My mother is 74 years old. With control levels of sugar with insulin and tab. Please she has blisters and burning in mouth for more than 8 months. All checkup done. All vitamins deficiency medicines given. No oral problem rulled by detmertologist & dentist. But problem still exists and is due to please diabetics only. Please any solutions or cure advised. Please suggest.
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Blisters are everywhere or any particular place.Â
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With increased age salivary glands function is impaired. Due to reduced salivary flow one feels burning sensation and attrited oral mucosa.Â
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Diabetic neuropathy. Could be one of reason for burning sensation.Â
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Your mother's family doctor is the right person. Kindly contact him.Â
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The list of causes of mouth sores is quite long (2). In general, however, you should look for direct contact irritants or allergens, immune skin conditions and infectious agents. Contact irritants/allergens can include: tooth paste mouthwash acidic foods like colas, juices, coffee spicy foods, eg, cinnamon tobacco therefore look at foods or beverages that you are using on a daily basis and go through a trial period of eliminating them either all at once and add them back one at a time about every two weeks, or eliminate one at a time for two weeks. If you have any suspected food allergies such as wheat, eggs etc, be sure to include them in the elimination process. Immune skin conditions can manifest in the mouth without being a problem elsewhere on the skin. A dermatologist can sometimes help with this and even do a biopsy to get a precise diagnosis (3). Some of those skin conditions include: lichen planus pemphigus vulgaris benign mucous membrane pemphigoid discoid lupus erythematosus erythema multiforme the treatment may include systemic or topical steroids but you need a firm diagnosis by a dermatologist. If you tend to have skin problems otherwise, check with a dermatologist about the oral sores. They can also perform cultures for some infectious agents. Infectious causes can include: oral herpes simplex cytomegalovirus yeast behcets disease (often causes vulvar ulcers also) periadenitis mucosa necrotica recurrens your dentist may be helpful with these (4). Be sure to have your teeth cleaned as dental plaque can make the recurrences more often. If you find that any toothpastes or mouthwashes seem to make the recurrences worse, discuss that with the dentist to get alternative brand suggestions. Finally, recurrent mouth sores can be a manifestation of a systemic disease such as hepatitis, hiv, lupus or other conditions that affect the immune system. Ask your doctor to screen for any of these that might be appropriate. Burning mouth syndrome burning mouth syndrome is different from having mouth ulcers that are sore. With burning mouth syndrome there is a generalized burning pain that may include the tongue, the roof of the mouth, the gums, the inside of the cheeks and/or the back of the mouth or throat. There are usually no visible ulcers or sores that can be seen although ocassionally the tissues look slightly reddened. Dry mouth and a bitter metallic tase sometimes go along with this condition. The pain is often not present in the morning but intensifies throughout the day and into the evening. It is more common in women after menopause and after 60 but it can occur at younger ages and in males also. Often the cause is related to ingested substances that are irritants or toxic to the nerves of the mouth just as they may be for causing mouth ulcers. Sometimes there are other causes but many times no one can find a cause for it. Other terms used to describe this condition syndrome include glossodynia (tongue pain) and stomatodynia (mouth pain). Other causes can be similar to those that cause ulcers and may include: dry mouth due to sjogren' s syndrome, anti-hypertensive medications (especially ace inhibitors) and anti-depressants nutritional deficiencies such as iron, zinc, folate and vitamins b-1, b-2, b-6, b-9 and b-12 irritating dentures, tooth pastes, chewing gums, mouth washes, tongue brushing food allergies gastric reflux medical conditions such as thrush infections, diabetes, hypothyroidism since there are so many different causes for both recurrent mouth ulcers and burning mouth syndrome, it is important to individualize diagnosis and treatment for each individual. Start with the simple and sequentially eliminate various possibilities. Look up the side effects of any medications you are taking and if any are reported to cause mouth burning, ask your doctor to consider a substitute medication. Eliminate for 2 weeks regular tooth pastes, mouth wash, chewing gums, tobacco and very acid liquids (certain fruit juices, colas and coffee). Baking soda toothpaste may be ok to use during this time. If these above steps do not resolve the problem, see your doctor or dentist to make sure you do not have diabetes, sjogren' s syndrome, thrush (yeast infection of the mouth), nighttime teeth grinding, denture irritation or other conditions they can detect. You may also want to consider testing for low thyroid (tsh), mineral deficiencies (mineralcheck) and food allergies (foodscan ige). Treatment is to eliminate the cause. If that cannot be done, switching to basic baking soda based toothpaste and mouth wash. You might also consider an anesthetic mouth rinse (ulcerease). The list of causes of mouth sores is quite long (2). In general, however, you should look for direct contact irritants or allergens, immune skin conditions and