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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swelling And White Patches Around The Mouth?

My 16 year old daughter has white patches around the mouth and it swells. We went to the doctor two weeks ago and he did a blood test and prescribed Absolut DM Cap and Vizylac Cap for a month. He said if she does not get better then she will need to be given shots. I am really concerned. What do you think is wrong with her? Her blood test looks normal except for Monocytes counts of 0.5 and SGOT show 43.5 and SGPT was 26.90 and the doctor said these readings are not bad. But said she lacks Vit B. Since the medication, her mouth looks much better. Is this helping? Thank you.
Mon, 15 Dec 2014
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Geriatrics Specialist 's  Response
Hi,
Thanks for asking.
Based on your query, my opinion is as follows.
1. B-complex vitamin deficiency particularly thiamine, B12 and niacin are known to cause oral symptoms.
2. As there is ulceration of mucosa, swelling will occur. Continue the intake of absolut DM cap as it contains good amount of B-complex vitamins. There is not toxicity as it is a water soluble vitamin and can be taken till all symptoms disappear.
3. Vizylac cap is not necessary now, as there is no diarrhea or flatulence and gut commensal bacteria should have improved.
4. Liver function test is good. as, it is improving, continue therapy. Additionally diet rich in green leafy vegetables will be helpful.
Hope it helps.
Any further queries, happy to help again.
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What Causes Swelling And White Patches Around The Mouth?

Hi, Thanks for asking. Based on your query, my opinion is as follows. 1. B-complex vitamin deficiency particularly thiamine, B12 and niacin are known to cause oral symptoms. 2. As there is ulceration of mucosa, swelling will occur. Continue the intake of absolut DM cap as it contains good amount of B-complex vitamins. There is not toxicity as it is a water soluble vitamin and can be taken till all symptoms disappear. 3. Vizylac cap is not necessary now, as there is no diarrhea or flatulence and gut commensal bacteria should have improved. 4. Liver function test is good. as, it is improving, continue therapy. Additionally diet rich in green leafy vegetables will be helpful. Hope it helps. Any further queries, happy to help again.