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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Canker Sores On The Tongue, Inside Lips And Cheeks. Swollen Cheeks. Took Antibiotics. On Atorvastatin, Citalopram And Atenolol

Hi Yes, I have had a very bad case of canker sores on my tongue, and on the inside of my lips and cheeks since December. My cheeks are swollen and raw I can't even drink water. I have been to all different kinds of Dr.'s This is what I have been on so far, Acyclovir, Fluconazole, Nystatin, Cevimeline, Omeprazole, Predisone and Rothwells Solutions. Med's that I take are Atorvastatin. hydrochlorothiazide, citalopram, propafenone, atenolol. I had had all kinds of blood work done as well. I am so desperate I really can't take this anymore.
Mon, 6 May 2013
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Dentist 's  Response
what medication ur taking tht is for ischemic heart disease.these drugs can hardly cause any oral ulcer.u hav already done all the treatment for ulcer ,if it still persists it is better to go for biopsy to get proper diagnosis.sometime apthus ulcer can become troublesome but that usually heals well in 7- 10 days with or without any treatment.so it is better for u to go for biopsy rather further delay.u also have nt mentioned about ur oral habits like smoking tobacco ..etc
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Canker sores occurs due to physical or chemical trauma. I would suggest you to get a thorough clinical examination done and find out the cause of recurrence and try to remove it. Take an OPG radiograph
There can be chances of allergy to some food stuffs or can be presence of some dental infections.

Take lukewarm saline gargles, .
Apply Dologel oral ointment topically over the affected area.
Start with multivitamin suplements.
Maintain a good oral hygiene, use antiseptic mouthwash rinses.
Stress and hormonal changes can also add up to the condition.

Hope this helps out.

Regards...
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Dentist Dr. Chandranjita Chattopadhyaya's  Response
hi thank you for ur question.this may one kind of viral recurrent infection,herpes labialis.so if you had previous history of same leison with systemic manifestation like fever,malaise,muscle weakness then nothing to be worried about it,it is self limiting and will be cured automatically.for symptomatic relief you may apply anaesthetic gei before meal,antibiotic mouthwash to prevent secondary bacterial infection,and try to avoid contamination to children,like after applying gel you have to clean your hand before touching your baby.wish you better health ahed.
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Dentist Dr. Farah Hussain's  Response

Hello there ,

Thanks for writing your query,


Appearance of recurrent ulcers or canker sores on the oral mucosa like tongue mucosa indicates inflammation .

Recurrent trauma to the mucous membrane may lead to formation of ulcers or

It may be caused due to several reasons like deficiency or certain vitamins especially vitamin B12 and vitamin C.

start with multivitamin supplements for 7 to 10 days and vitamin C lozenges will help in resolving the problem.

avoid alcohol , carbonated drinks , tobacco chewing and smoking as these may worsen the area affected.

Apply oral antiseptic ,analgesic ointments like dentogel or mucogel topically over the affected area


i hope this helps ,

take care.
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

If it is occurring in the same place, biopsy is a must to exclude malignancy / even if local irritation like a misdirected tooth s found to be responsible.
Different places at different times points to a systemic cause - Stress and/or vitamin deficiency are the common ones,,.Immune deficiency and connective tissue disorders may have to be evaluated...

Take care
Wishing speedy recovery
God bless
Good luck
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Canker Sores On The Tongue, Inside Lips And Cheeks. Swollen Cheeks. Took Antibiotics. On Atorvastatin, Citalopram And Atenolol

what medication ur taking tht is for ischemic heart disease.these drugs can hardly cause any oral ulcer.u hav already done all the treatment for ulcer ,if it still persists it is better to go for biopsy to get proper diagnosis.sometime apthus ulcer can become troublesome but that usually heals well in 7- 10 days with or without any treatment.so it is better for u to go for biopsy rather further delay.u also have nt mentioned about ur oral habits like smoking tobacco ..etc