Red Wine Mouth Ulcers

Dr. Seema GambhirDentist

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Sharpness of teeth can be corrected by selevtive grinding procedure, the dentist will grind and make smooth the sharp edges of the teeth causing injury less often sometimes if grinding is not possible due to sensitivity or other similar problems than crown is adviced. For ulcers you can apply combination anaesthetic oral gel it will give temporary relief. Your concern about the yellowishness of teeth so yes teeth contributes a lot to the overall esthetic appearance of face. Yellowishness due to deposits or extrinsic stains can be corrected by scaling. For intrinsic discoloration (variations or changes in the inner layer of teeth) bleaching could be done. Don't worry your problem is not serious yet. But definitely needs quick attention. For any further discussion you can msg me using code sg38f5. 

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Dr. Karuna ChawlaBHMSHomeopath

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No, its not advisable. Do this 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U can eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit (eat whole fruit not juice), a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. Take simple food like rice n dal in dinner. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. It contains a lot of fiber which will help reduce tendency for constipation 9. Drink lot of water.10. Everyday preferably sleep on same time 11. Take half cup of cold milk when you feel acidity, it will help. Curd is good for u. 12. If its very severe then elevate your bed raising the head of your bed six to eight inches can help gravity keep gastric acid down in your stomach. This is for long term results but for now to bring your digestive system back on track you need to take medicines. For that I need more details, you can consult me. 

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Dr. Nitin SahuMD - General Medicine, MBBS Bachelor of Medicine and Bachelor of SurgeryEndocrinologist

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Please continue with YOUR DIET AND EXERCISES AND ALSO TAKE CARE OF THE FOLLOWING Working closely with your doctor, you can manage your diabetes by focusing on six key changes in your daily life. 1. Eat healthy. This is crucial when you have diabetes, because what you eat affects your blood sugar. No foods are strictly off-limits. Focus on eating only as much as your body needs. Get plenty of vegetables, fruits, and whole grains. Choose nonfat dairy and lean meats. Limit foods that are high in sugar and fat. Remember that carbohydrates turn into sugar, so watch your carb intake. Try to keep it about the same from meal to meal. This is even more important if you take insulin or drugs to control your bloodsugars. 2. Exercise. If you're not active now, it’s time to start. You don't have to join a gym and do cross-training. Just walk, ride a bike, or play active video games. Your goal should be 30 minutes of activity that makes you sweat and breathe a little harder most days of the week. An active lifestyle helps you control your diabetes by bringing down your blood sugar. It also lowers your chances of getting heart disease. Plus, it can help you lose extra pounds and ease stress. 3. Get checkups. See your doctor at least twice a year. Diabetes raises your odds of heart disease. So learn your numbers: cholesterol, blood pressure, and A1c (average blood sugar over 3 months). Get a full eye examevery year. Visit a foot doctor to check for problems like foot ulcers and nerve damage. 4. Manage stress. When you're stressed, your blood sugar levels go up. And when you're anxious, you may not manage your diabetes well. You may forget to exercise, eat right, or take your medicines. Find ways to relieve stress -- through deep breathing, yoga, or hobbies that relax you. 5. Stop smoking. Diabetes makes you more likely to have health problems like heart disease, eye disease, stroke, kidney disease, blood vessel disease, nerve damage, and foot problems. If you smoke, your chance of getting these problems is even higher. Smoking also can make it harder to exercise. Talk with your doctor about ways to quit. 6. Watch your alcohol. It may be easier to control your blood sugar if you don’t get too much beer, wine, and liquor. So if you choose to drink, don't overdo it. The American Diabetes Association says that women who drink alcohol should have no more than one drink a day and men should have no more than two. Alcohol can make your blood sugar go too high or too low. Check your blood sugar before you drink, and take steps to avoid low blood sugars. If you use insulin or take drugs for your diabetes, eat when you're drinking. Some drinks -- like wine coolers -- may be higher in carbs, so take this into account when you count carbs. 

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Dr. Saurabh SinghalMBBS, Master of Surgery (Gen Surgery) , Fellowship in foregut and hepatobiliary surgery, Fellowship in HPB Surgery and Liver Transplant, Fellow of American College of Surgeons, Fellowship in Advanced Laparoscopic SurgerySurgical Gastroenterologist

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Dear Mr. lybrate-user, Piles (or hemorrhoids) are one of the commonest causes of bleeding per rectum. However, at an age of 67 and with significant amount of blood that you stated, the other causes need to be ruled out. You should not worry about other causes till they are diagnosed, but you need to receive a colonoscopy. If in case a lesion of any kind (mass, ulcer) is seen, a biopsy should be taken. Another option is barium enema, however it does not give an option of simultaneous biopsy. Thus colonoscopy is recommended. Further, everyone above an age of 50 years should received an annual stool occult blood test and colonoscopy atleast once every two years as screening measures. 

