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What should I do if oral ulcer recurs for more than one year? urgent
Oral ulcer is one of the most common oral mucosal diseases, and the prevalence rate in the population is generally considered to be above 10%, which can occur in all ages, especially in young people.

Acne is a kind of localized ulcer injury of oral mucosa characterized by periodic recurrence, which can heal itself and occur in any part of oral mucosa, especially lips, cheeks and tongue, and even spread to pharyngeal mucosa in severe cases. Many patients with the extension of the course of disease, ulcer area increased, the number increased, pain increased, healing period prolonged, interval shortened and so on. , affect eating and talking.

Although there are many treatments for oral ulcer, they are basically symptomatic treatment, the main purpose is to relieve pain or reduce the number of recurrences, but the recurrence can not be completely controlled, so it is particularly important to prevent this disease.

Pay attention to keep your mouth clean, rinse your mouth with light salt water, quit smoking and drinking, live a regular life and ensure adequate sleep. Insist on physical exercise, have a light diet, eat more fruits and vegetables, eat less spicy and irritating food, and keep the stool smooth. Women should pay attention to rest before and after menstruation, maintain a happy mood, avoid excessive fatigue, have a light diet, eat more fruits, fresh vegetables and drink more water. , thus reducing the chance of aphtha.

Need to remind you that long-term unhealed ulcers in the mouth may become cancerous because they are often stimulated by chewing and talking for a long time. Especially in those parts that are in contact with teeth, if there are residual broken teeth that have not been pulled out, or the dentures are not made properly, their sharp edges will be constantly stimulated, which will scratch the mucosa and produce ulcers. If the stimulating factors are not removed, the ulcer will not heal, but will get worse day by day. This long-lasting ulcer may also be a precancerous lesion, which is very easy to become cancerous. If you often suffer from oral ulcers, you need to pay attention to the above problems.

If you have an oral ulcer, don't take it lightly. If you are suspicious, you should go to the hospital in time, and if necessary, do pathological examination and make a clear diagnosis before you do corresponding treatment. Don't be careless and delay the treatment opportunity.

Simple prescription for treating ulcer 14

Eggs: Beat the eggs into a bowl and stir them into a paste. Put mung beans in a clay pot and soak them in cold water for more than ten minutes, and cook them on high fire for about 1.5 minutes (not long). At this time, mung beans are not ripe. Take mung bean water and pour it into plumeria for drinking, once a day in the morning and evening, which has a good effect on treating oral ulcers.

Liushen Pill: Take Liushen Pill 1 capsule (30 capsules) and grind it into powder, then add 2ml of cold boiled water to soak it into a thin paste for later use. Before use, clean the patient's mouth, then dip the slender cotton swab into Liushen Pill solution and apply it to the ulcer surface. It is best to take the medicine 1~ 15 minutes before meals, three times a day, and 1 time before sleep. Generally, the analgesic effect can be achieved in 5 minutes. Small ulcer 1. It can be cured in 2 days, and the ulcer can be cured in 5 days.

Yunnan: Baiyao is externally applied to the wound of oral ulcer with Yunnan Baiyao twice a day, and it usually takes 2~3 days to heal.

Whole milk powder: choose whole milk powder, 2 to 3 times a day, each time 1 tablespoon, add a little sugar and take it with boiling water. It is best to take it before rest at night. Generally, ulcer symptoms can disappear in 2 days.

Watermelon: half a watermelon, dig out the pulp of watermelon, squeeze it into juice, put the juice in your mouth, swallow it after about 2 ~ 3 minutes, then hold the new juice and repeat it several times.

Vitamin c: crush vitamin c 1 ~ 2 tablets, put them on the ulcer surface and wait for a while, twice a day.

Cimetidine: Cimetidine 1 ~ 2 tablets are ground into fine powder and applied to the ulcer surface with a cotton swab dipped in the powder. /kloc-Do not drink water for 0/0 minutes, twice a day.

Liuwei Dihuang Pill: Take Liuwei Dihuang Pill orally, 2-3 times a day, 6-8g each time.

