Total number of answers: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Pihlip Augustine Ajay Jain Anil Arora Dr. HG Desai Naresh Bansal Mukta Bapat Rakesh Aggarwal Rekha Satarkar Anil Anand Siva GG Saumil Molina Philip Abraham Jayant Doshi
Q1. When do you think oral ulcers need further investigations?
If associated with abdo pain, rectal bleed or elevated CRP – Colonoscopy Irregular, hard base, big ulcers When ulcers appear to be secondary oral pemphigus, HSV – (2) Food allergy (2) IBS Anaemia, weight loss, fever, joint pains (2) Diarrhoea, IBS Tobacco user (2) HIV positive Painless ulcers Associated skin complaints Recurrent resistant ulcers (2) Clinically suspicious (2)
Q2. Drugs beneficial in treating oral ulcers including home remedy / ayurvedic preps
Levamisol (4)+ Colchicin + amitryptyline Iron supplements Honey malai Omnacortil oral (3) Boroglycerine solution with 5 – 6 tabs of betnesol within local application on ulcer or hyperaemic patch Ribamipide Ararote powder Choline salicyclate local application (2) Betnesol gargle (2) Xylocain local application (2) Sucralfate mouthwash (2) Jestimadh infusion mouthwash Cortisol local application (2) Oxetacaine moutwash Gingelly or til oil gargles Candid mouth paint Antiseptic gargles