Homeopathy treatment for Mouth Ulcer
A mouth ulcer (aphtha) is an ulcer that occurs on the mucous membrane of the oral cavity.
Mouth ulcers are very common, occurring in association with many diseases and by many different mechanisms, but usually there is no serious underlying cause.
Rarely, a mouth ulcer that does not heal may be a sign of oral cancer. These ulcers may form individually or multiple ulcers may appear at once. Once formed, an ulcer may be maintained by inflammation and/or secondary infection.
The two most common causes of oral ulceration are local trauma and aphthous stomatitis condition characterized by recurrent formation of oral ulcers for largely unknown reasons.
Mouth ulcers often cause pain and discomfort and may alter the person’s choice of food while healing occurs.
Causes
Infections i.e.
(a) Viral- e.g. Herpangina, herpes simplex hand, foot and mouth disease
(b) Bacterial- e.g. Vincent infection, TB, syphilis
(c) Fungal- e.g. Candidiasis
- Immune disorders-Aphthous ulcer, Bechet syndrome
Trauma i.e.
(a) Physical- e.g. Cheek bite, jagged tooth, ill-fitting denture
(b) Chemical- e.g. Silver nitrate, phenol, aspirin burns
(c) Thermal- e.g. Hot food or fluid, reverse smoking
- Neoplasms
- Skin disorders- e.g. Erythema multiforme, lichen planus, benign mucous membrane pemphigoid, bullous pemphigoid, lupus erythematosus
- Blood Disorders- e.g.Leukemia, agranulocytosis, pancytopenia, cyclic neutropenia, sickle cell anemia
- Drug allergy- e.g. Mouth washes, toothpaste, etc. Additionally, Reactions to systemic drugs
- Vitamin deficiencies
- Miscellaneous- e.g. Radiation mucositis, cancer chemotherapy, diabetes mellitus, uremia.
Types
1. Canker Sores (Aphthous Stomatitis):
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Appearance: Small, round or oval, white or yellowish ulcers with a red border.
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Location: Typically found on the inner cheeks, lips, tongue, or soft palate.
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Cause: The exact cause is unknown, but factors like stress, hormonal changes, food sensitivities, and a weakened immune system may trigger them.
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Symptoms: Painful, especially when eating acidic or spicy foods.
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Treatment: Usually self-limiting; over-the-counter topical ointments can help manage pain.
2. Cold Sores (Herpes Simplex Virus – HSV):
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Appearance: Clusters of fluid-filled blisters that eventually rupture and form crusty lesions.
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Location: Usually appear on the lips or around the mouth, though they can sometimes form inside the mouth.
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Cause: Caused by the herpes simplex virus (HSV), typically HSV-1.
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Symptoms: Itching or tingling followed by blister formation; can be painful.
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Treatment: Antiviral medications (oral or topical) are used to reduce the severity and duration.
3. Traumatic Ulcers:
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Appearance: Typically a single, white or gray ulcer with a red border.
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Location: Occurs at sites where trauma has occurred, such as biting the inside of the cheek or lip, or after dental procedures.
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Cause: Physical injury or irritation (e.g., braces, dentures, sharp teeth).
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Symptoms: Painful, especially when the affected area is disturbed by chewing or talking.
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Treatment: Healing usually occurs within a few days to weeks once the irritant is removed. Topical treatments like numbing gels may help.
4. Oral Lichen Planus:
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Appearance: White, lacy patches or lesions that may have painful sores.
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Location: Often found on the inner cheeks, gums, and tongue.
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Cause: Exact cause is unknown but is thought to be an autoimmune disorder where the immune system attacks the lining of the mouth.
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Symptoms: Pain or burning sensation when eating or drinking.
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Treatment: Steroid medications and other immunosuppressive treatments are often prescribed.
5. Candida (Oral Thrush):
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Appearance: White, creamy lesions that may look like cottage cheese.
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Location: Can occur on the tongue, inner cheeks, and the roof of the mouth.
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Cause: Overgrowth of the fungus Candida albicans due to factors like antibiotics, diabetes, or a weakened immune system.
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Symptoms: Pain, difficulty swallowing, or a burning sensation in the mouth.
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Treatment: Antifungal medications (oral or topical).
6. Syphilitic Ulcers (Chancre):
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Appearance: Painless, round, firm, and raised sores.