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Dr. Sajeev KumarC.S.C, D.C.H, M.B.B.SGeneral Physician

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Only strong will power, determination, attending AA meetings and diverting mind when tempted will help you stop alcohol or may need professional help from a psychiatrist or de addiction centre. Try to do meditation and yoga. Read good books and listen to music and if you are believer attend Bhajans Alcohol causes 7 types of cancer, including breast, mouth and bowel cancers. When you drink alcohol, cancer-causing chemicals are formed. Alcohol also affects hormone levels and makes cells even more likely to be damaged by smoking. The less alcohol you drink, the lower the risk of cancer. No type of alcohol is better or worse than another, it is the alcohol itself that leads to the damage, regardless of whether it is in wine, beer or spirits. And drinking and smoking together are even worse for you. Not everyone who drinks alcohol will develop cancer. But on the whole, scientists have found that some cancers are more common in people who drink more alcohol than others. Every year, alcohol causes 4% of cancers .Tips to cut down on alcohol. There are lots of simple ways to cut down on the amount of alcohol you drink. It can help to work out if there are particular times or situations when you tend to have a drink, whether that’s a bad day at work or a weekly pub quiz tradition, and plan what you’ll say and do differently next time. Have more alcohol-free days a week. For liver health it’s best to have at least 2 days off alcohol in a row each week. Try agreeing on certain days with your partner or a friend and help each some wi other and stick to it. If you are planning to drink alcohol, decide on a limit in advance and make sure you don’t go over it. Swap every other alcoholic drink for a soft one – starting with your first drink. Try shandy instead of a pint of beer, or swap ne for soda and have a spritzer. Don’t stock up on beer, wine or spirits at home. Finish one drink before pouring another, because topping up drinks makes it harder to keep track of how much you’ve had and when you planned to stop. Avoid buying drinks in rounds, that way you don’t have to keep pace with anyone. Tell a friend or partner that you’re cutting down on alcohol, they can support you – or even join you. 

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Dr. Sajeev KumarC.S.C, D.C.H, M.B.B.SGeneral Physician

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Only strong will power, determination, attending AA meetings and diverting mind when tempted will help you stop alcohol or may need professional help from a psychiatrist or de addiction centre. Try to do meditation and yoga. Read good books and listen to music and if you are believer attend Bhajans Alcohol causes 7 types of cancer, including breast, mouth and bowel cancers. When you drink alcohol, cancer-causing chemicals are formed. Alcohol also affects hormone levels and makes cells even more likely to be damaged by smoking. The less alcohol you drink, the lower the risk of cancer. No type of alcohol is better or worse than another, it is the alcohol itself that leads to the damage, regardless of whether it is in wine, beer or spirits. And drinking and smoking together are even worse for you. Not everyone who drinks alcohol will develop cancer. But on the whole, scientists have found that some cancers are more common in people who drink more alcohol than others. Every year, alcohol causes 4% of cancers .Tips to cut down on alcohol. There are lots of simple ways to cut down on the amount of alcohol you drink. It can help to work out if there are particular times or situations when you tend to have a drink, whether that’s a bad day at work or a weekly pub quiz tradition, and plan what you’ll say and do differently next time. Have more alcohol-free days a week. For liver health it’s best to have at least 2 days off alcohol in a row each week. Try agreeing on certain days with your partner or a friend and help each some wi other and stick to it. If you are planning to drink alcohol, decide on a limit in advance and make sure you don’t go over it. Swap every other alcoholic drink for a soft one – starting with your first drink. Try shandy instead of a pint of beer, or swap ne for soda and have a spritzer. Don’t stock up on beer, wine or spirits at home. Finish one drink before pouring another, because topping up drinks makes it harder to keep track of how much you’ve had and when you planned to stop. Avoid buying drinks in rounds, that way you don’t have to keep pace with anyone. Tell a friend or partner that you’re cutting down on alcohol, they can support you – or even join you. 

