Skin Specialists Online

The Online Skin Clinic

Ask a Skin Specialist: Aphthous Ulcers

Dear Doctor

I have been having recurrent sores in my mouth for the past couple of years. What is the best treatment for them?

ask a dermatologist online

Dear Patient

There is no cure for aphthous ulcers.

But, most aphthous ulcers do not require treatment since they usually resolve spontaneously within 10-14 days.

 

However, there are medications that are used to treat aphthous ulcers and these include:

1. Prescription Medications

1. Analgesics or pain relievers

Topical analgesics are those pain relievers which are applied inside the mouth and they include:

a. Benzocaine (Oragel)

Systemic analgesics or those which are swallowed can also be used to relieve pain. Examples include ibuprofen (brufen, advil) and acetaminophen (paracetamol, tylenol).

2. Anti-inflammaty agents to reduce the inflammation

Topical anti-inflammatories or those which are applied to the ulcers include:

a. Triamcinolone 0.1% in orabase (Kenalog in Orabase)

3. Antibiotics to treat bacterial super-infections

These are usually prescribed when the sore is red, crusted and discharging pus.

 

 

Home Remedies For Aphthous Ulcers

Home remedies used to treat Aphthous ulcers include:

1. Saline gargle

Dissolve 1 teaspoon of salt in 1 cup of lukewarm water to make a gargle. Swish the solution in your mouth for 30 seconds and spit it out. The salt gargle is best used right after meals and right before going to bed. The antiseptic properties of the salt help prevent the ulcers from getting infected.

2. Baking soda gargle

Dissolve 1 teaspoon of salt and ½ teaspoon of baking soda (Sodium bicarbonate) in 1 cup of lukewarm water to make a gargle. Swish the solution in your mouth for 30 seconds and spit it out. The gargle is best used right after meals and right before going to bed. The antiseptic properties of the salt and baking soda combined with the discomfort relieving properties of the baking soda are beneficial for managing Aphthous ulcers.

3. Zinc gluconate lozenges

Sucking on 4-6 zinc gluconate lozenges each day is reported to hasten the healing of Aphthous ulcers and reduce their discomfort.

 

General Measures

General measures recommended to manage Aphthous ulcers include:

a. Eating a soft diet and using a straw to drink since this prevents contact between the ulcers and the fluids.

b. Avoiding acidic foods like citrus fruits (orange, grapefruit) and salty foods (like crisps) and spicy foods.

c. Avoiding the triggering factors. For example you can change from oral nicotine replacement therapy and use patches.

 

Ask a Dermatologist your Question

ask a skin doctor

Click here to pay the Consultation Fee and get a private answer by email within 3 days

Your Name

Your Email (required)

Subject[Free Dermatology Consultation]

Send picture of skin, hair or nail disease

Your Message

Pick "yes" below and only send us your message if you agree to the following: I give SkinSpecialistsOnline.com permission to use my question and picture. I understand that I do not have a doctor/patient relationship with Skin Specialists Online and their answers are for general information purposes only and not specific advice for me. I am more than 18 years old and I take full responsibility for any consequences that may arise from using the information offered by SkinSpecialistsOnline.com

Acceptance


Categorised as: Ask a Dermatologist Online


Comments are closed.



Bookshelf 2.0 developed by revood.com