Is Treatment Always Necessary
If the symptoms are bearable, then treatment isn’t needed. This is most likely the case for the more common minor canker sores: 85 out of 100 people who have canker sores have this type, which is the mildest. Minor canker sores are only a few millimeters wide, are painful for three to five days, and go away completely after about two weeks.
Who May Not Be Able To Use Lidocaine For Mouth And Throat
Lidocaine treatments are not suitable for some people. To make sure this medicine is safe for you, tell your doctor or pharmacist if you or your child:
- have ever had an allergic reaction to lidocaine or any other medicine
- are very sensitive to any of the ingredients
Some lidocaine treatments for mouth and throat contain very small amounts of alcohol. If this is a problem for you, check with a pharmacist.
How Do You Use A Prescription Mouthwash
Generally, a person uses the mouthwash four times a day forabout a week, says Dr. Morgan. You put a teaspoon or two in your mouth thenswish it around to coat all the surfaces before spitting it in the sink.
Dr. Morgans other tips for magic mouthwash success:
- Dont fret if you swallow some sincethe dose is small, accidentally swallowing it once or twice wont harm you.
- Try to avoid eating or drinking for 30minutes after using the mouthwash to give it time to work.
- Solutions with lidocaine numb your mouth andthroat, so avoid hot beverages that could burn you without you realizingit.
- Refrigerating the mouthwash will make theexperience more pleasant, but it wont make a big difference if you keep it out.Just shake it well before using.
- Mouthwash will probably last for at least 12months unless the bottle says otherwise.
- Sharing is not caring. Dont share the mouthwashamong family members, since the formulas differ. Even if two family membersboth have strep throat, talk with your provider before sharing a mouthwash.
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What Causes Aphthous Mouth Ulcers
The cause is not known. They are not infectious and you cannot ‘catch’ aphthous mouth ulcers. In most cases, the ulcers develop for no apparent reason in people who are healthy.
In some cases the ulcers are related to other factors or diseases. These include:
- Injury – such as badly fitting dentures, a graze from a harsh toothbrush, etc.
- Changes in hormone levels. Some women find that mouth ulcers occur just before their period. In some women, the ulcers only develop after the menopause.
- Stopping smoking – some people find they develop ulcers only after stopping smoking.
- Some street drugs such as cocaine.
Mouth ulcers are more common in people with certain conditions – for example, Crohn’s disease, coeliac disease, HIV infection and Behçet’s disease. However, these ulcers are not the aphthous type.
Compounding: Treating Mouth Ulcers
Shannon W. Fields, BA, CPhTPharmacy Times
Aphthous stomatitis, or mouth ulcer,is a very common, often painful problemmost people experience. Alsoknown as “canker sores,” mouth ulcersare shallow sores found on the innercheeks, lips, or gums. They often appearwhite, yellow, or red in color and mayoccur in clusters. Approximately 20% ofthe population may experience recurrentmouth ulcers.
Mouth ulcers generally are notcaused by infection and therefore arenot contagious. Most will heal withouttreatment in 1 to 2 weeks. When active,however, sores can be very painful,causing the patient discomfort wheneating, speaking, or swallowing. Somecommercial products are available totreat mouth ulcers, and, due to thechallenges of effectively treating painor trauma in the oral cavity, a compoundingpharmacist may be able toproduce a particularly helpful remedy.
Types and Causes of Mouth Ulcers
There are 3 types of recurrent aphthousstomatitis : minor, major,and herpetiform.
- Minor aphthae account for 75% to85% of all cases. They are smalland round and are found insidethe cheeks or lips, on or under thetongue, or on the gums, often inclusters.
- Major aphthae generally are deeperand larger and make up 10% to15% of RAS cases. They may exceed1 cm and usually occur singly.
- Herpetiform lesions are the leastcommon, may occur in large numbers,and are 1 to 3 mm in diameter
Treating Mouth Ulcers
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What Foods Should You Avoid Or Eat
During the phase of acute inflammation, it’s helpful to avoid certain foods that can irritate the inflamed mucous membranes even more such as crispy or hard foods like bread rolls or crispbread . Very acidic, spicy or salty foods can also be unpleasant, as can fizzy drinks or alcohol. But you should still make sure that you dont eat too much of the same thing, or too little overall. Eating soups and soft foods can help to protect the mucous membranes. It’s also a good idea to let any food that you cook cool off enough or to eat cold meals.
