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Abstract: This patient complained of incessant mouth ulcers in recent times, which repeatedly hurt and seriously affected his appetite. Through careful oral examination and combined with past medical history, he was diagnosed with oral aphthous ulcer. The disease is also known as recurrent oral ulcers. Through medication and oral hygiene education, the patient’s symptoms were relieved and the treatment effect was good, and no new ulcer surface appeared again.
Basic information】Female, 60 years old
Disease Type】Oral aphthous ulcer
Hospital】Nei Mongol Autonomous Region Maternal and Child Health Hospital
Date of consultation】January 2022
Treatment plan】Oral medication (vitamin B complex tablets) + topical medication (oral ulcer powder) + rehabilitation new liquid gargle
Treatment Period】1 week home treatment, regular follow-up
【Treatment effect】The oral mucosal ulcers healed and no new ulcer surface appeared.
I. Initial consultation
The patient complained that in recent times, mouth ulcers kept appearing in her mouth, which repeatedly hurt and affected her appetite. We learned that the patient’s relatives had recently fallen ill, that he was mentally stressed, that he did not sleep well, and that his previous menopausal symptoms were serious.
The patient’s oral examination revealed that a shallow ovoid ulcer of about 1.0×0.5 cm in size was seen on the right tongue margin, covered with white pseudomembrane, the surrounding mucosa was congested and red and swollen, with obvious pain to the touch, and no other oral mucosa abnormalities were seen. Combined with these findings, the diagnosis of oral aphthous ulcer and diabetes mellitus could be made. We reassured the patient’s anxiety and explained to him that oral aphthous ulcer is a benign and self-limiting disease, and the patient gradually relaxed after listening to us.
II. Treatment process
The patient was already in the healing stage of oral ulcers when he came to the clinic, and was suffering from painful oral ulcers before the clinic. When the pain of mouth ulcer is heavy, topical application of oral ulcer powder can be used before eating, which can relieve the pain when eating.
In addition, for diabetes, patients need to review fasting blood sugar and glycated hemoglobin and adjust medication. After 2 weeks of treatment, the oral aphthous ulcers healed and there were no new oral aphthous ulcers for the time being.
III. Treatment effect
After 1 week of medication, the patient’s symptoms improved significantly. Before the treatment, the patient could not eat normally because of the painful eating, but after the medication, the pain during eating was significantly relieved and the healing of oral ulcer was accelerated. Before treatment, the patient was very tense and mentally stressed. Through the analysis of his scientific disease and condition, the patient’s mental stress became significantly less, his tension was relaxed, and his sleep quality improved. The patient is regularly reviewed as required and currently has no new oral aphthous ulcers, better control of diabetes mellitus, and a fasting glucose value of 6.8 mmol/L.
IV. Notes
We are glad that after the treatment, the patient’s oral mucosal ulcers healed and the treatment effect is good. However, since the patient also had diabetes, she should pay attention to control her diabetes in her daily life, strictly follow the dietary guidelines for diabetic patients, avoid eating fruits with high sugar content and carbohydrates such as rice, and also strengthen her exercise, but she should pay attention not to overwork and adjust her life and rest appropriately.
In addition, for older women, the change and decline of hormone levels in the body can also trigger the occurrence of mouth ulcers. Therefore, patients need to adjust their mood and reduce mental stress. Also need to pay attention to a light diet on the basis of less sugar, avoid stimulating food, avoid eating too hot, too hot food, can take appropriate vitamin B complex tablets, enhance physical exercise, do more aerobic exercise. When a more serious oral aphthous ulcer occurs, you should promptly consult the stomatology department and take reasonable and regular medication under the guidance of the doctor, do not self-medicate to prevent aggravation and delay of the disease.
V. Personal insight
There are many etiologies of oral aphthous ulcers, and this patient is more typical with endocrine factors. Diabetes affects many diseases, so it is crucial to control it well. Some patients cannot monitor their own blood glucose, do not have regular follow-ups, and do not take medication regularly can aggravate diabetes, which in turn can affect the development of other diseases.
Second, the patient is a postmenopausal woman, the body hormone level changes greatly, coupled with the patient’s heavy menopausal symptoms, further aggravate the healing of oral aphthous ulcers. In addition, there are mental factors affecting the patient, as well as the presence of overexertion, which can cause and aggravate oral aphthous ulcers.
Since patients tolerate pain for too long and are late in seeking treatment, it is recommended to seek medical treatment promptly after the disease, not to delay the condition, and to raise awareness of the prevention and treatment of oral diseases.