Hello,
Thank you for posting a question.

Firstly, your symptoms indicate hyperacidity and indigestion. Mouth ulcers indicate lack of vitamin and micronutrients in body. It may also occur in chronic infection most commonly by candida. But swelling under eyelid may occur due to lack of sleep and in some chronic disease. In chronic parasitic infection, all these can happen.

So, you need a thorough clinical examination for search of any underlying disease condition which is giving rise to these symptoms.

You should do the followings
1.     You should take a balanced nutritious diet. Avoid fast food.
2.     Take a pantoprazole group of drug every day in empty stomach. Continue this for minimum 6 weeks.
3.     Take an enzyme syrup before meals.
4.     Take a multivitamin agent regularly for minimum 1 month.
5.     Take a 7 day course of lactobacilli.
6.     Take a 3 day course of albendazole group of antihelminthic agents.
7.     If the above measures cannot give you any relief, then do a routine stool examination. Here, stool should be given to laboratory for 3 consecutive days. If any special protozoa are found, treatment should be done accordingly.
8.     Lastly, consult with a general physician first for a detailed clinical examination, for ordering any special investigation if required, and also for management accordingly.
9.     If you notice any swelling over other parts of body except the eyelid, do a blood test for urea and creatinine just to check the kidney function.

Hope this information suffices. Let me know, if you have any more question.

Regards.

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Hello,
Thank you for writing back.

I have already told you the ulcers are due to deficiency of vitamins and micronutrients.

Look, in chronic stomach upset, vitamins and essential micronutrients fail to enter our body. That may lead to these type of oral ulceration. But, candida infection should be ruled out. For this, you have to visit a general physician.

For now, to get relief from pain, you can take nonsteroidal antiinflammatory agents like aceclofenac group of drug. But, do not take that more than one time a day.

You can also use a good mouth wash to prevent secondary infection.

Hope you have your answers.

Regards.

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Hello,
Thank you for writing back.

I have told you about medications previously.

Look, there may be a protozoal infection. You have already taken many medicines. It is better to test the stool for 3 consecutive day for presence of any protozoa. If any protozoa are found, then you have to take medicine for that particular organism. Otherwise, you can take ciprofloxacin and ornidazole combination to get rid from this situation.

I have already told you about the food. Take light diet. No particular food is necessary.

Hope you have your answers.

Regards.

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