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Location: Can appear anywhere in the mouth or genital area.
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Cause: Caused by the bacteria Treponema pallidum that causes syphilis.
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Symptoms: Initially painless, but can become infected.
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Treatment: Antibiotics (typically penicillin) are used to treat syphilis.
7. Vitamin Deficiency Ulcers:
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Appearance: Often multiple, small, round lesions.
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Location: Can appear anywhere in the mouth.
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Cause: Deficiencies in vitamins, particularly Vitamin B12, folic acid, and iron, can lead to the development of mouth ulcers.
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Symptoms: Painful, especially when eating or drinking.
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Treatment: Correcting the vitamin deficiency through diet or supplementation can help prevent recurrence.
8. Pemphigus Vulgaris:
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Appearance: Blisters that can break open and form painful ulcers.
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Location: Most commonly on the inner cheeks, gums, and soft palate.
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Cause: An autoimmune disorder where the body’s immune system attacks healthy cells, leading to blister formation.
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Symptoms: Painful, often recurrent ulcers with blisters.
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Treatment: Steroids and immunosuppressive drugs to manage the condition.
Sign s and Symptoms
- One or more painful sores on part of the skin lining the mouth.
- Swollen skin around the sores.
- Problems with chewing or tooth brushing because of the tenderness.
- Irritation of the sores especially by salty, spicy or sour foods.
- Loss of appetite.
What to eat
Foods to Eat for Mouth Ulcers:
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Soft, Non-Irritating Foods:
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Smooth, cool foods: Opt for foods that are gentle on the mouth, such as mashed potatoes, smooth soups, or puddings. These are easy to eat without irritating the ulcer.
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Yogurt: Natural, unsweetened yogurt is soothing and contains probiotics, which can promote healing by balancing bacteria in the mouth.
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Oatmeal: Soft and easy to swallow, oatmeal is mild and won’t cause further irritation.
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Cottage cheese: A soft, mild dairy product that’s gentle on the mouth.
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Hydrating Foods:
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Water: Staying hydrated is key to promoting healing. Drink plenty of water throughout the day to keep your mouth moist and support the healing process.
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Coconut water: Natural coconut water is hydrating and can help soothe inflammation in the mouth.
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Non-Acidic Fruits:
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Bananas: Soft, easy to eat, and not acidic, bananas are great for soothing ulcers.
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Melons (like watermelon, cantaloupe): They are hydrating and gentle on the mouth.
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Applesauce: Mild and easy to swallow, applesauce is a good alternative to raw fruits.
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Vegetables:
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Steamed or boiled vegetables: Vegetables like carrots, zucchini, or spinach, when cooked until soft, are easy to chew and will not irritate mouth ulcers.
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Potatoes: Soft, well-cooked potatoes (mashed or boiled) are gentle on the mouth and provide essential nutrients.
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Herbal Teas:
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Chamomile tea: Chamomile has anti-inflammatory properties and can help soothe the ulcer. Drink it warm, not hot, to avoid irritation.
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Licorice root tea: Licorice has natural healing properties that can help promote healing and reduce inflammation.
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Mild Protein:
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Boiled or poached eggs: These are soft, easy to chew, and provide a good source of protein without irritating the mouth.
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Chicken or fish: Tender, well-cooked chicken or fish can be soft and gentle on the mouth while providing necessary protein for healing.
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Foods to Avoid with Mouth Ulcers:
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Spicy Foods:
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Avoid spicy foods, such as chili peppers, hot sauces, and foods that are heavily seasoned with spices. These can irritate the ulcer and worsen pain.
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Acidic Foods:
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Avoid citrus fruits (oranges, lemons, grapefruits) and tomatoes as their acidity can sting and further irritate the ulcer.
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Also avoid vinegar-based foods, which can cause discomfort.
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Salty Foods:
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Avoid salty snacks like chips or salted nuts, as they can sting the ulcer and cause further irritation.
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Crunchy or Hard Foods:
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Crackers, toast, and chips can be rough and abrasive on the ulcer, making eating uncomfortable and potentially delaying healing.
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Alcohol and Caffeine:
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Alcoholic beverages can irritate the mouth and dry out the mucous membranes, hindering healing.
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Caffeinated drinks like coffee and soda can irritate the ulcer and dry out the mouth.