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Dr. Sajeev KumarC.S.C, D.C.H, M.B.B.SGeneral Physician

91% (40820 ratings)

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Only strong will power, determination, attending AA meetings and diverting mind when tempted will help you stop alcohol or may need professional help from a psychiatrist or de addiction centre. Try to do meditation and yoga. Read good books and listen to music and if you are believer attend Bhajans Alcohol causes 7 types of cancer, including breast, mouth and bowel cancers. When you drink alcohol, cancer-causing chemicals are formed. Alcohol also affects hormone levels and makes cells even more likely to be damaged by smoking. The less alcohol you drink, the lower the risk of cancer. No type of alcohol is better or worse than another, it is the alcohol itself that leads to the damage, regardless of whether it is in wine, beer or spirits. And drinking and smoking together are even worse for you. Not everyone who drinks alcohol will develop cancer. But on the whole, scientists have found that some cancers are more common in people who drink more alcohol than others. Every year, alcohol causes 4% of cancers .Tips to cut down on alcohol. There are lots of simple ways to cut down on the amount of alcohol you drink. It can help to work out if there are particular times or situations when you tend to have a drink, whether that’s a bad day at work or a weekly pub quiz tradition, and plan what you’ll say and do differently next time. Have more alcohol-free days a week. For liver health it’s best to have at least 2 days off alcohol in a row each week. Try agreeing on certain days with your partner or a friend and help each some wi other and stick to it. If you are planning to drink alcohol, decide on a limit in advance and make sure you don’t go over it. Swap every other alcoholic drink for a soft one – starting with your first drink. Try shandy instead of a pint of beer, or swap ne for soda and have a spritzer. Don’t stock up on beer, wine or spirits at home. Finish one drink before pouring another, because topping up drinks makes it harder to keep track of how much you’ve had and when you planned to stop. Avoid buying drinks in rounds, that way you don’t have to keep pace with anyone. Tell a friend or partner that you’re cutting down on alcohol, they can support you – or even join you. 

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Dr. Sajeev KumarC.S.C, D.C.H, M.B.B.SGeneral Physician

91% (40820 ratings)

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Only strong will power, determination, attending AA meetings and diverting mind when tempted will help you stop alcohol or may need professional help from a psychiatrist or de addiction centre. Try to do meditation and yoga. Read good books and listen to music and if you are believer attend Bhajans Alcohol causes 7 types of cancer, including breast, mouth and bowel cancers. When you drink alcohol, cancer-causing chemicals are formed. Alcohol also affects hormone levels and makes cells even more likely to be damaged by smoking. The less alcohol you drink, the lower the risk of cancer. No type of alcohol is better or worse than another, it is the alcohol itself that leads to the damage, regardless of whether it is in wine, beer or spirits. And drinking and smoking together are even worse for you. Not everyone who drinks alcohol will develop cancer. But on the whole, scientists have found that some cancers are more common in people who drink more alcohol than others. Every year, alcohol causes 4% of cancers .Tips to cut down on alcohol. There are lots of simple ways to cut down on the amount of alcohol you drink. It can help to work out if there are particular times or situations when you tend to have a drink, whether that’s a bad day at work or a weekly pub quiz tradition, and plan what you’ll say and do differently next time. Have more alcohol-free days a week. For liver health it’s best to have at least 2 days off alcohol in a row each week. Try agreeing on certain days with your partner or a friend and help each some wi other and stick to it. If you are planning to drink alcohol, decide on a limit in advance and make sure you don’t go over it. Swap every other alcoholic drink for a soft one – starting with your first drink. Try shandy instead of a pint of beer, or swap ne for soda and have a spritzer. Don’t stock up on beer, wine or spirits at home. Finish one drink before pouring another, because topping up drinks makes it harder to keep track of how much you’ve had and when you planned to stop. Avoid buying drinks in rounds, that way you don’t have to keep pace with anyone. Tell a friend or partner that you’re cutting down on alcohol, they can support you – or even join you. 

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Dr. Praveen ChaudharyPGD In Ultraasonography, Non Invasive Cardiology Course, MD - Medicine, MBBSGeneral Physician