Strong tea: Compendium of Materia Medica, a Chinese pharmacopoeia in the Ming Dynasty, said: "Tea tastes bitter and cold, and it can best reduce the fire ... If the fire is reduced, the liquid will be clear." According to research, tea contains tannin, which has astringent effect, and gargling with strong tea can promote the healing of oral ulcer.

Gentamicin: Dip 40,000 units of 2 ml Gentamicin Injection with a sterile cotton swab and gently apply it to the surface of oral ulcer. After a few minutes, apply it again, four times a day, after three meals and before going to bed. After gargling, apply liquid medicine, and generally recover in 2 ~ 3 days.

Tomatoes: Keep tomato juice in your mouth for a few minutes at a time and several times a day.

Persimmon cream: take persimmon cream out of persimmon and take it with boiling water or add it to porridge.

Banana leaves: take some fresh banana leaves and apply them to the oral ulcer with fire, 2 ~ 3 times a day.

95% ethanol: Dip a cotton swab in 95% ethanol, gently press the ulcer, and gently rotate the cotton swab to remove the rotten tissue on the ulcer surface, 2 ~ 3 times a day, 20 ~ 30 seconds each time. When treating oral ulcers, most of them are cured in 2-3 days.

Oral ulcer treatment prescription

Honey gargle: You can gargle with 10% honey juice, which can relieve inflammation and pain and promote cell regeneration.

Honey therapy: clean your mouth, then apply honey to the ulcer surface with sterile cotton swabs, and do not eat or drink for the time being after wiping. 15 minutes or so, you can swallow it with honey and saliva, and then continue rubbing. You can rub it several times a day.

Zinc sulfate therapy: take zinc sulfate tablets or 12% zinc sulfate syrup, 40-80mg for adults each time, 1 three times a day, and generally recover in 5-7 days.

Auricularia auricula therapy: Take tremella, Auricularia auricula and Crataegus pinnatifida 10g respectively, decoct in water, and eat Auricularia auricula in soup twice a day 1-2 times, which can cure oral ulcer.

Cocoa therapy: Cocoa powder and honey are mixed into paste and swallowed frequently. Several times a day can cure oral inflammation and ulcers.

Chinese cabbage root therapy: take 60g Chinese cabbage root, garlic sprout 15g, jujube 10, decoction 1 2 times a day, and treat oral ulcer.

Rapeseed therapy: Take 30g of white radish seed, 30g of mustard seed and 5g of scallion 15, mash them and stick them on your feet, once a day 1 time, which can cure oral ulcer.

Apple therapy: Take 1 apple (or pear) and put it in a container, add cold water (uncooked apple or pear) and heat it to boiling. When they get a little cold, put the wine in your mouth for a while and then eat it. It will be cured in a few days.

Walnut shell therapy: 30-50g walnut kernel is boiled twice, and taken in the morning and evening 1 time.

Oral ulcers may hide various diseases for up to three weeks and must be carefully investigated.

Almost everyone has experienced small oral ulcers, most of which are caused by trauma. Professor Scully from the School of Dentistry, University of London, pointed out that if the oral ulcer lasts for three weeks, the cause must be found out.

About 20% people suffer from recurrent oral ulcers, which are round or oval with clear boundaries. 80% patients with ulcer diameter less than 5mm healed in 7 ~ 14 days. Larger ulcers are rare and take weeks or months to heal, and scars still exist. In addition, herpes ulcers need 1 month to be cured.

According to the Japanese Medical Tribune (2006 5 4 38+6 7 0), the cause of oral ulcer is unknown, and some patients are related to tension, trauma, smoking cessation, menstruation and food allergy. There is no special examination method, and we can only rely on the diagnosis of typical symptoms and history. But we can't ignore the differential diagnosis. Besides the deficiency of iron, folic acid and VitB 12, we should also consider whether there are immune disorders such as chronic inflammatory bowel disease, AIDS infection and neutropenia. In addition, systemic diseases and skin diseases such as leukemia, lupus erythematosus and Behcet's disease (see figure) should be excluded. Anticancer drugs and antithyroid drugs may also produce oral ulcers.

