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Suggest Remedies For An Apthous Ulcer On The Tongue

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Posted on Thu, 4 Aug 2016
Question: Hello Doctor, from XXXXXXX XXXXXXX

Got a apthous ulcer in tongue and cavity....past 2-3 year, so far used vermisol 150mg ( levamisole)...

attached the photo also...Pls help

regards XXXXXXX
doctor
Answered by Dr. Dr.N.Senduran (2 hours later)
Brief Answer:
Needs oral steroid therapy

Detailed Answer:
Hello XXXXXXX

Thanks for asking to healthcaremagic.

I have seen the pictures.

You seem to have recurrent aphthous ulcers,for which the cause is not specific most of the times..Stress,anxiety seems to provoke or be the reason for recurrence.

Nutrient deficiency(zinc,B12,folate)also can be a reason.

For evaluating,it would be better if you do the following tests like CBC,ESR,Serum ferritin level,folate,B12 level..

I would recommend a week tapering course of oral steroids(empirical treatment)like prednisone 40 mg for first two days, 30 mg for next two days,20mg for 2 days and last day 10 mg under your treating doctor's supervision.Condition may be reassessed and treatment to be decided accordingly.

Also I suggest amlenox 5% paste for local application which help heal the ulcers fast.

Further queries are welcome.

Take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr.N.Senduran (13 hours later)

amlenox 5% paste...not getting this stock...any alternative s
doctor
Answered by Dr. Dr.N.Senduran (34 minutes later)
Brief Answer:
Lexanox 5% oral paste

Detailed Answer:
Hello again

Find brand name ---Lexanox 5% oral paste from Macleod's pharmaceuticals.

Take care
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr.N.Senduran (1 hour later)
Thanks Sir, got all the medicine.

Tablet 1 per day, after dinner.

Hope this is right Sir.

Regards XXXXXXX
doctor
Answered by Dr. Dr.N.Senduran (4 hours later)
Brief Answer:
Hope you mean Prednisone tablet

Detailed Answer:
Hello XXXXXXX

Thanks for writing back

There are different doses available like 2.5mg,5mg,10mg,20mg,40mg of oral prednisone

So you can buy 20mg prednisone tablets and take twice a day for first 2 days

Next 2 days ---one in morning and half tablet at night

Next 2 days --- half tablet in morning and half at night

Last day you can take half tablet...

Whichever the formulation,dose has to be tapered as I have mentioned..


PS : Get clearance from your family doctor before starting the therapy as serious side effects may occur.

Also you need to take Pantocid tablet 40 mg once or twice a day before food to prevent steroid induced gastritis..

If any doubts,feel free to ask or else please close this discussion with your feedback

Take care
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr.N.Senduran

General & Family Physician

Practicing since :2011

Answered : 407 Questions

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Suggest Remedies For An Apthous Ulcer On The Tongue

Brief Answer: Needs oral steroid therapy Detailed Answer: Hello XXXXXXX Thanks for asking to healthcaremagic. I have seen the pictures. You seem to have recurrent aphthous ulcers,for which the cause is not specific most of the times..Stress,anxiety seems to provoke or be the reason for recurrence. Nutrient deficiency(zinc,B12,folate)also can be a reason. For evaluating,it would be better if you do the following tests like CBC,ESR,Serum ferritin level,folate,B12 level.. I would recommend a week tapering course of oral steroids(empirical treatment)like prednisone 40 mg for first two days, 30 mg for next two days,20mg for 2 days and last day 10 mg under your treating doctor's supervision.Condition may be reassessed and treatment to be decided accordingly. Also I suggest amlenox 5% paste for local application which help heal the ulcers fast. Further queries are welcome. Take care.