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Aphthous mouth ulcers are painful sores that can occur anywhere inside the mouth. They are the most common type of mouth ulcer. At least 1 in 5 people can develop aphthous mouth ulcers at some stage in their life. Women are affected more often than men. There are three types: Minor aphthous ulcers are the most common (8 in 10 cases). They are small, round, or oval, and are less than 10 mm across. They look pale yellow, but the area around them may look swollen and red. Only one ulcer may develop, but up to five may appear at the same time. Each ulcer lasts 7-10 days, and then goes without leaving a scar. They are not usually very painful. Major aphthous ulcers occur in about 1 in 10 cases. They tend to be 10 mm or larger across. Usually only one or two appear at a time. Each ulcer lasts from two weeks to several months, but will heal leaving a scar. They can be very painful and eating may become difficult. Herpetiform ulcers occur in about 1 in 10 cases. These are tiny pinhead-sized ulcers, about 1-2 mm across. Multiple ulcers occur at the same time, but some may join together and form irregular shapes. Each ulcer lasts one week to two months. Despite the name, they have nothing to do with herpes or the herpes virus. Aphthous ulcers usually first occur between the ages of 10 and 40 years. They then recur but there can be days, weeks, months, or years between each bout of ulcers. The ulcers tend to come back (recur) less often as you become older. In many cases, they eventually stop coming back. Some people feel a burning in part (s) of the mouth for a day or so before an ulcer appears. What causes aphthous mouth ulcers? The cause is not known. They are not infectious, and you cannot 'catch' aphthous mouth ulcers. In most cases, the ulcers develop for no apparent reason in people who are healthy. In some cases the ulcers are related to other factors or diseases. These include: Injury - such as badly fitting dentures, a graze from a harsh toothbrush, etc. Changes in hormone levels. Some women find that mouth ulcers occur just before their period. In some women, the ulcers only develop after the menopause. Some ex-smokers find they develop ulcers only after stopping smoking. A lack of iron, or a lack of certain vitamins (such as vitamin B12 and folic acid) may be a factor in some cases. Rarely, a food allergy may be the cause. Mouth ulcers run in some families. So, a genetic factor may play a part in some cases. Stress or anxiety is said to trigger aphthous mouth ulcers in some people. Some medications can cause mouth ulcers. Examples of medicines that can cause mouth ulcers are: nicorandil, anti-inflammatory medicines (eg, ibuprofen) and oral nicotine replacement therapy. Mouth ulcers are more common in people with Crohn's disease, coeliac disease, HIV infection, and Behçet's disease. However, these ulcers are not the aphthous type. You should inform your doctor if you have any other symptoms in addition to the mouth ulcers. Other important symptoms would include skin or genital ulcers or joint (rheumatological) pains and inflammation. Rarely, severe mouth ulcers can occur after taking a medicine you are allergic to. Sometimes a blood test or other investigations are advised if other causes of mouth ulcers are suspected. What are the treatments for aphthous ulcers? Treatment aims to ease the pain when ulcers occur, and to help them to heal as quickly as possible. There is no treatment that prevents aphthous mouth ulcers from recurring. No treatment may be needed The pain is often mild, particularly with the common 'minor' type of aphthous ulcer. Each bout of ulcers will go without treatment. General measures include Avoiding spicy foods, acidic fruit drinks, and very salty foods (such as crisps) which can make the pain and stinging worse. Using a straw to drink, to avoid the liquids touching ulcers in the front of the mouth. (Note: do not drink hot drinks with a straw, as you may burn your throat.) Using a very soft toothbrush. See a dentist if you have badly fitting dentures. If you suspect a medication is causing the ulcers, then a change may be possible. For example, if you are using oral nicotine replacement therapy (nicotine gum or lozenges), it may help to use a different type instead such as patches or nasal spray. Some medicines may ease your symptoms from the mouth ulcers Chlorhexidine mouthwash (brand name Corsodyl® or Chlorohex®) may reduce the pain. It may also help ulcers to heal more quickly. It also helps to prevent ulcers from becoming infected. Unfortunately, it does not reduce the number of new ulcers. Chlorhexidine mouthwash is usually used twice a day. It may stain teeth brown if you use it regularly. However, the stain is not usually permanent, and can be reduced by avoiding drinks that contain tannin (such as tea, coffee, or red wine), and by brushing teeth before use. Rinse your mouth well after you brush your teeth, as some ingredients in toothpaste can inactivate chlorhexidine. Steroid lozenges (brand name Corlan® pellets or Betnesol® tablets) may also reduce the pain, and may help ulcers to heal more quickly. By using your tongue you can keep a lozenge in contact with an ulcer until the lozenge dissolves. A steroid lozenge works best the sooner it is started once an ulcer erupts. If used early, it may 'nip it in the bud' and prevent an ulcer from fully erupting. The usual dose is one lozenge, four times a day, until the ulcer goes. In children, use for no more than five days at a time. A painkilling oral rinse, gel, or mouth spray may help to ease pain. Examples include benzydamine spray (brand name Difflam®), choline salicylate gel (brand name Bonjela®), or triamcinolone acetonide (Kenalog in Orabase®). Bonjela® should not be used in children under the age of 16 due to a potential risk of Reye's syndrome if it is overused. This is the same reason why aspirin cannot be used in children too. Note: Bonjela teething gel® no longer contains choline salicylate and has been reformulated with lidocaine, a local anaesthetic (to cause temporary numbing). The effect of painkilling medicines is unfortunately short-lived. You can buy all the treatments listed above from pharmacies, without a prescription. Other treatments may be tried if the above do not help or where the pain and ulceration are severe. Examples include a course of steroid tablets, strong steroid mouthwashes and doxycycline mouthwashes. 

