aphthous mouth ulcers of unknow cause or herpes simplex virus caused ulcer



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送交者: antilier 于 2006-3-18, 11:56:40:

回答: 口腔溃疡,嗓子痛..... 由 goophy 于 2006-3-18, 11:42:19:

ZT:

How are mouth ulcers treated?

Treatment of mouth ulcers may include soothing mouthwashes (such as salt and warm water or compound thymol glycerin mouthwash) or antiseptic mouthwashes such as chlorhexidine mouthwash or povidone iodine mouthwash. Pain can be relieved by using local anaesthetics such as benzydamine hydrochloride, choline salicylate gel or lignocaine. Local anaesthetics like this cause temporary numbness at the site where they are applied. These local anaesthetics may be used in the form of a mouthwash, a spray, a jelly or an ointment. (Local anaesthetics need to be used with care: if the back of the tongue or the throat is made numb this can result in choking when swallowing food or drink. Local anaesthetics are also not suitable for young children with mouth ulcers).

Carmellose gelatin paste may be applied to mouth ulcers; it forms a protective layer over the ulcer.

Paracetamol is useful to relieve pain, especially for young children with viral infections causing mouth ulcers. Such young children need to be encouraged to drink to avoid dehydration.

Carbenoxolone gel or mouthwash can be used.

Many of the remedies above may be bought from a pharmacy without a prescription.

Treatment of aphthous ulcers may, on medical advice, include corticosteroids applied as a paste or used as a mouthwash. Occasionally it may be necessary to take corticosteroid tablets (so that they are absorbed into the bloodstream) to treat some severe types of mouth ulcer. For large aphthous ulcers, corticosteroids may sometimes be injected beneath the ulcer. Before using corticosteroids of any type it is important to be sure that the ulcers are not caused by a viral infection.

Aciclovir, a type of antiviral medication may sometimes be helpful for mouth ulcers caused by the herpes simplex virus. Aciclovir cream may be used for treatment of cold sores. It should be applied as early as possible, preferably when the tingling sensation is present but the cold sore has not yet appeared.

A mouthwash containing tetracycline (a type of antibiotic) is sometimes used for treatment of mouth ulcers. A medication called cimetidine, originally used to treat stomach ulcers, has also been used in the treatment of aphthous mouth ulcers.

Summary

Most mouth ulcers are not due to serious illness. Occasionally they can be associated with poor immunity or other medical conditions.

Ulcers that so not heal should always be checked by a doctor.





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