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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Mouth Ulcers?

I am a suspect for Sjogren s disease and I was taking 2000 mg. of Valtrex a day due to 5 incidents in a year and a half of extremely painful mouth sores,followed recently by painful eyes that the eye Dr. said looked like like they had been rubbed with sandpaper. While waiting for the Sjogren s diagnosis, I woke up one morning with a slightly curved raised area 1 1/2 from my left eye (the medical person who saw me called it a vesicle), swelling around the eye, and the next day my left cheek was swollen, I had a 99.9 degree temp and a terrible headache. Having failed to receive any response from my regular Dr. I went to a walk-in clinic where the diagnosis was shingles and I was told to increase the Valtrex to 3000 mg. a day. When I asked my regular Dr for something for the terrible headache the next day he gave me a Medrol dose pack. When the pain continued he wanted me to increase my Topamax (to prevent migraines) from 50 mg. a day to 100 mg. He finally gave me permission to take one more Percocet a day, which I take at 5:30,7:30, and bedtime to prevent severe restless legs. I feel my Dr. has a very cavalier attitude about this: when I told him my eyes had become involved all he said was yes. It is my eye dr, who is testing me. I am afraid my face will not return to normal, since I have had 3 days of the Medrol and there is no change. I need a doctor who will explain why this happened and if I will get better. t
Mon, 27 Nov 2017
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Dentist 's  Response
Understanding your concern. Ulcers in mouth is very common problem due to these underlying systemic conditions and medications associated with them. Usually they resolve by themselves in few days .I would suggest you to avoid spicy food and acidic drink.do warm saline rinses. Use antiseptic mouthwash like chlorhexidine and brush your teeth twice a day. If the condition do not resolve in 4-5 days then consult dentist for proper examination and to rule out other conditions and start treatment accordingly.

Hope your concern has been resolved.

Best Wishes,
Dr. Harry Maheshwari
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What Causes Painful Mouth Ulcers?

Understanding your concern. Ulcers in mouth is very common problem due to these underlying systemic conditions and medications associated with them. Usually they resolve by themselves in few days .I would suggest you to avoid spicy food and acidic drink.do warm saline rinses. Use antiseptic mouthwash like chlorhexidine and brush your teeth twice a day. If the condition do not resolve in 4-5 days then consult dentist for proper examination and to rule out other conditions and start treatment accordingly. Hope your concern has been resolved. Best Wishes, Dr. Harry Maheshwari