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Suggest Treatment For Canker Sores

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Posted on Tue, 21 Feb 2017
Question: Hi i am 37 years male no smoke or alchol drink. one week ago i found canker sore on the left tonsile , i had alsonon right but on the right after few days they gone. now only one ulcer sore small one about 1 mm 2 mm , on the left , i went my doctor she made strep test it was negative , she said maybe viral , how long it can cure. i read in google and first option i see is tonsil cancer.
i suffer from anexity .. and now i am more afraid... please help can be cancer?
doctor
Answered by Dr. Naveen Kumar Nanjasetty (2 hours later)
Brief Answer:
I doubt any oral cancer in your case

Detailed Answer:
Hi

Thanks for posting the query

Canker sore or stress ulcer is one of the commonest ENT problems. As you have mentioned that you are having anxiety related issues, that could be one of the prime reasons for the recurrent canker sore and delayed healing. Gastric disturbances, smoking, dehydration, certain medicines, etc. can cause canker sores.

Canker sores turn into cancer when its non healing and history of alcohol and smoking is present. I doubt any oral cancer in your case.

My sincere advice to you is:
1. Drink plenty of warm water.
2. Eat plenty of fresh fruits and vegetables.
3. Avoid chilled food and beverages, coffee, greasy food, fizzy drinks, alcohol and smoking (if any).
4. Try taking multivitamins.
5. Stress busters such as exercise, meditation and relaxation exercises can be highly beneficial.
6. Consult an apt ENT specialist for a complete evaluation and management.

Hope this answers your query; revert back to me if you have any follow up queries.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Naveen Kumar Nanjasetty (4 hours later)
i took picture for you to see please see
doctor
Answered by Dr. Naveen Kumar Nanjasetty (3 hours later)
Brief Answer:
Could you please upload the photos...

Detailed Answer:
Hi

Could you please upload your photos. I am unable to see any images on my dashboard.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Naveen Kumar Nanjasetty (49 minutes later)
attched pictures
doctor
Answered by Dr. Naveen Kumar Nanjasetty (21 minutes later)
Brief Answer:
Please contact the customer care to attach the images

Detailed Answer:
Hi XXXXXXX

I'm extremely sorry! These attachments can't be visualized by me directly. You need to send these attachments to YYYY@YYYY with reference to Dr. Naveen Kumar N, ENT Specialist.

They will forward the images to me after scrutiny.

With warm regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Naveen Kumar Nanjasetty (2 hours later)
Reports attached
doctor
Answered by Dr. Naveen Kumar Nanjasetty (1 hour later)
Brief Answer:
Absolutely no signs of cancer

Detailed Answer:
Hi

Welcome back

I sincerely apologize for the trouble you faced while posting the images.

I have examined the images thoroughly and I am of the opinion that there are no signs of cancer over the tonsil.

The ulcer seen over the right tonsil is present over the crypt of the tonsil with slough in the centre. Trust me, it will heal very soon if you follow the suggestions I gave in the earlier query.

Hope this clarifies your doubts. Wish you good health.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Naveen Kumar Nanjasetty (39 hours later)
the ulcer doesnt heal and i am so scared of cancer .. the google says ulcers that doesnt heal mean cancer i took another picture of it . my ent appointment is only next week
doctor
Answered by Dr. Naveen Kumar Nanjasetty (20 hours later)
Brief Answer:
I would stick on to my earlier response; no malignancy seen

Detailed Answer:
Hi

Welcome back

I have examined the recent image thoroughly. I can reassure you the ulcer like thing is nowhere closer to malignancy.

If you are still apprehensive, then the tonsil has to be removed and sent for histopathological examination.

Malignancy of the tonsil is common in tobbaco chewers and smokers. As you don't do both, it is extremely rare to get malignancy of the tonsil.

The tiny ulcer like thing, could be a crypt with food material there. A local examination with a probe can help in differentiating between a malignancy, ulcer and a tonsillolith.

You can try using dilute povidone iodine solution gargles or throat spray. This helps in faster healing of the ulceration.

Hope this clarifies your doubt. Wish you good health.

Regards
Dr. Naveen Kumar N
ENT and Head & Neck Surgeon
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Naveen Kumar Nanjasetty

Otolaryngologist / ENT Specialist

Practicing since :2001

Answered : 2540 Questions

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Suggest Treatment For Canker Sores

Brief Answer: I doubt any oral cancer in your case Detailed Answer: Hi Thanks for posting the query Canker sore or stress ulcer is one of the commonest ENT problems. As you have mentioned that you are having anxiety related issues, that could be one of the prime reasons for the recurrent canker sore and delayed healing. Gastric disturbances, smoking, dehydration, certain medicines, etc. can cause canker sores. Canker sores turn into cancer when its non healing and history of alcohol and smoking is present. I doubt any oral cancer in your case. My sincere advice to you is: 1. Drink plenty of warm water. 2. Eat plenty of fresh fruits and vegetables. 3. Avoid chilled food and beverages, coffee, greasy food, fizzy drinks, alcohol and smoking (if any). 4. Try taking multivitamins. 5. Stress busters such as exercise, meditation and relaxation exercises can be highly beneficial. 6. Consult an apt ENT specialist for a complete evaluation and management. Hope this answers your query; revert back to me if you have any follow up queries. Regards Dr. Naveen Kumar N ENT and Head & Neck Surgeon