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Dairy Products (if sensitive):
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While dairy is generally soothing, some individuals find that cheese and milk may aggravate mouth ulcers. If this is the case, it’s best to limit these products.
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Diet and Regimen for Mouth Ulcers
Managing mouth ulcers involves both dietary adjustments and lifestyle changes to promote healing, reduce discomfort, and prevent recurrence. A balanced diet that avoids irritating foods and a supportive daily regimen can significantly aid in the recovery process.
Diet for Mouth Ulcers:
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Hydration:
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Water: Stay hydrated by drinking plenty of water (8-10 cups daily). This helps keep the mouth moist and supports overall healing.
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Coconut water: It’s hydrating, soothing, and helps reduce inflammation.
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Soft, Non-Irritating Foods:
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Smooth, soft foods like mashed potatoes, creamy soups, and yogurt are gentle on the mouth.
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Oatmeal and puddings are good options for easy-to-eat meals that won’t aggravate the ulcer.
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Cottage cheese is another soft food that is mild on the mouth and can provide protein.
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Non-Acidic Fruits:
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Bananas: Soft, non-acidic, and easy to eat.
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Melons (watermelon, cantaloupe): Hydrating and non-irritating to the mouth.
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Applesauce: Mild and soothing, without the acidic content of raw apples.
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Cooked Vegetables:
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Boiled or steamed vegetables like carrots, spinach, or zucchini are gentle on the mouth.
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Potatoes: Soft, well-cooked potatoes, whether mashed or boiled, are easy to eat and won’t cause irritation.
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Herbal Teas:
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Chamomile tea: Known for its anti-inflammatory properties. Drink it warm (not hot) for soothing relief.
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Licorice root tea: May help reduce inflammation and promote healing.
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Lean Protein:
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Soft proteins like boiled eggs, tofu, chicken, or fish can provide essential nutrients for tissue repair without being rough on the mouth.
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Smooth nut butters like peanut butter or almond butter (in moderation) are soft and nutritious.
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Foods to Avoid with Mouth Ulcers:
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Spicy Foods:
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Foods containing chili peppers, hot sauces, or strong spices can irritate the ulcer and worsen the pain.
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Acidic Foods:
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Avoid citrus fruits (like oranges, lemons, limes), tomatoes, and vinegar-based foods, as their acidity can sting and irritate the ulcer.
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Salty Foods:
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Salty snacks such as chips, pretzels, and salted nuts can aggravate mouth ulcers and increase pain.
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Crunchy and Hard Foods:
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Foods like chips, crackers, or raw vegetables can scrape against the ulcer and delay healing.
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Alcohol:
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Alcohol, particularly in the form of alcoholic beverages or mouthwash, can irritate the ulcer and dry out the mucous membranes, hindering healing.
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Caffeinated Drinks:
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Coffee, sodas, or energy drinks can irritate the ulcer and dry out the mouth, leading to discomfort.
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Regimen for Mouth Ulcers:
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Oral Hygiene:
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Gentle brushing: Use a soft-bristled toothbrush to avoid further irritating the ulcer. Brush gently twice a day to maintain good oral hygiene.
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Mouthwash: Use a mild, alcohol-free mouthwash to keep your mouth clean. Saltwater rinses (1/2 teaspoon salt in a glass of warm water) can be soothing and help with healing.
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Avoid toothpaste with sodium lauryl sulfate (SLS): Some toothpaste contains SLS, which can irritate mouth ulcers. Opt for SLS-free toothpaste.
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Topical Treatments:
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Topical gels: Over-the-counter gels or ointments containing benzocaine or hydrocortisone can be applied directly to the ulcer to numb pain and reduce inflammation.
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Aloe vera: Fresh aloe vera gel can be soothing when applied directly to the ulcer. It has natural anti-inflammatory properties.
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Honey: Honey has antimicrobial properties and can promote healing. Apply a small amount of raw honey to the ulcer to speed up recovery.
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Pain Management:
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Over-the-counter pain relievers like acetaminophen or ibuprofen can help alleviate discomfort associated with mouth ulcers. Be sure to follow the recommended dosage.
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Avoid Stress:
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Stress management is essential, as stress can trigger or worsen mouth ulcers. Practice relaxation techniques like deep breathing, meditation, or yoga to reduce stress levels.
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Rest:
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Ensure you’re getting plenty of sleep (7-9 hours) to allow your body to heal properly. Rest helps support immune function and speeds up recovery.