infectious agents. Contact irritants/allergens can include: tooth paste mouthwash acidic foods like colas, juices, coffee spicy foods, eg, cinnamon tobacco therefore look at foods or beverages that you are using on a daily basis and go through a trial period of eliminating them either all at once and add them back one at a time about every two weeks, or eliminate one at a time for two weeks. If you have any suspected food allergies such as wheat, eggs etc, be sure to include them in the elimination process. Immune skin conditions can manifest in the mouth without being a problem elsewhere on the skin. A dermatologist can sometimes help with this and even do a biopsy to get a precise diagnosis (3). Some of those skin conditions include: lichen planus pemphigus vulgaris benign mucous membrane pemphigoid discoid lupus erythematosus erythema multiforme the treatment may include systemic or topical steroids but you need a firm diagnosis by a dermatologist. If you tend to have skin problems otherwise, check with a dermatologist about the oral sores. They can also perform cultures for some infectious agents. Infectious causes can include: oral herpes simplex cytomegalovirus yeast behcets disease (often causes vulvar ulcers also) periadenitis mucosa necrotica recurrens your dentist may be helpful with these (4). Be sure to have your teeth cleaned as dental plaque can make the recurrences more often. If you find that any toothpastes or mouthwashes seem to make the recurrences worse, discuss that with the dentist to get alternative brand suggestions. Finally, recurrent mouth sores can be a manifestation of a systemic disease such as hepatitis, hiv, lupus or other conditions that affect the immune system. Ask your doctor to screen for any of these that might be appropriate. Burning mouth syndrome burning mouth syndrome is different from having mouth ulcers that are sore. With burning mouth syndrome there is a generalized burning pain that may include the tongue, the roof of the mouth, the gums, the inside of the cheeks and/or the back of the mouth or throat. There are usually no visible ulcers or sores that can be seen although ocassionally the tissues look slightly reddened. Dry mouth and a bitter metallic tase sometimes go along with this condition. The pain is often not present in the morning but intensifies throughout the day and into the evening. It is more common in women after menopause and after 60 but it can occur at younger ages and in males also. Often the cause is related to ingested substances that are irritants or toxic to the nerves of the mouth just as they may be for causing mouth ulcers. Sometimes there are other causes but many times no one can find a cause for it. Other terms used to describe this condition syndrome include glossodynia (tongue pain) and stomatodynia (mouth pain). Other causes can be similar to those that cause ulcers and may include: dry mouth due to sjogren' s syndrome, anti-hypertensive medications (especially ace inhibitors) and anti-depressants nutritional deficiencies such as iron, zinc, folate and vitamins b-1, b-2, b-6, b-9 and b-12 irritating dentures, tooth pastes, chewing gums, mouth washes, tongue brushing food allergies gastric reflux medical conditions such as thrush infections, diabetes, hypothyroidism since there are so many different causes for both recurrent mouth ulcers and burning mouth syndrome, it is important to individualize diagnosis and treatment for each individual. Start with the simple and sequentially eliminate various possibilities. Look up the side effects of any medications you are taking and if any are reported to cause mouth burning, ask your doctor to consider a substitute medication. Eliminate for 2 weeks regular tooth pastes, mouth wash, chewing gums, tobacco and very acid liquids (certain fruit juices, colas and coffee). Baking soda toothpaste may be ok to use during this time. If these above steps do not resolve the problem, see your doctor or dentist to make sure you do not have diabetes, sjogren' s syndrome, thrush (yeast infection of the mouth), nighttime teeth grinding, denture irritation or other conditions they can detect. You may also want to consider testing for low thyroid (tsh), mineral deficiencies (mineralcheck) and food allergies (foodscan ige). Treatment is to eliminate the cause. If that cannot be done, switching to basic baking soda based toothpaste and mouth wash. You might also consider an anesthetic mouth rinse (ulcerease). The list of causes of mouth sores is quite long (2). In general, however, you should look for direct contact irritants or allergens, immune skin conditions and infectious agents. Contact irritants/allergens can include: tooth paste mouthwash acidic foods like colas, juices, coffee spicy foods, eg, cinnamon tobacco therefore look at foods or beverages that you are using on a daily basis and go through a trial period of eliminating them either all at once and add them back one at a time about every two weeks, or eliminate one at a time for two weeks. If you have any suspected food allergies such as wheat, eggs etc, be sure to include them in the elimination process. Immune skin conditions can manifest in the mouth without being a problem elsewhere on the skin. A dermatologist can sometimes help with this and even do a biopsy to get a precise diagnosis (3). Some of those skin conditions include: lichen planus pemphigus vulgaris benign mucous membrane pemphigoid discoid lupus erythematosus erythema multiforme the treatment may include systemic or topical steroids but you need a firm diagnosis by a dermatologist. If you tend to have skin problems otherwise, check with a dermatologist about the oral sores. They can also perform cultures for some infectious agents. Infectious causes