If you think that certain foods or oral hygiene products are encouraging the development of canker sores, then try avoiding them. But there’s a lack of good research on whether a certain diet can delay the formation of new canker sores.
When Should I See My Doctor
You should see your GP if you think you might have an ulcer related to a mouth infection or disease.
Most mouth ulcers will heal by themselves within a week or two. If your mouth ulcers last longer than this or they keep coming back, see your doctor, as they may be a sign of a more serious problem.
Also, see your GP if you or your child develops severe mouth ulcers with symptoms of general illness such as:
- weight loss, stomach pain, unexplained fevers
This may indicate a health condition such as coeliac disease or inflammatory bowel disease.
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Can Mouth Ulcers Be Prevented
It may not be possible to prevent mouth ulcers, because they’re often caused by things you can’t control .
However, the following may help to reduce your risk of developing mouth ulcers:
- avoiding certain foods such as chocolate, spicy foods, coffee, peanuts, almonds, strawberries, cheese, tomatoes and wheat flour, if they cause you to have an ulcer
- not chewing gum
Good Mouth Care And Mouth Rinses
Good mouth care is key to help reduce the risk or severity of mouth sores. Using a soft toothbrush or foam swab can help keep the mouth clean and reduce the risk of injuring your gums and lining of the mouth. If you use dental floss, ask your doctor if you should stop or if you can continue to floss.
Certain types of rinses can help to keep your mouth clean and can help soothe discomfort. Ask your doctor which type of rinse may be best for your situation. For example, baking soda, salt water, or saline rinses might be recommended. Mouth rinses with antibiotic agents or steroids might be recommended, depending on how severe the mouth sores are.
Benzydamine may help prevent mouth sores in people getting radiation treatment to the mouth or throat. Morphine rinses may help relieve pain from mouth sores in this same group of people. Dexamethasone has been used in mouth rinses to help with cleansing and discomfort.
Another type of mouth rinse, often referred to as “magic mouthwash” might be recommended by your doctor. Magic mouthwash is a mixed medication mouthwash that combines a few different medicines. But, there is not one single combination that’s used by all doctors, and some experts don’t recommend a combination. Some common ingredients of magic mouthwash include diphenhydramine, viscous lidocaine, aluminum hydroxide, nystatin, and corticosteroids.
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How Are Mouth Ulcers Diagnosed
Your doctor can usually diagnose a mouth ulcer by simply looking at it.
Your doctor may also ask you questions about your symptoms, diet, medical history and what medicines you regularly take.
If your doctor thinks that your mouth ulcer is infected, they may swab the ulcer to confirm an infection and help determine the right treatment.
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What Are Mouth Ulcers
Mouth ulcers, also known as aphthous ulcers or canker sores, are a type of sore that occurs on the inside of your mouth. They can feel uncomfortable, especially when you are talking, eating, drinking and brushing your teeth. In most cases, mouth ulcers are not dangerous and heal on their own. Around 1 in 5 people experience recurrent mouth ulcers.
Where Do Mouth Sores Come From
No one has managed to pinpoint the exact cause of mouth sores, but there are several factors that will make you more susceptible to getting them. Here are just a few of the things you should consider if you are prone to mouth sores:
Acidic/spicy foods: Damages sensitive tissue in your mouth and causes irritation, leading to the formation of a sore. You may also be allergic to some foods, which also contribute to mouth sores.
Trauma and injury: If you have taken a blow to the mouth from sports or falling over then you could end up with a mouth sore. Braces can also cause enough irritation of the surrounding tissues in your mouth to cause a lesion to appear.
Hormones and stress: If you are incredibly stressed out and running yourself into the ground, you could be at risk of canker sores.
Medication: certain medications and aggressive medical treatment like chemotherapy can have an adverse effect on your mouth.
Smoking and drinking: tobacco and alcohol can cause lesions in the mouth and even mouth cancer!
Iron and vitamin deficiencies: if you suffer from anemia or low levels of zinc you will have a greater risk of mouth sores.
Eating disorders: Anorexia and malnutrition are also contributing factors to poor oral health and canker sores.