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Avoid Irritants:
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Try to avoid foods and drinks that irritate your ulcers (like spicy, salty, or acidic foods) until the ulcers heal completely.
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Supplements (if needed):
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If your mouth ulcers are related to nutritional deficiencies (such as low vitamin B12, iron, or folic acid), consider taking supplements or incorporating more of these nutrients into your diet. Consult a healthcare provider before starting any new supplements.
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Homeopathic Medicines for Ulcer of Oral Cavity :
The homeopathic remedies (medicines) given below indicate the therapeutic affinity but this is not a complete and definite guide to the homeopathy treatment of this condition. The symptoms listed against each homeopathic remedy may not be directly related to this disease because in homeopathy general symptoms and constitutional indications also taken into account for selecting a remedy.
Medicines:
Arsenic Alb
- Basically, Suitable for people who have a lot of fears including fear of death, who are meticulous and keep finding faults in work done by others
- Livid, bluish. May be white, Gangrenous
- Want of appetite and hunger, Burning in mouth
- Ulcers seen especially on tongue have a blue colored base
- Unhealthy gums that bleed easily
- Painful mouth ulcers.
- Hot drinks reduce the pain
- Restlessness along with pain
- Worse specifically in cold temperature, after consuming cold food and drinks.
Borax
- Aphthae in the mouth inside of cheeks and on tongue, which bleed easily.
- Great heat and dryness of mouth. Painful red blisters on tongue.
- Mouth ulcers feels hot also very sensitive
- Dry mouth despite excessive salivation
- In some cases, white fungus like growth may be noted in oral cavity.
- Besides this, Mouth is tender to touch
- Ulcers bleed easily on the slightest touch.
- Forepart of palate shriveled, paining esp. when chewing. Child cries especially when nursing.
Merc-sol
- Suitable for people who have low will power, are mistrustful, and feel useless.
- Metallic taste in mouth.
- Gums are very spongy also bleed easily.
- Dribbling of saliva
- Entire ulcer is red and moist.
- Sore mouth with profuse salivation.
- Saliva dribbles from mouth of the child.
- Gums also cheeks ulcerated.
- Fetid odours from mouth.
- Lastly, All symptoms are worse at night.
Nitric acid
- Nitric acid works well in individuals who are past middle age and those who have good appetite.
- Mouth ulcers mainly in soft upper palate.
- Halitosis, swelling of gums.
- Tongue is clean with a furrow in center.
- Symptoms worse in the evening.
- Aphthae usually whitish. Additionally, Blisters and ulcers on tongue.
- Pricking pain as if from a splinter.
- Profuse salivation; fetid odours specifically from mouth.
- Unusual craving for indigestible things like chalk, mud etc.
Mercurious corrosivus
- Chronic untreated mouth ulcers.
- Painful ulcers with bleeding.
- Gums are swollen and spongy.
- Bad odor from mouth.
- Mouth clears associated with excessive pain also tenesmus in the intestine.
- Green, bilious vomiting.
- Stomach region is very sensitive to touch.
- Symptoms increase at night and with consuming strongly acidic food.
Condurango:
- This remedy suits people of all ages but it is more effective in individuals who are past middle age.
- Cracks and ulcers in corner of the mouth.
- Angular stomatitis.
- Constant burning pain felt in the mouth that may extend to the stomach.
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What is Ulcer of Oral Cavity ?
A mouth ulcer (aphtha) is an ulcer that occurs on the mucous membrane of the oral cavity.
Homeopathic Medicines used by Homeopathic Doctors in treatment of Ulcer of Oral Cavity ?
- Arsenic Alb
- Borax
- Merc-sol
- Nitric acid
- Mercurious corrosivus
- Condurango
What causes Ulcer of Oral Cavity ?
- Infections
- Immune disorders
- Trauma
- Neoplasms
- Skin disorders
What are the symptoms of Ulcer of Oral Cavity ?
- One or more painful sores on part of the skin lining the mouth.
- Swollen skin around the sores.
- Problems with chewing or tooth brushing because of the tenderness.
- Irritation of the sores by salty, spicy or sour foods.
- Loss of appetite
Reference
Text Book of Medicine Golwala
The Homoeopathic Prescriber By K. C. Bhanja
https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/mouth-ulcers
https://pubmed.ncbi.nlm.nih.gov
