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Viral infection in mouth
My wife has multiple chhala in mouth in upper jaw side and on tongue. First there were few funcies and now they have bursted and as visible in attached picture.
Is it anything serious?
Answers (18)
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See a dermatologist.ulcer healing creams analgesics will be provided.by doctor
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Most likely herpes infection
Need full history are they painful
If yes then herpes can be a possibility
Will subside in 7 days after acyclovir course
T acyclovir 800 mg 5 times a day for 7 days
Check eruption of vesicles on face also you may develop them eventually during course of disease.
Check for any difficulty in swallowing or facial Palsy.
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Most likely is Herpes infection.
Acyclovir 400mg tablets five times a day for 5 days.
Get blood tests for CBP, HbA1C
If getting worse, please see dental or oral surgeon for a biopsy.
All the best.
J G S R clinic
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They can be aphthous ulcers .
Sometimes it can be pemphigus vulgaris with only oral lesions. It requires detailed history and investigations.
Next Steps
Questions :
Are the ulcers painful?
How quickly do they resolve ?
Are there any lesions over the skin?
Health Tips
Rx :
Zytee gel - before every meal over the lesions
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Please consult for further evaluation
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Based on the history and the image, this looks most consistent with an acute oral viral infection or aphthous ulcers commonly known as mouth ulcers. These usually start as small fluid filled blisters or whitish spots, which then burst and form painful raw areas on the tongue or inner mouth, exactly as you are noticing now. This condition is quite common and is usually triggered by viral illness, reduced immunity, stress, recent fever, nutritional deficiencies like vitamin B12 or iron, or local irritation. It is uncomfortable but not serious in most cases and is self limiting.
Next Steps
At present there are no features suggesting anything dangerous. Such ulcers typically heal on their own within 7 to 10 days. During this period, she should avoid spicy, hot, acidic, or very salty foods, maintain good oral hygiene, and drink plenty of fluids. Using a topical oral gel for pain relief and an antiseptic mouthwash can help reduce discomfort and prevent secondary infection. If pain is significant, a simple pain reliever can be used.
Health Tips
if the ulcers do not start improving within 10 days, keep recurring frequently, become very large, are associated with high fever, difficulty swallowing, significant weight loss, or if there is bleeding that does not heal, then she should be examined by a doctor or dentist for further evaluation and blood tests for vitamin deficiencies. At this stage, it does not appear serious and should settle with supportive care and time.
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Are they pain full?
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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You can try applying orasore ointment, Sporolac capsule twice daily and Becozinc capsule once a day for a month.
You’ll need a consultation for detailed assessment and further evaluation.
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Give her tab doxycycline 200mg one daily for 7 days.
Tab metronidazole 400mg one every 8 hours for 7 days.
Cap vizylac one morning and one evening for 10 days.
If painful, give tab combiflam one every 8hours for 2 days, after meals.
Apply orasore ointment over ulcers, 3 times daily.
Next Steps
To know whether it is serious or not share detailed history. Definitive diagnosis is possible through biopsy.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed discussion
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Kindly consult with a general physician locally/physically.
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Blood pressure ? Nutritional deficiencies? Chapped lips? Dehydration? Kindly consult with me on 94 two six eight six 78 nine six.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Pls have physical examination with nearby doctor
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Not serious
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.