can include: oral herpes simplex cytomegalovirus yeast behcets disease (often causes vulvar ulcers also) periadenitis mucosa necrotica recurrens your dentist may be helpful with these (4). Be sure to have your teeth cleaned as dental plaque can make the recurrences more often. If you find that any toothpastes or mouthwashes seem to make the recurrences worse, discuss that with the dentist to get alternative brand suggestions. Finally, recurrent mouth sores can be a manifestation of a systemic disease such as hepatitis, hiv, lupus or other conditions that affect the immune system. Ask your doctor to screen for any of these that might be appropriate. Burning mouth syndrome burning mouth syndrome is different from having mouth ulcers that are sore. With burning mouth syndrome there is a generalized burning pain that may include the tongue, the roof of the mouth, the gums, the inside of the cheeks and/or the back of the mouth or throat. There are usually no visible ulcers or sores that can be seen although ocassionally the tissues look slightly reddened. Dry mouth and a bitter metallic tase sometimes go along with this condition. The pain is often not present in the morning but intensifies throughout the day and into the evening. It is more common in women after menopause and after 60 but it can occur at younger ages and in males also. Often the cause is related to ingested substances that are irritants or toxic to the nerves of the mouth just as they may be for causing mouth ulcers. Sometimes there are other causes but many times no one can find a cause for it. Other terms used to describe this condition syndrome include glossodynia (tongue pain) and stomatodynia (mouth pain). Other causes can be similar to those that cause ulcers and may include: dry mouth due to sjogren' s syndrome, anti-hypertensive medications (especially ace inhibitors) and anti-depressants nutritional deficiencies such as iron, zinc, folate and vitamins b-1, b-2, b-6, b-9 and b-12 irritating dentures, tooth pastes, chewing gums, mouth washes, tongue brushing food allergies gastric reflux medical conditions such as thrush infections, diabetes, hypothyroidism since there are so many different causes for both recurrent mouth ulcers and burning mouth syndrome, it is important to individualize diagnosis and treatment for each individual. Start with the simple and sequentially eliminate various possibilities. Look up the side effects of any medications you are taking and if any are reported to cause mouth burning, ask your doctor to consider a substitute medication. Eliminate for 2 weeks regular tooth pastes, mouth wash, chewing gums, tobacco and very acid liquids (certain fruit juices, colas and coffee). Baking soda toothpaste may be ok to use during this time. If these above steps do not resolve the problem, see your doctor or dentist to make sure you do not have diabetes, sjogren' s syndrome, thrush (yeast infection of the mouth), nighttime teeth grinding, denture irritation or other conditions they can detect. You may also want to consider testing for low thyroid (tsh), mineral deficiencies (mineralcheck) and food allergies (foodscan ige). Treatment is to eliminate the cause. If that cannot be done, switching to basic baking soda based toothpaste and mouth wash. You might also consider an anesthetic mouth rinse (ulcerease).Â
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Hi , blisters and burning sensations in mouth since 8 months are highly suggestive of an autoimmune disease. There are many autoimmune blistering diseases affecting oral cavity like oral pemphigus, oral lichen plannus and many more. Biopsy should be done from the blister so that we can reach a definitive diagnosis. No multivitamins can cure this condition. Such diseases are generally managed with corticosteroids and immunosuppressants. I would suggest you to take your mother to an oral medicine specialist who can best help her to get the disease under control. RegardsÂ
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She needs a comprehensive evaluation again. Pictures will help.Â
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She will need to be examined once. The use of topical and systemic antioxidants is sometimes helpful in such cases. Also, in elderly diabetics, sometimes there is a deficiency of saliva in the mouth. This can be treated with the use of artificial saliva substitutes. At other times, this could just be a case of recurrent minor ulcers.Â
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Nuroday tabs one per day and hiora gel to be applied on the ulcers.Â
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She most likely has a condition called burning mouth syndrome which is common in elderly females. She will need a controlled treatment by steroids, insulin and counselling. If she is also feeling dryness in mouth she can use artificial saliva for lubrication of oral tissues.Â
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It can be due to diabetic, I can suggest u an ointment called lexanoxwhich should be applied twice daily and mouth wash tantum mouth wash half an hour before meals.Â
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If you can get dentogel from the market, get it and massage with it twice daily for a week and see if it improves.Â
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Dear , I empathize with what your mother is going through. I would therefore can suggest - she can be having sharp teeth - do feel with your finger - which is causing the same. It could be high stress levels too. I would advise you to seek an oral medicine, diagnosis dental specialist in your city who can examine her and guide you better.Â
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