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Treatment for Stomatitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Dental Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I'm a 37 year old male.I'm not prone to allergy's. I do however am prone to common canker sores of the mouth. I have developed a condition that is only concentrated on my lower inner lip.
The inner lining of the lip swelled a bit and felt numb. This progress with a great number of what looked like translucent cysts just under the lining of the lip. After about 30 minutes I decided to rinse with some mouth wash and it irritated my lip.
Then after about 30 minutes again.I took some pictures and I decided to wipes the saliva with some tissue paper to get a better look. As I wiped; the clear thin surface of the inner lip PEELED OFF. No pain and no blood. It just left it a bit irritated.
Doctor :   Let me read the query.
User :   hello
Doctor :   Since when did you notice the present sores?
Doctor :   Do you have pain at the site of the lesion?
User :   3 days ago
User :   on the canker sore yes which i belive is normal to all
Doctor :   Ok
Doctor :   Do you have any other medical illness?
User :   no...i'm healthy
Doctor :   Are you active sexually?
Doctor :   Did you involve in an unprotected sexual activity?
User :   yes to my wife
Doctor :   Ok
User :   safe sex always
Doctor :   Ok
Doctor :   Have you had similar symptoms in the past?
User :   not like that
Doctor :   Ok
Doctor :   Let me brief you.
User :   had removed small cyst on the tip of my tungue
User :   ENT doctor removed
Doctor :   Ok
User :   3 years ago
Doctor :   And was a biopsy performed on the cyst?
User :   yes and cleared
Doctor :   Ok
User :   did you see the pictures
Doctor :   Based on your present description and looking at the picture that you have sent, it looks like stomatitis
Doctor :   Stomatitis is an inflammation of the mucous membrane of the lips and gums.
Doctor :   Common cause for such inflammations are either nutritional deficiences or infections.
User :   cure?
Doctor :   Such lesions dissappear spontaneously if there are no precipitation/aggravating factors such as an active infection or immunocompromised state/diabetes.
Doctor :   I expect the same now.
Doctor :   You can use the following measures
Doctor :   1. Use glycerine oral solutions-
User :   I've searched for pictures like mine and nothing similar was found
Doctor :   they are available over the counter at any chemist.
Doctor :   The skin peeling and the swelling are features of inflammation of mucous membrane.
User :   I live in the US can i find it at a local store
Doctor :   2. A multivitamin pill a day for the next 7 - 10 days.
Doctor :   Yes, you can ask for glycerine solution which should be available at any chemist.
User :   would i have to mix it with water or other???
Doctor :   No, you can directly apply them on the affected region.
User :   I'm currently rinsing with Hydrogen Peroxide is that ok?
Doctor :   Since there are no evidence of active infection at the site of lesion, you do not require hydrogen peroxide.
Doctor :   Further hydrogen peroxide can add to skin peeling.
User :   what does glycerine do ?
Doctor :   Glycerine solutions and multivitamins pills will do.
User :   I'll stop
Doctor :   Glycerine solution acts as an external cover on the peeled skins, which prevents
Doctor :   secondary infection.
Doctor :   The present inflammation will settle down in a few day.
User :   how about regular mouth wash with alcohol in the ingredients?
Doctor :   That should also be ok.
Doctor :   Since glycerine is a viscous solution and is not readily absorbable, it will stay for a longer time.
User :   any other symptoms to look furhter on?
Doctor :   Alternative to gylcerine are ZYTEE gel.
Doctor :   This is also an over the counter medication gel which should be available.
Doctor :   You need to watch out for few symptoms.
User :   how abouth some lysen pills
User :   go on...
Doctor :   Increase in the swelling, increased rednessness,
Doctor :   Multiple areas of mucous membrane getting peeled off,
User :   why only on the lower lip???
Doctor :   Other areas of mucous membranes getting affected.
Doctor :   If such symptoms occur, then you will need antibiotics.
Doctor :   If such symptoms occur, you will need to see a doctor who can prescribe you the antibiotics.
User :   I'm getting a blood work done. Anything to look out for?
Doctor :   A high WBC count, High blood sugars are concerning features.
Doctor :   If blood work up report elevated WBC counts or high blood sugars, you may need antibiotics.
User :   any antibiotics?
Doctor :   You do not need it now.
User :   but if my doctor should know right?
Doctor :   But if those unusual symptoms occur or if blood counts are abnormal, then you will need antibiotics.
User :   is there a special antibiotic for that type of deases?
Doctor :   Yes, an physical examination by a doctor will give provide with more accurate information - and if necessary antibiotics will be prescribed.
Doctor :   No simple penicillin group of antibiotics will be sufficient.
Doctor :   Rarely higher group of antibiotics may be needed.
Doctor :   Have you followed?
User :   yes
Doctor :   Do you have any other query?
User :   yes
User :   I sometimes feel i have something in my eye
Doctor :   Ok
User :   in closer inspection I've noticed a clear bubble just on the edge of my eyelid???
Doctor :   Ok
User :   I tend to pop it everytime or it always bother me.
User :   Is that something I should be concern?
Doctor :   Since when are you having this problem?
User :   for many years
Doctor :   Ok
Doctor :   This could be a style.
Doctor :   An infection of the eye lid follicles.
Doctor :   They occur due to multiple causes.
User :   normal?
Doctor :   If you do not manipulate with your bare hands-
User :   30sec
Doctor :   it should not be causing any concerns.

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