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Canker Sore Problem that Won’t Go Away?

Reader’s Question:

Thank you for the quick reply. Now I have a question about my gums.

Last October 28 I noticed that my anterior gums are inflamed, so I went to the periodontist, but she said its nothing. But after two weeks my gums were aching. It feels like my teeth are under pressure. And I went back to the periodontist and she said it will go away, but I cant stand the pain so I took pain reliever and it didn’t work at all.

The periodontist did not pay attention because she cant see any tartar at all. Now its been almost two months and my gums are still inflamed, and I don’t know what to do and I am afraid.

Right now I am taking vitamin C because the GP thinks it’s Vitamin C deficiency. Now I am asking if what do you think this could be. I have acid reflux too that’s hard to control. Thank you for considering my letter.

My first reply:

Let me ask you a few of questions.

1. are you taking any medications? If so, what kind and how much?

2. Do you have a dry mouth? Do you find that your mouth is frequently dry?

3. Does the area bleed when you brush or floss it?

4. Are you using any kind of mouthwash? If so, what kind and how much /often?

5. what kind of beverages are you drinking and how much do you drink in a typical day?

6. When did this problem start? How long has it been going on?

7. Are you pregnant or could you be?

8. Is the area sensitive to hot and cold liquids or just cold only

9. Is this your upper front teeth that we are talking about? Which area specifically? I know you said anterior but bottom or top. how many teeth are affected?

10. Have you had any injuries to that area of your mouth.

11. Do you have any mouth sores, cankers or anything unusual with your mouth?

12. Are the teeth that are affected discolored ( any different than the rest of your mouth? )

13. What kind of foods do you typically eat?

14. Are you using any teeth whitening products? Or have you had your teeth whitened in a professional’s office? If so, when was that done?

Anything else you think might be helpful?

Thanks,

Dave

Reader’s Reply:

Before I will answer the questions let me start telling you first how this strange things started. Last July I noticed that I have a canker sore, so I went to the ENT specialist and he grab a medicine it looks like betadine and he soak it to the cotton and swab it to my sore. And he said I’m going to give you some oral gel for you to take home and the name is daktarin oral gel. So I went home and use the medicine but then after one week I still noticed I have burning on my tongue so I went back to him and still he said you have thrush. So he swab my tongue with the medicine and it was so painful that I could shout. And I continue the daktarin gel. But after a week I still have burning on my tongue, and I saw a canker sore on the left side tip of my tongue. So I put a daktarin gel and it went away. After that, for about three weeks I have my canker sores occur at the same place on the left side tip of my tongue. And then when I put daktarin it will go away but the wonder is is why it came back at exactly the same place. Now the color of the left side tip of my tongue is a little bit red.

But then I noticed some strange feeling on the left side of my tongue its a kind of burning and stinging even there is no canker sore. So I went to another ENT to check if what’s wrong on my tongue. But he said my tongue look perfect, But he think it could be a nerve damage, so he gave me a tegretol for the nerves and vitamin B complex. And then another month passed by that I have the same feeling on my tongue. And I have canker sore that occur at the same place.

Because that other ENT don’t want to fool with my tongue anymore I transferred to another ENT< but they have they same answer. So I gave up going to the ENT but still I have the same feeling on my tongue. Until this October I noticed that I have an inflamed gums and on top of it is white sticky that when I scrap it it will go away but the next morning it appear again. And my gums is aching its on the upper part that my teeth felt so sensitive. And on the tip of my tongue also on the right side I noticed some little dots and felt so sensitive. I am so confused because all of the doctors I talked they don’t pay attention to it because they said they cant see any abnormal. But it concerns me the little dots on the right side tip of my tongue because its kind of sensitive. And also this gums that the inflammation did not goes down for two months now.

Now I am going to answer your question.

1. are you taking any medications? If so, what kind and how much?

Right now I am taking vitamin C 500mg because the GP thinks that what’s going on my gums can be a it C deficiency.

