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Recurring ulcer with dental problems - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 650 Questions
Doctor :   Hi
Doctor :  
How can I help you?
Doctor :  
Are you typing
User :   I am talking on behalf of my wife. She is a patient of hapo thyroid and now her parameters are normal. However the doctor advised her to continue the thyroxin 100mg daily. the problem is in her mouth. She continues to develop ulcers for last one month and we have shown to doctors and had lots of
Doctor :  
Are you with me?
User :   yes
Doctor :  
I think it is 100micro grm
Doctor :  
of Thyroxin dialy
User :   yes
Doctor :  
When is she taking the medicine in the day?
User :   Morning
Doctor :  
before breakfast
User :   yes
User :   She had lots of VIt B for last one month
Doctor :  
Since when is the medicine started?
Doctor :  
When was the last thyroid profile test done?
User :   Sep 22
Doctor :  
When was the medicine started?
User :   The problem ulcer was there for last two year occassionally. But we used vit and it ceased.
Doctor :  
Ok does she have any dental problems?
User :   Yes
Doctor :  
Ok
Doctor :  
Did you see the dentist then?
User :   Yes and he gave mouth wash and he also diagnosed as food infection in between two teeth
Doctor :  
Ok
User :   The infected was permanetly filled three years ago
Doctor :  
Was the ulcer biopsied?
User :   No
User :   The frequency of mouth ulcers has also increased
Doctor :  
Since it is for so long time did the doctor suggest about?
User :   The skin is only going but no strong infection was ever noticed
Doctor :  
Ok
User :   Since last two weeks her tongue is paining as the upper skin is little ulcerated
Doctor :  
Look Jaison I feel that your wife should get an biopsy done for the ulcer area and see the report
Doctor :  
basing on the report we can come to some conclusion how to proceed
Doctor :  
As said the causes that I caould think are
Doctor :  
Gingivostomatitis
Doctor :   Leukoplakia
Doctor :   Oral thrush
Doctor :   Anxiety and depression
Doctor :  
Nutritional deficiency
Doctor :  
Dental infections
Doctor :  
thorough oral hygiene may relieve some of the symptoms.
Doctor :   Rub a dispirin tablet over the ulcer to provide instant relief
Doctor :   Avoid hot or spicy foods, which often increase the pain of mouth ulcers.

Doctor :   Are you following what I say?
User :   The location of effect is also changing in mouth and not permanenet only at an area of tongue which seems permanant
Doctor :   Ok do you say that it is only the mouth ulcer but the location in the mouth is changed

Doctor :  
each time
Doctor :  
Is it?
User :   Please prescribe some medicine
User :   Yes
Doctor :  
You can apply baking soda paste over the ulcer
Doctor :  
for relief just before the food
Doctor :  
Continue on the Vitamin B tablets
Doctor :  
Ask her to brush atleast twice a day
Doctor :  
and floss atleast once a day
Doctor :   It can be related to hypothyroidism also
Doctor :  
sometimes
User :   She does three times brushing and floss
User :   Sorry she doesnot use floss
Doctor :  
she can do that
User :   Even when vit tablets are taken the symptoms does occur
Doctor :  
yes they keep occuring
User :   But its painful and unbearable
Doctor :  
that is why you can use one of these techniques
Doctor :  
1) Rub Dispirin tablet over the ulcer
User :   For how long
Doctor :  
2) Rub baking soda paste
Doctor :  
3) Use Dentocaine gel
Doctor :  
before any meal
User :   Shall I do a biobsy of the tongue where is regularly occur
Doctor :  
Use them only when there is a pain and before the meal
Doctor :  
You should remember to follow up a single dentist for this problem
Doctor :  
If you keep changing the doctor
Doctor :   he will lsoe the track of it
User :   That is fine. But what about the biopsy
Doctor :  
Yes the doctor will decide which ulcer is to be biopsied
Doctor :  
that is the reason why I ask you to follow up with the same doctor
User :   We are in Army and keep changing the location and no permt doctor or we hom on to you people
Doctor :  
or we hom on to you people ?
Doctor :  
I did not understand this sentence
Doctor :  
Can you pls repeat?

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