Single chronic ulcer should be suspected of oral cancer. Oral ulcer can also appear as an accompanying symptom when children have periodic fever, pharyngitis, hand-foot-mouth disease and infectious mononucleosis.

Professor Scully pointed out that oral ulcers can be treated with chlorhexidine or hydrocortisone sugar-coated tablets, and triamcinolone acetonide ointment is applied four times a day. If symptoms do not improve, systemic corticosteroids should be considered.

Simple prescription for treating ulcer 14

Although oral ulcer is not a serious illness, it always brings inconvenience and pain to patients' lives. Here is a simple prescription 14:

Beat the eggs and eggs into a bowl and mix them into a paste. Put mung beans in a clay pot and soak them in cold water for more than 10 minute, and cook them in high fire for about10.5 minute (short time). At this time, mung beans are not mature, so take mung bean water and frangipani to drink together, once every morning and evening, which has a good effect on the treatment of oral ulcers.

Liushen Pill Take Liushen Pill 1 capsule (30 capsules) and grind it into powder, then add 2 ml of cold boiled water to soak it into a thin paste for later use. Before use, clean the patient's mouth, then dip the slender cotton swab into Liushen Pill solution and apply it to the ulcer surface. It is best to take the medicine 1~ 15 minutes before meals, three times a day, and 1 time before sleep. Generally, the analgesic effect can be achieved in 5 minutes. Small ulcer 1. It can be cured in 2 days, and the ulcer can be cured in 5 days.

Yunnan Baiyao is externally applied to the wound surface of oral ulcer twice a day, and it usually heals in 2~3 days.

Choose whole milk powder, 2 to 3 times a day, one tablespoon each time, add a little sugar and take it with boiling water. It is best to take it before rest at night. Generally, ulcer symptoms can disappear in 2 days.

Watermelon watermelon half, dig out the pulp of watermelon, squeeze it into juice, put it in your mouth, swallow it after about 2 ~ 3 minutes, then hold the new juice and repeat it several times.

Crush vitamin c 1~2 tablets of vitamin c, put them on the ulcer surface and wait for a moment, twice a day.

Cimetidine administration method: Cimetidine 1 ~ 2 tablets are ground into fine powder, and the powder is dipped with a cotton swab and applied to the ulcer surface. /kloc-Do not drink water for 0/0 minutes, twice a day.

Liuwei Dihuang Pill is taken orally 2-3 times a day, with 6-8g each time.

Compendium of Materia Medica, a pharmacopoeia of the Ming Dynasty in China, said: "Tea tastes bitter and cold, which can best reduce the fire ... when the fire is small, it will clear the liquid." According to research, tea contains tannin, which has astringent effect, and gargling with strong tea can promote the healing of oral ulcer.

Dip a sterile cotton swab into gentamicin, and gently smear 40,000 units of 2 ml gentamicin injection on the surface of oral ulcer. Apply it again after a few minutes, four times a day, that is, after three meals and before going to bed. After gargling, apply the liquid medicine, and generally recover in 2 ~ 3 days.

Tomatoes and tomato juice are kept in your mouth for a few minutes at a time, many times a day.

Persimmon cream Take persimmon cream out of persimmon and take it with boiling water or add it to porridge.

Banana leaves: take some fresh banana leaves and apply them to the oral ulcer with fire, 2 ~ 3 times a day.

95% Ethanol Dip a cotton swab into 95% ethanol, gently press the ulcer, and gently rotate the cotton swab to remove the rotten tissue on the ulcer surface, 2 ~ 3 times a day, 20 ~ 30 seconds each time. When treating oral ulcers, most of them are cured in 2-3 days.

There are three types of oral ulcers.

Recurrent oral ulcers are medically called "recurrent oral ulcers". The recurrence time is closely related to the history of oral ulcer. When the history is short, it can be once every few months or once a year. When the medical history is long, it can be once a month, or the old and new lesions of oral ulcer appear alternately. Under normal circumstances, 10 days can heal itself without leaving scars.

Recurrent oral ulcer is the most common disease in oral mucosal diseases. Recurrence is self-limited, and local manifestations are isolated, round or oval ulcers.