2. Do you have a dry mouth? Do you find that your mouth is frequently dry? When I wake up early in the morning.

3. Does the area bleed when you brush or floss it? > My gums bleed sometimes when I brush it.

4. Are you using any kind of mouthwash? If so, what kind and how much /> often? > Right now no. I am afraid that it will irritate more specially my tongue too. I am using Sensodine toothpaste.

5. what kind of beverages are you drinking and how much do you drink in a > typical day? > I only drinks lots of water and milk.

6. When did this problem start? How long has it been going on? > My gums two months, but my tongue about 5 months.

7. Are you pregnant or could you be? > I am not pregnant. And I cant because my husband cant.

8. Is the area sensitive to hot and cold liquids or just cold only > Its not sensitive.

9. Is this your upper front teeth that we are talking about? Which area > specifically? I know you said anterior but bottom or top. how many teeth are affected? Upper part about four of my teeth.

10. Have you had any injuries to that area of your mouth. > No.

11. Do you have any mouth sores, cankers or anything unusual with your mouth? Yes

12. Are the teeth that are affected discolored ( any different than the > rest of your mouth? ) No

13. What kind of foods do you typically eat? > Vegetable like broccoli, petchay, cauliflower flower, fish and little meat.

14. Are you using any teeth whitening products? Or have you had your teeth > whitened in a professional’s office? If so, when was that done? > No

Thank you so much for your time and effort reading this problem of mine. Any ideas is greatly appreciated.

My Answer:

Here is what I think so far. Now keep in mind this is my opinion and it doesn’t count for much for a lot of reasons. One, I’m not a doctor and what I’m giving you here is just information – Not advice, diagnosis or treatment. If you want those things you need to visit a doctor – which I highly recommend.

In fact, I think you need to see both a dentist and a doctor. The bleeding gums is most likely due to your gum disease which you must address for the sake of keeping your teeth for the long run.

Here is some possible causes for canker sores:

  1. Immune system problems.

    Nutritional problems, such as a deficiency of zinc , folic acid iron or vitamin B-12.

  2. Allergies to certain foods – keep track of what you eat and see if it triggers a flare up.
  3. menstrual periods
  4. If you have any gastrointestinal (stomach or intestine problems) disease, this could be related.

Here is where you can get some ideas to take care of your canker sores at home: http://tinyurl.com/2codes

Ice and rinsing the mouth with salt water sound to be helpful.

Consider cutting some foods out of your diet and keep a log to see which foods seem to make the problem worse .

Start by cutting out all the milk you are drinking and see if that makes a difference in a week or so.

Keep a journal record of what you have cut out and that can help you pinpoint if there is a problem food in your diet.

One thing about doctors, you may have to go to a few more before you get one that can help you. If one doctor or even several can’t help you, keep looking, you may find one that can.

Try going to a GP instead of an ENT. Try going to a holistic or naturopathic doctor (if they have them in your state).

Have you asked a dentist about your problem? They may have insight from a different angle.

It’s good that you are not using any teeth whitening products – Don’t use them until your better – it’s better if you never use them to be honest.

Dry mouth could contribute to this problem. So consider using a mouthwash like biotene for your dry mouth before going to bed or waking up – only if approved by your doctor.

Ok, I think that should be enough information to get your started. The important thing for you is to find a doctor who will take your problem serious and work to find a solution. Also go to a dentist. You also probably need to continue brushing and flossing your teeth and do your best to make your gums healthy again – check with your dentist before proceeding any further.

I also think you might want to get checked for herpes. It’s a bit of a reach, but you may have more than one problem going on right now.

You said the periodontist didn’t see anything wrong but you believe your gums are inflamed? You might want to check with another doctor to be sure.

I hope that helps a bit. Please keep me updated about your progress and what works to fix your problem.

– Dave

* Please be advised that this post is for information / entertainment purposes only and if you have or think you might have canker sores or any other health problem, you should visit your doctor for diagnosis, advice and treatment. You should visit your dentist for advice, diagnosis and treatment of gum disease or any dental disease problem.

About the author

Dave