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How Do I Store And/or Throw Out Lidocaine Oral Solution
- Store at room temperature.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
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Canker Sores : What Can You Do If You Have A Canker Sore
Canker sores usually heal on their own within a few days. Gels, creams or mouthwashes can help to relieve the pain. In severe cases, steroid tablets may be considered.
Its not known why canker sores develop. Thats why the treatment focuses on the symptoms instead of the cause. It aims to relieve the acute symptoms and support the healing process.
Oral Hygiene: What You Need To Know
Even though moving your mouth can make the pain worse, you should brush your teeth just as well as you usually do when you dont have a canker sore. A soft brush can help to prevent injuries to your gums that could increase the risk of new canker sores developing. There are various ways to clean the spaces between your teeth for instance, with an interdental brush or dental floss. You can ask your dentist for advice to help you find the right option for you.
Its also important to check the ingredients used in the oral hygiene products: Mouthwashes that contain alcohol may make the pain worse, for instance. Some people also react sensitively to toothpaste that has sodium lauryl sulfate in it.
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Cost Of Magic Mouthwash
Not all insurance companies pay for magic mouthwash. Check with your insurance provider to see if its covered.
Magic mouthwash contains strong medications. Like any other medication, it may have side effects.
Magic mouthwash can make some oral symptoms worse. It can lead to mouth problems, such as:
Who Can Use Lidocaine For Mouth And Throat
Most adults and young people aged 16 years and over can use lidocaine for mouth and throat. There are also lidocaine treatments that are suitable for children and babies.
Teething treatments are for babies from the age of 5 or 6 months, depending on the brand. Always check the packaging and instructions before giving lidocaine to a baby.
Lidocaine treatments can look very similar. Some are only suitable for people aged 16 years and over. This is because they contain choline salicylate . Check the packet or ask a pharmacist for advice.
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Is It Mouth Cancer
In a few cases, a long-lasting mouth ulcer can be a sign of mouth cancer. Ulcers caused by mouth cancer usually appear on or under the tongue, although you can get them in other areas of the mouth.
Risk factors for mouth cancer include:
- smoking or using products that contain tobacco
- drinking alcohol smokers who are also heavy drinkers have a much higher risk compared to the population at large
- infection with the human papilloma virus the virus that causes genital warts
It’s important to detect mouth cancer as early as possible. If mouth cancer is detected early, the chances of a complete recovery are good. Regular dental check-ups are the best way to detect the early signs.
Best Overall Topical Treatment For Canker Sores
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When Should I Consult A Doctor About Mouth Ulcers
Aphthous mouth ulcers can be painful and are often a nuisance but are not serious. Occasionally a mouth ulcer can become secondarily infected with germs . In this case you may notice increased pain or redness, or you may be feeling unwell with a high temperature . Secondary bacterial infections are not common but may need treatment with antibiotic medicines.
Remember, not all mouth ulcers are aphthous ulcers. Other types of ulcer can occur in the mouth and mouth ulcers can be a sign of an underlying illness or disease.
Important: cancer of the mouth can sometimes start as an unusual mouth ulcer that does not heal. You should see a doctor or dentist if you have a mouth ulcer that has lasted for more than three weeks without sign of healing, or is different in any way. This is especially important if you are a smoker. Your GP or dentist may refer you urgently to a specialist. A small sample of the ulcer may be taken in clinic and examined, to exclude cancer.
Before Taking This Medicine
An overdose of numbing medication can cause fatal side effects if too much of the medicine is absorbed through your gums and into your blood. This can happen if you apply more than the recommended dose.
Do not use lidocaine viscous to treat teething pain in a baby. A baby could accidentally swallow this medicine if it is placed in the mouth. Heart problems, seizures, severe brain injury, and death can occur from the use of this medicine in very young children. Always ask a doctor before using any medicine to treat your baby’s teething pain.
You should not use lidocaine viscous if you are allergic to any type of numbing medicine.
Tell your doctor if you have ever had:
a serious heart condition such as “AV block”
an allergy to any drugs or
broken, swollen, or damaged skin or gum tissue.
Ask a doctor before using this medicine if you are pregnant or breast-feeding.
Older adults may be more sensitive to the effects of this medicine.
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