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Dr. Isha MalhotraBDSDentist

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1. Eat Strawberries There is evidence that strawberries can help whiten teeth due to containing an enzyme called malic acid and vitamin C. The astringent found in strawberries helps to remove surface stains, while vitamin C washes away plaque. Mashing a few strawberries and brushing with the mixture once or twice a week can have positive results. You could also just eat strawberries, making sure to chew really well and allowing them to do the brushing on their own. 2. Floss Your Teeth For some reason, flossing doesn’t come as easily to people as brushing. Still, many dentists and hygienists agree that flossing is more important than brushing. Floss twice daily for the best, teeth-saving results. Just flossing can easily remove the staining between your teeth, helping them to look whiter. 3. Baking Soda and Lemon This may be one of the most popular of the natural teeth whitening home remedies. The chemical reaction of baking soda with the citrus of lemon juice has a smile-brightening effect. Either one of these ingredients works well, but together they are super-effective. Only brush with this solution up to once per week as it can wear away the tooth enamel if used too frequently. If irritation occurs, the baking soda may be too abrasive for your gums, so discontinue use. If you’re worried about damaging tooth enamel, try some of the other solutions. In a small bowl, mix a little bit of baking soda with the juice of a freshly squeezed lemon. The mixture should bubble slightly. Using a cotton swab, wipe saliva and excess plaque from your teeth before brushing on the mixture. Leave the mixture on your teeth for a minute before gently brushing it off with a toothbrush. Don’t leave the mixture on your teeth for any longer than a minute; the acid erode tooth enamel. 4. Eat Crunchy Fruits and Veggies Apples, celery, and carrots are all great for your teeth. Crunchy fruit or vegetables act like nature’s toothbrush. Simply chewing removes excess food and bacteria from your mouth. It also helps to scrub away surface stains. Not only does the texture remove food particles and bacteria, but the acids in the fruits and vegetables pull double duty, actually keeping the teeth whiter. Apples in particular contain malic acid, the chemical also found in strawberries (and teeth whitening products) that removes surface stains. 5. Oil Pulling Oil pulling is an Indian remedy used primarily to enhance oral health and cleanse the body. The process is actually quite simple, harmless, and very inexpensive. Simply take one tablespoon of a pure, organic oil and swish it around in your mouth for 15-20 minutes. Move the oil around your mouth through sipping, sucking, and essentially pulling through your teeth. After rinsing, spit out the oil, thoroughly rinse your mouth out with water, and consume 2-3 glasses of water (purified if possible). To learn more on what oil pulling is and the oil pulling benefits, check out our oil pulling post. You won’t want to miss this interesting solution. 6. Food Grade Hydrogen Peroxide Others reported on Earthclinic that hydrogen peroxide could also be an effective teeth whitening remedy. Hydrogen peroxide prevents the growth of bacteria, can help to prevent infections, and prevents bad breath, which often results from bacteria. Simply swish some food-grade hydrogen peroxide (FGHP) around in your mouth for a few seconds, than spit it out. Another option would be to mix a 50/50 solution using FGHP and water, and swish it around for 60 seconds. 7. Use a Straw Coffee, tea, soda, and wine can all cause serious damage to the enamel of your teeth. Whenever possible, use a straw to reduce direct exposure to teeth. If drinking your coffee or wine out of a straw is more embarrassing than discolored teeth, just make sure to brush after drinking these beverages – except after drinking white wine. A healthy and bright smile is definitely something to be happy about. Eating healthy foods, not surprisingly, can go a long way in ensuring your teeth stay white for years to come. But having an arsenal of natural teeth whitening home remedies can improve your toothy glow without breaking the bank or exposing you to unknown chemicals and bleaches in the dentist’s office. 

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