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Mouth ulcers

Mouth ulcers

Description

Also termed:
         canker sores, or medically:
         aphthous stomatitis.


Painful ulcers in the mucous membrane lining of the mouth and tongue.

Causes


It is generally considered to be an immune reaction, brought on by a virus, or mechanical trauma such as biting the cheek, or catching the cheek in a dental appliance etc. It is also considered to be related to food sensitivity and nutrient deficiency. .


Canker sores may be an indicator of endogenous nitrosation. High nitrite intake with frequent canker sores correlated with the development of esophageal cancer.

Signs & Symptoms


Painful, lasting a few days. If the ulceration lingers for a month a more serious condition (including cancer) may need to be ruled out. They may also recur.

Nutritional Supplements

Structure & Function:
        Immune System Support &
        Amino Acids


---------------------------------
General Supplements
---------------------------------

L-acidophilus*
Folic acid 400 mcg
Iron*
Lactobacillus acidophilus*
Vitamin B complex*
Vitamin C500-1000 mg
Zinc15-25 mg



* Please refer to the respective topic for specific nutrient amounts.

Note:

All amounts are in addition to those supplements having a Recommended Dietary Allowance (RDA). Due to individual needs, one must always be aware of a possible undetermined effect when taking nutritional supplements. If any disturbances from the use of a particular supplement should occur, stop its use immediately and seek the care of a qualified health care professional.




Dietary Considerations


A diet eliminating allergens is one approach. Sensitivity to gluten is often present, hence the diet should eliminate grains.


Deficiencies have been found for the following nutrients: iron, folate or vitamin B12.

Zinc supplementation, together with any other deficient nutrients, is effective in some patients.

Homeopathic Remedy

Aconitum Napellus tinct.
Arnica montana tinct.
Arsenicum Album (burning)
Chamomilla tinct.
Mercurius Vivus

Treatment Schedule

Over-the-counter homeopathic remedies may be single strength (of fairly weak potency e.g. 6X ) or a blend of several weaker strengths (6X, 8X, 10X).

This may comprise a single remedy, or several remedies.

Doses are administered on a 3 times daily (tid), between meals,schedule and continued for 3 days.

Liquid preparations usually use 8-10 drops per dose.

Solid preparations are usually 2 or 3 pellets per dose.

Children use 1/2 dose i.e. 1 pellet.

If there is aggravation of the symptoms, stop taking the remedy and consult a homeopath.

References

Murphy, R. : Homeopathic Medical Repertory. Hahneman Academy, Pagosa Springs, Colorado. 1993.

Murphy, R. : Lotus Materia Medica. Hahneman Academy, Pagosa Springs, Colorado. 1995.

Pert, J.C.: Homeopathy for the Family. The Homoeopathic Development Foundation, London. 1985 edition.

Herbal Approaches

----------
Herbs
-----------


Chamomile
Echinacea
Licorice
Myrrh

Note: The misdirected use of an herb can produce severely adverse effects, especially in combination with prescription drugs. This Herbal information is for educational purposes and is not intended as a replacement for medical advice.

Discussion:

Herbal Mouthwashes may relive the pain e.g. Thymol (from Thyme).

References:

Das, SK et al., Deglycyrrhizinated liquorice in apthous ulcers. J Assn of Phys of India (JAPI). 1989, 37:647.

Hoffmann, D: The New Holistic Herbal. Element, 1983. Third edition 1990.

Aromatherapy - Essential Oils

Geranium Essence,Peppermint Essence,
Tea Tree Essence.


Related Health Conditions

High rates of recurrence are experienced in patients with celiac disease.

Abstracts

References

Eversole, R.L. et al: Effects of suspected foodstuff challenging agents in the etiology of recurrent aphthous stomatitis. Oral Surg. Oral Med. Oral Pathol. 1982, 54(1): 33-38.

Field, E.A. et al: Clinical and hematological assessment of children with recurrent aphthous ulceration. Br. Dent. J. 1987, 163: 19-22.

Gertenrich, R.L. & Hart, R.W. : Treatment of oral ulcerations with Bacid (Lactobacillus acidophilus). Oral Surg. 1970, 30(2): 196-200.

Hay, K. D. & Reade, P.C.: The use of an elimination diet in the treatment of recurrent aphthous ulceration of the oral cavity. Oral Surg. 1984, 57: 504 - 507.

Itin PH & Lautenschlager: S Viral lesions of the mouth in HIV-infected patients. Dermatology, 1997, 194:1, 1-7.

James, A.P. R. : Common dermatologic disorders. CIBA Clin. Symp. 1967, 19(2): 38-64.

Lake RI et al., Genetic factors in the aetiology of mouth ulcers. Genet Epidemiol, 1997, 14:1, 17-33.

Lisciandrano D et al., Prevalence of oral lesions in inflammatory bowel disease. Am J Gastroenterol, 1996 Jan, 91:1, 7-10.

Little, J.W.: Food allergens and basophil histamine release in recurrent aphthous stomatitis. Oral Surgery, 1982, 54: 388 - 395.

Merchant, H.W. et al: Zinc sulfate supplementation for treatment of recurring oral ulcers. South. Med. J. 1977, 70(5): 559-561.

Murray, M.T. & Pizzorno, J.E.: An Encyclopedia of Natural Medicine. Prima Pbng, Rocklin, CA.

Olson, J.A. et al: Serum vitamin B12, folate and iron levels in recurrentt aphthousulceration. Oral Surg. Oral Med. Oral Pathol. 1982, 54(5): 517-520.

Palopoli, J. & Waxman, J.: Recurrent aphthousstomatitis and vitamin B12 deficiency. South. Med. J. 1990, 83:475-477.

Porter, S.R. et al: Hematologic status in recurrent aphthousstomatitis compared to other oral disease. Oral Surg. Oral Med. Oral Pathol. 1988, 66(1): 41-44.

Rogers-MA: Consumption of nitrate, nitrite, and nitrosodimethylamine and the risk of upper aerodigestive tract cancer. Cancer-Epidemiol-Biomarkers-Prev. 1995 Jan-Feb; 4(1): 29-36.

Ship, I.I. et al: Recurrent aphthous ulcers. Am. J. Med. 1962,32: 32 - 43.

Ship JA: Recurrent aphthous stomatitis. An update. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 1996 Feb, 81:2, 141-7.

Webster-Cyriaque J et al., Epstein-Barr virus and human herpesvirus 8 prevalence in human immunodeficiency virus-associated oral mucosal lesions. J Infect Dis, 1997 Jun, 175:6, 1324-32.

Werbach, M. R.: Nutritional Influences on Illness: A sourcebook of clinical research. Keats Pbng. New Canaan, CT.

Wilson, C.W.M. : Food sensitivities, taste changes, aphthous ulcers and atopic symptoms in allergic disease. Ann. Allergy, 1980, 44(5): 302-307.

Wray, D. et al: Recurrent aphthae: treatment with vitamin B12, folic acid and iron. BMJ 1975, 2: 490 - 493.

Wray, D. et al: Nutritional deficiencies in recurrent aphthae. J. Oral Path. 1978, 7:418 - 423.

Wray, D. et al: Gluten-sensitive recurrent aphthous stomatitis. Dig. Dis. Sci. 1981, 26(8): 737-740.

Wray, D. et al: A double blind trial of systemic zinc sulfate in recurrent aphthous stomatitis. Oral Surg. 1982, 53(5): 469-472.

Wray, D. et al: Food allergens and basophil histamine release in recurrent aphthous stomatitis. Oral Surg. Oral Med. Oral Pathol. 1982, 54(4): 388-395.

 


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