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Mouth ulcers are open sores in the mouth that appear as white
or yellow sores surrounded by a bright red area. Usually painful, they
appear on non-keratinised mouth tissue including the inner surface of the
cheeks, lips, tongue, soft palate, and the base of the gums. They usually
begin with a tingling or burning sensation followed by a red spot or bump
that ulcerate.
Occasionally, a severe occurrence may be accompanied by
non-specific symptoms of illness such as fever or malaise. Recurrence is
common and may continue for years.
There are many possible reasons why you have these
recurring ulcers:
 | You may be feeling run down or suffering from stress.
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 | Mouth ulcers may run in your family. |
 | Hormones also play some part—ulcers often appear at
puberty or during menstruation, if you are a teenaged girl. |
 | Your diet may be lacking greens or you may be an
anaemic. |
 | You may be brushing your teeth over-vigorously. Such
brushing causes abrasions on the gums that can turn ulcerous.
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 | You may be irritated by particular chemicals, spices,
tobacco or even alcohol. |
 | Rather more serious, the culprit may be the herpes
simplex virus, which also causes cold sores. The first attack can be
severe, with sore throat and ulcers inside the mouth. Subsequent attacks
are less severe, with fewer and smaller ulcers. |
In Ayurveda, the inflamed conditions of the mouth are
described under Mukha paaka. Due to fallacious diet and deeds, pitta is
vitiated which in turn aggravates the symptoms.
Guidelines & ayurvedic remedies
 | For immediate relief from ulcers, you should avoid hot
or spicy food, coffee, tea, alcohol and tobacco. If the ulcers coincide
with feeling run down, you should check if your diet is well balanced and
possibly take more rest. Avoid sour things, including curd and pickles.
Papaya and soorana kanda (jami-kand) in the form of food are very useful
in this condition. |
 | Usually constipation is associated with oral ulcers
and/ or stomatitis. If you notice such a situation, you should take mild
laxative, which will give some relief. Triphala choorna is the proper
laxative for this purpose. You can take a teaspoonful of the same at
bedtime. If you don’t like its astringent taste, you can mix it with a cup
of milk. Triphala choorna can also be taken in the form of decoction. To a
cup of water, add a teaspoonful of this powder and boil till half. Filter
it and drink. |
 | The decoction of the leaves of either aamla or heenna (mehandi),
or the guava tree singly or mixed with alum powder is a very good gargle
for oral ulcers. |
 | Alternately, you can gargle the decoction of the bark
of milky trees (Ficus species) such as Ficus benegalensis (vat), Ficus
religious (peepal), Ficus recemosa (goolar). Thespesia populenea (paaras
peepal) etc. Also the decoction of the leaves of jasmine (chameli) is
specifically indicated in oral ulcers. |
 | Fine powder of the Chebulic myrobalan (abhaya)
macerated with honey is an excellent application that is very effective.
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 | If you want to try the compound formulation, then
Khadiraadi vati is the drug of choice. This medicine is available in pill
or tablet form. Keep it in mouth and slowly suck it as it dissolves in
saliva. This medicine produces soothing effect on the ulcers and inflamed
parts. |
 | Licorice (mulathi) is proved to be beneficial in the
treatment of oral ulcers. Chew on a piece of it. It refreshes the mouth
and cleanses the teeth, arresting tooth decay. It heals the sores in the
mouth. When it is boiled in water, it releases a sweet taste, so you can
drink a warm infusion or decoction similar to tea. A mulathi extract,
hardened into different shapes, is even more effective. During recent
studies, deglycyrrhizinated licorice (DGL), a chemically altered form of
the herb licorice, is proved to be effective in oral ulcers. DGL adheres
to inflamed mucous membranes, which has made it a useful treatment for
ulcers. This significantly and rapidly reduces symptoms. Pain levels
noticeably decrease within minutes, and remain reduced for hours.
According to anecdotal reports, frequent use of DGL throughout the day can
almost entirely eliminate the discomfort caused by oral ulcers.
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 | Oral ulcers, with proper care, usually heal within
three or four days. Other symptoms should disappear in 7 to 10 days.
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 | However, if they persist for more than two weeks or are
accompanied by a skin condition or by other symptoms such as white patches
in the mouth or throat, always get them diagnosed by the physician to rule
out oral cancer or secondary bacterial or fungal infection. |
 | Local application of Irimedadi taila on the mouth
ulcers gives early relief from pain & helps in healing of ulcers. Powdered
camphor, when applied on ulcers, can also give relief. |
Note
As we all are genetically different with
different constitutions and patterns, we respond to treatments in many
different ways. Hence Standard Ayurvedic Treatments are always individually
formulated. This article is intended only for information. It is not a
substitute to the standard medical diagnosis, personalized Ayurvedic
treatment or qualified Ayurvedic physician. For specific treatment, always
consult with a qualified Ayurvedic physician.
Address
Dr. Ch. Murali
Manohar, M.D. (Ayurveda)
Ayurvedic
Specialist
Raksha
Ayurvedic Centre,
Opp.
Directorate of Women Development,
Yousufguda
Main Road (Sarathi Studio Road),
Ameerpet,
Hyderabad - 500073.,
Andhra
Pradesh, INDIA
Phones: Land:
+91 (040) 23742146; Mobile: 09246575510
Consultation Hours
(by
phone appointment)
Weekdays: 10
a.m. to 1.30 p.m. and 5 p.m. to 8.30 p.m.
Sundays: 10
a.m. to 1.30 p.m.
E-mail:
muralimanoharch@hotmail.com
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