Clinically, it can be divided into three types: recurrent mild oral ulcer, recurrent stomatitis oral ulcer and recurrent necrotic perigonadal mucosa.

Vitamins can treat oral ulcers.

Whether it is a single or chronic oral ulcer, vitamin B groups, such as vitamins B2 and B6, are effective. Some people even ate group B for one night, and the oral ulcer disappeared cleanly.

When vitamin B2 is insufficient, it will cause angular stomatitis, eye congestion and anal ulcer, especially on the skin and mucous membrane. Vitamin B6 is related to fat metabolism. When B6 is insufficient, it will cause seborrheic dermatitis. In addition, vitamin B groups such as pantothenic acid and biotin (B

1 except), under the mutual influence, it is also helpful for the prevention and treatment of oral ulcer.

Causes of oral ulcer

The site of oral ulcer is more common in oral mucosa and tongue margin. It is often a white ulcer with a blush around it, which is very painful, especially if it is sour, salty and spicy, and delicious. Although it is a minor oral disease, it is very painful, even fidgety, restless and depressed.

Most doctors believe that oral ulcers are related to the following factors:

Diseases and dysfunction of digestive system: such as abdominal distension, diarrhea or constipation.

Endocrine changes: some female patients often occur in menstrual period, which may be related to the decrease of estrogen in the body.

Mental factors: some patients are nervous, emotionally fluctuating and have poor sleep, which may be related to autonomic nerve dysfunction.

Genetic factors: If both parents suffer from recurrent oral ulcers, about 80-90% of children will get sick, and if one parent suffers from this disease, about 50-60% of children will get sick.

Other factors: lack of trace elements such as zinc, iron, folic acid and vitamin B 12 can reduce immune function and increase the possibility of recurrent oral ulcer.

Why do oral ulcers often recur?

Why is there recurrence of oral ulcer? The etiology is not clear at present, but there are many factors that can directly lead to the occurrence of oral ulcer: infection of bacteria, viruses and other microorganisms; Malnutrition and vitamin deficiency; Effects of digestive system diseases, such as gastrointestinal ulcer inflammation, constipation and diarrhea; Lack of trace elements, such as iron deficiency, folic acid, B 12, zinc; Endocrine disorder; Mental and neurological factors, such as overwork, nerve fluctuation, nerve disorder, etc.

Some women will have oral ulcers before or after each menstrual period, which can only be temporarily relieved by drug treatment. It will still appear as usual during menstruation next month, and the pain is unbearable. At the same time, it is often accompanied by annoying symptoms such as dry mouth, upset, irritability and dry stool. Clinical studies have found that oral ulcer during menstrual period is mainly caused by the increase of progesterone level and the decrease of estrogen (progesterone, etc.). ).

Oral ulcers are usually dangerous.

Oral ulcer is a common symptom in daily life, which will be encountered more or less in people's life. Usually, oral ulcers can heal themselves after rest, diet adjustment and keeping the stool unobstructed. Some patients can be cured only by local medication or taking several kinds of traditional Chinese medicines, and generally will not have serious adverse consequences on the whole body.

However, if one or more oral ulcers recur or even erupt one after another, and the pain is unbearable or accompanied by ulcers in other parts (such as vulvar ulcers), great attention should be paid, because such recurrent ulcers are likely to be an early warning signal of an immune disease-Behcet's disease.

Behcet's disease is also called Behcet's disease syndrome or eye, mouth and genitalia syndrome. Oral ulcer, genital ulcer and iridocyclitis are common in clinic. Among them, eye symptoms are diverse, which can be manifested as blurred vision, decreased vision, eyeball pain, photophobia and tears, foreign body sensation and floaters. In severe cases, it can lead to blindness. In addition, there is eye reaction after needle injection. Without a comprehensive understanding of the disease, the symptoms may be described to doctors in different specialties when seeking medical treatment, which often leads to the situation of "treating the head with a headache, treating the foot with a pain" and losing the opportunity to receive the best treatment plan.

