Brief Answer:
Recurrent apthous ulcers

Detailed Answer:
Brief Answer:
Yes the vaginal infection could be STD

Detailed Answer:
Hi XXXX
Thanks for your query at HCM
I am Dr Sheetal Verma answering to your query
I went through your query and understand your concern.


As you are saying you had been having reccurent acne breakouts in past. Just avoid spicy food. There are 25 possible causes of such lesions including Cold Sores, Mouth Sores.

The pictures clearly suggest it is benign and there is no need to worry. It appears to be an apthous ulcer which usually occurs in oral cavity with similar presentation. They occur mainly in persons 10-40 years of age and cause minimal symptoms.They are small round or ovoid ulcers 2-4 mm in diameter. Initially yellowish but assumes a gray hue as healing and epithelialization proceeds and is surrounded by an erythematous halo and some edema.

They are commonly found mainly on the nonkeratinized XXXXXXX mucosa of the lips, cheeks, floor of the mouth, sulci, or ventrum of the tongue. They occur in groups of only a few ulcers (ie, 1-6) at a time. They heal in 7-10 days. They recur at intervals of 1-4 months.Identify and correct predisposing factors for recurrent aphthous stomatitis. Ensure that patients brush atraumatically (eg, with a small-headed, soft toothbrush) and avoid eating particularly hard or sharp foods (eg, toast, potato crisps) and avoid other trauma to the oral mucosa.

There is a huge range of supposed or possible remedies available, but objective evidence shows the most efficacy from corticosteroids and antimicrobials used topically. Vitamin B12 used orally may have some effect.Topical corticosteroids (TCs) remain the mainstays of treatment. Theses treatment will reduce painful symptoms but not the rate of ulcer recurrence. The commonly used preparations are as follows:

Hydrocortisone hemisuccinate pellets (Corlan), 2.5 mg used 4 times daily
Triamcinolone acetonide in carboxymethyl cellulose paste (Adcortyl in orabase [withdrawn in some countries], Kenalog), administered 4 times daily

Betamethasone sodium phosphate as a 0.5-mg tablet dissolved in 15 mL of water to make a mouth rinse, used 4 times daily for 4 minutes each time

Hydrocortisone and triamcinolone preparations are popular because neither causes significant adrenal suppression; however, ulcers still recur.

Topical tetracyclines may reduce the severity of ulceration, but they do not alter the recurrence rate. A doxycycline capsule of 100 mg in 10 mL of water administered as a mouth rinse for 3 minutes or tetracycline 500 mg plus nicotinamide 500 mg administered 4 times daily may provide relief and reduce ulcer duration. Chlorhexidine gluconate and bioadhesive (Gelclair) mouth rinses reduce the severity and pain of ulceration but not the frequency. Anti-inflammatory agents can help; a spectrum of topical agents such as benzydamine and amlexanox may help.

You must get these investigations done:Complete blood cell count, Hemoglobin test, White blood cell count with differential, Red blood cell indices, Iron studies, Red blood cell folate assay, Serum vitamin B-12 measurements, Serum antiendomysium antibody and transglutaminase assay (positive in celiac disease).Patch testing may be indicated to reveal allergies.As you are quite allergic it could be an allergic event also therefore take antihistamines like cetrizine, fexofenadine or loratadine once daily. Use mouth gel like chlorhexidine gluconate 4-5 times a day for gargle.

Please talk to your doctor and discuss the medicines I have advised. You can get these medicines only on a prescription, so you will have to ask for a prescription from your doctor.

Hope I answered your question.
If you have any clarifications you can discuss.
If no you can close the query and rate the answer.
Wish you best of health.
Dr. Sheetal Verma
Infectious disease Specialist

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