on the jaw or bumping, falling or dental procedures such as drilling and filling teeth, sealing teeth, installing dentures that do not fit, chipped, broken teeth, ... Children can be caused by pens or sharp objects pierced into the mouth of the tongue Tobacco or food irritant chemicals: Acid, lime water, too concentrated mouthwash or using too much toothpaste can also cause stomatitis Chemistry Treatment and radiation therapy Due to hormones, genetic factors, food allergies or deficiency of vitamins C, B6, B12, iron deficiency or autoimmune disease.

Lesions in ulcers of the oral mucosa, tongue often appear suddenly with signs such as: Red, hot, painful swelling, uncomfortable sores, especially when chewing and drinking, heavier can form an abscess under the tongue, under the mucosa, when acute inflammation is often red and very painful, even high fever, swollen lymph nodes in the jaw angle. Lesions in oral mucositis are also diverse in morphology:
Small aphthous ulcers are the most common and most typical with one or more ulcers less than 1cm in diameter, shallow, discrete or clustered. . The sores are usually larger than 1cm in size, slow to heal and sometimes last up to several weeks, to remove the scar caused by extensive necrosis Herpes ulcers: The number of ulcers is many from 10 to 100, the lesions are clustered. , many small sores quickly merge into large patches, heal in about 7-30 days The sores are usually red around, the center has a yellow patch, pain is much in the first 2-3 days and subsides gradually after starting to recover

General principles of treatment of oral mucositis include:
Treating the cause Oral hygiene Topical medications and mouthwashes Where the treatment of specific disorders avoids the use of any substance or medication cause disease, mouthwashes containing ethanol can also cause stomatitis and should not be used. Patients need careful oral hygiene, using a soft brush and rinsing with salt water can prevent secondary infections.
Most cases of canker sores do not require any treatment and resolve spontaneously in 7-14 days, if any, mainly pain management because pain is the most bothersome symptom. In addition, local treatments include:
Anesthesia Protective coatings Corticosteroids Physical measures If it is certain that the inflammation is not caused by bacteria, the patient can:
Gargle and spit after meals with dexamethasone elixir 0.5 mg/5mL Apply a soothing 0.1% triamcinolone paste Rub amlexanox on the sore with your fingertips If the above methods do not improve your condition, seek medical care. Your doctor will examine you and determine the most useful treatment for you.
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