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Ulcers/mouth sore treatment??


Question: Ok, i was chewing my dinner the other night, and i kept having mouth spasms (i have them while chewing gum sometimes) and i bit myself 3 times!! I thought it would get better (like when you bite your tongue), but i think the 3 spots where i bit myself have evolved into ulcers now, because they're really painful. They're located on the left side of my bottom lip, just on the inside. Its awful. Does anyone know what i can do to lessen the pain and make them heal SOON?
Answers: Hi there! Are you sure they are not canker sores? when you bite the inside of your mouth they can turn into canker sores. My dad and I get them bad and he told me to pour a little hydrogyne peroxide in a cup and swish it around your mouth, it tastes bad but it helps A LOT and do NOT swallow! make sure you rinse a lot with salt water and water after. also you can put ambesol on it to numb it. Hope you heal soon! I know they suck to have!
Yea i used to get those all the time. I think they are also called canker sores. I would always used to gargle listerine or salt and water.
Aphthous ulcers or canker sores are the most common oral ulcers in man and are estimated to affect one-fourth of the population worldwide. The specific etiology of aphthous ulcers remains unknown. While the underlying immunologic process has been well-described, it is unclear whether the lesions are due to cross reactivity with intermediate, transitional forms of normal oral bacteria, localized autoimmune phenomena involving mucosal epithelium, or other, as yet undescribed, factors. An HLA association (HLA B12 and HLA-B51) has been reported in familial cases of aphthous ulcers. Mechanical trauma, emotional stress, food allergies and hypersensitivity to dentifrice components may play a contributory role in some patients. There is no evidence to suggest an infectious etiology of any kind.

Clinically aphthous ulcers can be divided into three general categories:

* Minor aphthae, which comprise over 80% of reported cases, are small (<1.0 cm), usually solitary, exquisitely painful, shallow ulcers which are covered by pseudomembrane, surrounded by an erythematous halo, and heal without scarring in 7-10 days.
* Major aphthae, which account for less than 10% of reported cases, are bigger, deeper, and heal with scar formation over a period of 2-3 weeks.
* Herpetiform aphthae are small, clustered lesions, which may occur on keratinized mucosa and resemble herpes simplex or other viral lesions.

There is considerable overlap between the various types of aphthae and more than one type can be present at one time.

Behcet's Syndrome consists of a triad of oral, ocular and genital ulcers, with a specific surveillance definition, which describes the syndrome. It is more common in young adults of Mediterranean or Japanese ancestry. The oral lesions are classified as minor aphthae; however, they tend to be continuously present or recur at the same site, multiple in number and of varying sizes, involve the soft palate and oral pharynx and heal with scar formation.

Most aphthae are first noted in adolescence or young adulthood and decrease in severity after menopause. They are more common in women. The frequency of occurrence is variable, ranging from several weeks to several years between episodes. Minor aphthae occur on non-keratinized mucosa, most often the labial and buccal mucosa, lateral tongue and floor of the mouth. Major aphthae are common on the lips, soft palate and oral pharynx.

While recurrent aphthous ulcers are usually easy to distinguish from recurrent intraoral herpes simplex lesions on the basis of location, i.e., not occurring on the hard palate and attached gingiva, clinically similar oral ulcers are a component of other systemic diseases, including vitamin B12 and folate deficiencies, inflammatory bowel disease, cytomegalovirus induced ulcers in HIV disease, herpangina, hand foot and mouth disease and cyclic neutropenia. The microscopic findings of recurrent aphthae are nonspecific; therefore, a biopsy is only useful to rule out other etiologies.

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