Behcet's disease has existed since ancient times and can occur in both men and women. It can be seen at all ages, especially after the age of 35. Its occurrence and development are closely related to abnormal immune function. Traditional Chinese medicine calls it "the fox's confusion", and points out that "the erosion in the throat leads to confusion, and the erosion in the yin leads to the fox". The occurrence of this disease is closely related to the deficiency of liver and kidney, deficiency of both qi and yin, and exogenous damp heat. Over time, damp-heat and qi and blood beat each other, and dampness, toxin and blood stasis are intertwined, which leads to repeated attacks of the disease and is difficult to heal.

Over the years, according to the traditional Chinese medicine theory and clinical practice, aiming at the different symptoms of Behcet's disease in acute attack and remission, methods such as clearing away heat and toxic materials, clearing away damp-heat, clearing away toxic materials and dredging veins, invigorating qi and nourishing yin, and tonifying liver and kidney have been used for treatment. The results show that traditional Chinese medicine can not only control the recurrence of ulcer, but also regulate immune function.

In addition, according to the characteristics of small lesions and shallow parts, locally blow tin powder, ice boron powder, phellodendron amurense and Asari powder, gargle with honeysuckle and licorice decoction, and fumigate Flos Chrysanthemi Indici, Kochia scoparia and Sophora flavescens decoction in sitz bath. Clinical practice has proved that the treatment of Behcet's disease with topical Chinese medicine and oral Chinese medicine can alleviate the number, quantity and pain of ulcers in about one month, and the disease can be further controlled by continuing treatment for several months.

In addition to medical treatment, we should also pay attention to protecting oral hygiene, eat more fruits and vegetables, eat less barbecue, fried and greasy food, and do not eat spicy and irritating foods such as pepper, raw onion, ginger, garlic, tobacco, wine and mutton. Avoid fatigue, keep a happy mood and have a smooth stool.

Iron and zinc deficiency in the body is also prone to ulcers.

Oral ulcer is the most common disease of oral mucosa, and its incidence is second only to dental caries and periodontal disease, accounting for the third place.

Iron and zinc deficiency in the body can also cause ulcers.

Recurrent oral ulcer is a polygenic genetic disease. When the body has gastrointestinal dysfunction, menstrual disorder, lack of trace elements such as iron and zinc, mental stress, fatigue or cold, it will induce oral ulcers, so vitamin B2 alone is ineffective. At present, there is no cure for this disease.

Suffering from oral ulcer, you can eat fresh food rich in vitamins, protein and cellulose, pay attention to the combination of work and rest, remove inducing factors and reduce recurrence.

A small folk prescription for treating oral ulcer

(1) Take fresh bitter gourd160g (80g of dried bitter gourd) and brew it with boiling water instead of drinking tea. 1 day 1 dose. It usually takes 3 to 5 days to take effect.

(2) Rinse your mouth with warm water after dinner every day, take a spoonful of honey, the best raw juice, apply it to the ulcer surface, containing 1~2 minutes, then swallow it, repeat it for 2~3 times, and cure it for 2~3 days.

⑶ Take walnut shell about 10 every day, and decoct with water, three times a day for three consecutive days, and the oral ulcer can be cured.

(4) Take 89 small Chinese rose flowers with calyx, mash them, add a small cup of honey, make them into paste, and apply them to the affected area of aphtha, which can generally be cured after 3-5 times.

5] Crush vitamin C 1 ~ 2 tablets, apply them on the ulcer surface, and wait for a while, twice a day.

Choose whole milk powder once, 2~3 times a day, one spoonful each time, add a little sugar and take it with boiling water. It is best to take it before rest at night. Generally, ulcer symptoms can disappear in 2 days.

⑻ Take Liushen Pill 1 capsule (30 capsules) and grind it into powder, then add 2ml of cold boiled water and soak it into a thin paste for later use. When taking medicine, clean your mouth first, then dip a clean cotton swab into Liushen Pill solution and apply it to the ulcer surface. It is best to take medicine before meals 10~ 15 minutes, three times a day, and before going to bed 1 time. Generally, the analgesic effect can be achieved in 5 minutes, eating without pain and increasing appetite. Small ulcer 1~2 days can be cured; Multiple ulcers were cured in 3 days.

