Patients' complaints about periodically appearing painful sores in the mouth, which can spontaneously disappear, and then pour out again, have become more frequent recently. On the one hand, this is due to the growing anxiety of the population about painful phenomena of an incomprehensible nature that are difficult to treat. On the other – such ulcers are increasingly manifested against the background of frequent stress, new oral care products and other components of modern life. Aphthous stomatitis, which is manifested by sluggish inflammatory rashes in the mouth, according to estet-portal.com, has many other causes of manifestation and requires attention from a specialist.
Causes of mouth ulcers in aphthous stomatitis
Aphthous stomatitis is said to be when a patient complains of inflammation of the mucous membranes of the oral cavity and the appearance of painful sores in the mouth with a yellowish fibrous coating. The sores last for about 7-10 days and then disappear without a trace, but the disease periodically recurs. The appearance of ulcers is accompanied by a burning sensation in the mouth, sometimes the temperature may rise, the lymph nodes may increase.
In all patients with aphthous stomatitis, there is a strong relationship between the progression of the disease and the weakening of the immune system.
Aphthous stomatitis most often has a chronic course with periodic relapses. The causes of this inflammatory disease of the mucous membranes of the oral cavity are not fully understood. There is a genetic conditionality of aphthous stomatitis. Often, a thorough examination of a patient with aphthous stomatitis reveals systemic blood diseases, diseases of the gastrointestinal tract. Correction of the disease led to a stable remission or even to the complete disappearance of manifestations of aphthous stomatitis.
Today, the generally accepted theory is that aphthous elements on the oral mucosa appear as a reaction of the human immune system to molecules of some substances present in saliva.
Provoking factors of the disease can be:
• toothpastes and other oral care products with sodium lauryl sulfate – many patients note the complete disappearance of sores in the mouth when changing toothpaste;
• mechanical damage to the mucous membrane – often patients note a clear connection between biting the tongue or cheek, tissue damage from solid food and the onset of the disease;
• nervous strain – often coincides with an exacerbation of aphthous stomatitis and confirms its dependence on a weakened immune system;
• lack of B vitamins, vitamin C, zinc, selenium, iron in the body;
• allergic reaction to certain food groups – most often it is gluten protein, citrus fruits, seafood, spices, food additives, some types of dairy cheeses;
• long-term use of certain medications – antihypertensive, antiarrhythmic, non-steroidal anti-inflammatory drugs.
The relationship between the manifestations of aphthous stomatitis and the menstrual cycle was noted. Sometimes the manifestations of the disease disappear completely during pregnancy, although the relationship of these conditions has not yet been studied.
Features of sores in the mouth with aphthous stomatitis
The manifestations of aphthous stomatitis depend on where and how the primary disorders occur.
• The fibrinous form is characterized by impaired microcirculation in the epithelial layer. Rashes are usually localized on the mucous membrane of the lips, on the sides of the tongue, in transitional folds. Ulcers epithelialize in 1-2 weeks and disappear. As the disease progresses, only a little bit of stress is enough for the mouth sores to reappear.
• The necrotic form occurs in severe somatic diseases, blood diseases. Destruction of the epithelium occurs, ulcers are almost painless, but cause dystrophic disorders against the background of necrosis of the epithelial tissue. Ulcers epithelialize in 2-4 weeks.
• The granular form develops if the ducts of the minor salivary glands are primarily affected. Ulcers are localized near the ducts, painful, disappear after 1-3 weeks. Hypothermia, a respiratory infection can provoke their reappearance.
• The scarring form occurs when the acini of the small salivary glands are affected. Usually it is associated with genetic insufficiency of the secretory apparatus. Rashes are observed near the salivary glands, on the mucous membrane of the pharynx, anterior palatine arches. Small sores quickly deepen, are very painful, heal up to 3 months with scars remaining after them.
• The deforming form is considered the most severe, as it is accompanied by destructive changes in the connective tissue. Ulcers are deep, persistent,
Treatment of mouth ulcers depending on the causes that caused them to appear
The choice of therapy for aphthous stomatitis largely depends on the causes that prompted the exacerbation of the disease. If there is an allergic component in the pathogenesis, antihistamines are prescribed. With the neurological nature of ulcerative rashes, tranquilizers, sedatives are appropriate.
Topical treatment is carried out using disinfectants, analgesics, with severe inflammation, a corticosteroid ointment may be prescribed. Accelerate epithelialization preparations with Kalanchoe juice, propolis, vitamins C and P.
All patients with aphthous stomatitis are prescribed a course of vitamin therapy with a high content of B vitamins, ascorbic acid.
Immunoprotectors, hypoallergenic diet with the exception of roughage are recommended. Timely treatment and compliance by the patient with the doctor's prescriptions will achieve a stable and long-term remission of aphthous stomatitis.
See also:
Mouth ulcers: how to deal with aphthous stomatitis
Videos you might be interested in:
Share:
Add a comment