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Doctors Lounge - Surgery Answers

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Forum Name: Surgery Topics

Question: Severe Aphthous ulcers?-for over 10 yrs!


 blackmamba - Thu Jan 29, 2009 6:30 pm Bookmark and Share  

My brother has been having ulcers in his mouth for the past 10 yrs, he has been to many Drs who have given him different kinds of drugs and steroids, dietitians who have put him on strict diets, but to no avail. He gets a tingling sensation in his mouth 1st, then in the next 2 -3 days his lips, tongue and throat swell and have painful sores. This has been an on going cycle every 3-4 months over 10 yrs. As a result he has not been able to eat well and has lost weight dramatically. He is now 32. This has REALLY been frustrating to our family. Different Drs have diagnosed the condition as Aphthous ulcers. Is this really what it is?? because the symptoms seem much worse than what I have read in the other forums. Any words of advice would really help....Thank you!!
 John Kenyon, CNA - Fri Feb 27, 2009 10:47 pm Bookmark and Share  

User avatar Hello --

Your brother seems to have classic apthous stomatitis (recurrent, multiple ulcers of the mouth). It's really a very common condition, and your description is absolutely classic in every respect.

Treatment is generally palliative (that is, treat the symptoms, make the patient comfortable). There are some prescription and over-the-counter medications, as well as any number of home remedies, all of which work to varying degrees to help ease the discomfort during outbreaks. One product in particular, GlyOxide, (a combination of hydrogen peroxide and glycerine) was very popular, and differs from straight peroxide only in that the glycerine helps keep it where it's placed with the dropper, so it can be more effective than peroxide as a mouthwash. It's harmless and sometimes helps a lot. Also gargling with salt water or placing salt directly on the ulcers can help ease the pain. There are, of course, also oral anesthetic gels available at the drugstore that sometimes work to an extent.

It's a real condition, it's awfully uncomfortable, and the list of remedies, especially home remedies, is extensive. The condition is essentially benign, but is terribly uncomfortable.

I hope this is helpful. Please follow up with us as needed.

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