Stay away from oral ulcers in summer.

Oral ulcer is a common disease of modern people. Most people think that getting angry in summer is easy to cause ulcers, but what is the real cause of oral ulcers? The doctor said that the causes of oral ulcers are nothing more than "vigorous heart fire" and "spleen and stomach heat accumulation". In addition to drug therapy, medicated diet therapy has a good effect.

Oral ulcers are common in young adults and occur all year round. Especially in summer, the days are long and the nights are short, the temperature rises, people stay up late, and modern people are used to eating barbecue greasy food, which makes oral ulcers with heat constitution more likely to occur.

Traditional Chinese medicine believes that oral ulcer has several types, such as vigorous heart fire, accumulated heat in spleen and stomach, excessive fire due to yin deficiency, deficiency cold in spleen and stomach, and liver cold invading the stomach. Besides medication, you can also use medicated diet.

Strong heart fire or spleen and stomach fever can be treated with bamboo leaf porridge, which is made of fresh bamboo leaves, gypsum, rice and sugar. People with yin deficiency and excessive fire can be treated with winter porridge, which is made of San Qian Ophiopogon japonicus, San Qian Asparagus, San Qian Scrophularia, Miliang and rock sugar. Spleen-stomach deficiency-cold type porridge can be made from Radix Codonopsis, Zingiberis Rhizoma, Radix Glycyrrhizae Preparata, Poria, and brown sugar of glutinous rice.

However, in addition to drug therapy and diet therapy, to avoid oral ulcers, we still need to pay attention to ordinary living habits, avoid spicy, fried, greasy and sticky food, drink more boiled water, eat more vegetables, keep the stool smooth and avoid constipation; Patients with severe aphtha can be replaced by soft or semi-liquid diet.

Oral ulcer treatment prescription

Honey gargle: You can gargle with 10% honey juice, which can relieve inflammation and pain and promote cell regeneration.

Honey therapy: clean your mouth, then apply honey to the ulcer surface with sterile cotton swabs, and do not eat or drink for the time being after wiping. 15 minutes or so, you can swallow it with honey and saliva, and then continue rubbing. You can rub it several times a day.

Zinc sulfate therapy: take zinc sulfate tablets or 12% zinc sulfate syrup, 40-80mg for adults each time, 1 three times a day, and generally recover in 5-7 days.

Auricularia auricula therapy: Take tremella, Auricularia auricula and Crataegus pinnatifida 10g respectively, decoct in water, and eat Auricularia auricula in soup twice a day 1-2 times, which can cure oral ulcer.

Cocoa therapy: Cocoa powder and honey are mixed into paste and swallowed frequently. Several times a day can cure oral inflammation and ulcers.

Chinese cabbage root therapy: take 60g Chinese cabbage root, garlic sprout 15g, jujube 10, decoction 1 2 times a day, and treat oral ulcer.

Rapeseed therapy: Take 30g of white radish seed, 30g of mustard seed and 5g of scallion 15, mash them and stick them on your feet, once a day 1 time, which can cure oral ulcer.

Apple therapy: Take 1 apple (or pear) and put it in a container, add cold water (uncooked apple or pear) and heat it to boiling. When they get a little cold, put the wine in your mouth for a while and then eat it. It will be cured in a few days.

Walnut shell therapy: 30-50g walnut kernel is boiled twice, and taken in the morning and evening 1 time.

Oral ulcer should pay attention to the following points:

Brush your teeth carefully: brush your teeth comprehensively with a soft toothbrush; Regular oral examination, please ask the dentist to deal with the bad teeth and repair the damaged denture lining in time.

Always keep your mouth clean.

Eat more liquid food and chew slowly.

Increase the intake of fruits and vegetables to supplement vitamins and minerals.

Avoid eating ground food, such as bread crumbs, corn or potato chips, smoke less, drink less, eat less acidic food, such as oranges, tomatoes or nuts, eat less spicy or salty food, and avoid eating hard and hot food and chewing gum.