Managing Oral Ulcers: Tips for Prevention and Recovery - Otolaryngology

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Oral ulcer issues?


Hello Doctor, last week I developed an ulcer on my lip that measures about 1*0.5 cm, and shortly after, I started experiencing cold symptoms.
I frequently suffer from oral ulcers (which have been checked and found to be normal) that lead to colds.
Additionally, I have a condition where my tonsils are somewhat enlarged, but the doctor I usually see is at Mackay Memorial Hospital.
I do not want to take antibiotics for every minor cold, as I believe it wastes healthcare resources.
In July and August, I underwent an allergy test and found that I am allergic to the following medications: aspirin, diclofenac, ibuprofen, ultracet, mefenamic acid, piroxicam, allopurinol, and carbamazepine.

1.
How can I prevent the recurring oral ulcers?
2.
What cold medications should I avoid that do not contain the aforementioned ingredients?
3.
How can I explain to the clinic doctor that my enlarged tonsils are not a problem?
4.
What can I do to promote faster healing of oral ulcers?
5.
How can I prevent colds that are caused by oral ulcers?

Xiao Tian Shi, 10~19 year old female. Ask Date: 2018/11/27

Dr. Zheng Jueyi reply Otolaryngology


Hello,
1.
Oral ulcers and colds are often related to immune function.
It is recommended to maintain a regular schedule, minimize late nights, stay hydrated, and exercise to reduce the chances of developing oral ulcers.
If there is no improvement after a week, please seek medical attention for pharmacological treatment.
2.
The main allergens are commonly found in pain-relieving and anti-inflammatory medications used for colds.
It is advisable to remind your physician of your allergies during each visit to avoid prescriptions that may trigger an allergic reaction.
3.
It is recommended to consistently visit a few specific clinics so that the physicians can better understand your previous conditions and the differences in your current health status.
4 and 5.
As mentioned in point 1.
Wishing you safety and health.

Sincerely,
Dr.
Jue-Yi Cheng
Director, Department of Otolaryngology
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2018/11/27

More Info


Managing oral ulcers can be quite challenging, especially when they are recurrent and accompanied by other symptoms like sore throat or cold-like symptoms. Based on your description, it seems you have been dealing with oral ulcers for some time, and you have also experienced complications related to your tonsils. Here are some strategies for prevention and recovery, along with answers to your specific questions.


1. Preventing Recurrent Oral Ulcers
To minimize the occurrence of oral ulcers, consider the following preventive measures:
- Dietary Adjustments: Avoid spicy, acidic, or abrasive foods that can irritate the oral mucosa. Foods high in vitamin C, such as citrus fruits, can sometimes trigger ulcers in sensitive individuals. Instead, focus on a balanced diet rich in vitamins and minerals, particularly B vitamins, zinc, and iron, which are essential for oral health.

- Hydration: Staying well-hydrated is crucial. You mentioned drinking a significant amount of water, which is excellent. This helps maintain moisture in the mouth and can prevent irritation.

- Oral Hygiene: Maintain good oral hygiene by brushing gently with a soft-bristled toothbrush and using a mild, alcohol-free mouthwash. This can help prevent infections that may exacerbate ulcer formation.

- Stress Management: Stress is a known trigger for oral ulcers. Engage in relaxation techniques such as yoga, meditation, or deep-breathing exercises.

- Identify Triggers: Keep a diary of your diet and any stressors to identify patterns that may lead to ulcer formation. This can help you avoid specific triggers.


2. Managing Cold Symptoms Without Certain Medications
Given your allergies to certain medications, it's important to communicate this clearly to your healthcare provider. For cold symptoms, consider the following alternatives:
- Over-the-Counter Remedies: Look for cold medications that do not contain aspirin, ibuprofen, or other NSAIDs. Options like acetaminophen (Tylenol) can help manage pain and fever without triggering your allergies.

- Natural Remedies: Honey, ginger tea, and warm saltwater gargles can soothe sore throats and alleviate cold symptoms without the need for pharmaceuticals.


3. Communicating with Your Healthcare Provider
When discussing your tonsil condition with your doctor, be clear and concise. You might say:
"I have noticed that my tonsils are frequently swollen, but I have been informed that this is not a cause for concern. However, I would like to ensure that we monitor this condition closely, especially since I have a history of recurrent oral ulcers. Can we discuss potential treatments or preventive measures?"

4. Accelerating Recovery from Oral Ulcers
To promote faster healing of oral ulcers, consider the following:
- Topical Treatments: Use topical anesthetics like benzocaine or protective pastes that can cover the ulcer and reduce pain. Products like Albothyl can also be beneficial.

- Nutritional Supplements: Continue taking B vitamins and consider adding a multivitamin that includes zinc and vitamin C, which can support healing.

- Avoid Irritants: Steer clear of tobacco, alcohol, and very hot or spicy foods that can irritate the ulcer.


5. Preventing Colds Related to Oral Ulcers
To prevent colds that may arise from oral ulcers, focus on:
- Strengthening Your Immune System: A well-balanced diet, regular exercise, and adequate sleep are crucial for maintaining a strong immune system.

- Hand Hygiene: Practice good hand hygiene to reduce the risk of viral infections, especially during cold and flu season.

- Avoid Close Contact: Try to avoid close contact with individuals who are sick, and consider wearing a mask in crowded places if you are particularly susceptible.

In conclusion, managing oral ulcers and associated symptoms requires a multifaceted approach that includes dietary management, good oral hygiene, effective communication with healthcare providers, and appropriate use of medications. If your symptoms persist or worsen, it is advisable to seek medical attention, even if it requires some effort to access care. Your health is paramount, and addressing these issues proactively can lead to better outcomes.

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