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Suggest Treatment For Ulcers In Gums, Cheek And Tongue

Posted on Tue, 1 Sep 2015

Question: Dear sir,
Hello.
I am suffering from Oral submucous fibrosis.
In 2008 I used to smoke.Actually I was suffering from depression & due to sedation side effects of antidepressants I feel lethargic.But due to acidity I started gutka to eat (Rajanigandha+Tulsi) & I felt energized.
after 1 years I felt burning sessation while eating spicy & hot food.
I quit some time & again started due to habit formation.
But now a days it has been 2nd time with in span of 15 days when I developed ulcer in gum Behind cheek & sore tongue & pain in throat & ear.I am feeling pain in eating food.

Please advise suitable treatment.
My doctor has suggested that it may also lead to cancer.
I am in little bit in tension.
Please suggest .some photo of mouth is also enclosed.
with rgds XXXXXXX

Answered by Dr. Priyanka Tiwari (1 hour later)

Brief Answer:
Detailed below.

Detailed Answer:
Hello XXXXXXX ,

Thanks for consulting Healthcare magic.
This is Dr. Priyanka Tiwari answering your query .

I have read your query and understand your concern . As far as ulcers in gum , cheek and sore tongue is concerned this can be due to benign cause - stressors , nutritional deficiency , constipation , Drug induced and so on . I shall suggest you few measures that might help you in healing ulcers :
- Maintain proper oral hygiene . QUIT your habit of chewing tobbacco .
- Avoid frizzy drinks .
- You can apply ointment containing lignocaine and choline salicylate on ulcers 3 to 4 times a day .
- You can start taking medicine containing vitamin B complex which are available over the counter. Metronidazole is prescription of medicine for additional help.
- you can also start analgesic like Tylenol for additional benefits .
-Do warm saline gargle 2 to 3 times a day .
Ulcer will heal in one week to 10 days . Dont take stress . Try these tips before consulting with doctor . As far as oral submucus fibrosis is concerned it is not cancerous but it is Precancerous condition (if you dont stop the habit it can lead to cancer) . Depending upon the stage we treat the condition . If you Can upload the image of mouth opening I can tell you exactly what treatment you can go for .

Awating for pictures to comment further .

Hope I have answered your query .
If you have further query I will be happy to help.

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Priyanka Tiwari (14 hours later)

Madam
Photo have been uploaded.
At present i have consulted dentist who has advised:-
trental 400-1X2
VITALIFE-LP-1X2
TURMPURE LOZENGES-1X3
ORNIDAZOLE GEL
ORAWAYS GEL

PHOTO HAS BEEN SENT ON YYYY@YYYY . also
please suggest

Answered by Dr. Priyanka Tiwari (6 hours later)

Brief Answer:
Osmf , Medication and intralesional injections .

Detailed Answer:
Hello XXXXXXX ,

Welcome again ,

I have read your query and gone through images you have uploaded . As far as I have observed your mouth opening is approximately 2 to 2.5 cm . So I will advise you to quit your habit first and go for proper treatment which include Medication and intralesional injections with steroids and hyalurinidase. Take proper course of medication which include ointment containing Triamicinolone acetonide buccal paste and vitamin A capsule with Antioxidants . Dont take stress XXXXXXX Osmf is precancerous condition if you dont stop your habit of eating tobacco it can lead to cancer . Consult good oral physician for clinical examination and treatment .

Takecare .
Hope I have answered your query .
If you have further query I will be happy to help.

Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj