Sunday, April 1, 2012

Mouth pain


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Herpes Simplex

Herpes Simplex Type 1-virus causes infections in the mouth area. The beginning symptoms are itching and burning of the lip. Small blisters then develop, and covered with scabs after about a week. There is often an accompanying bacterial infection, which can prolong the duration of the episode.

Treatment consists of local medications that treats the herpes virus symptoms. They work better if started at an early stage of the symptoms. If there is an accompanying bacterial infection, antibiotic ointments are required.



Mucous Membrane Problems

Different types of changes such as color changes, blisters, and ulcers can occur due to infections and poor hygiene. Sometimes the mucous membrane in the mouth can be injured by food that is too hot. This usually will get better in a few days.

Viral infections can be detected in the mucous membranes in the mouth, and these are usually caused by the herpes virus. The first infection caused by the herpes virus, usually happens in childhood. Various factors such as colds, stress, tooth extraction, and menstrual periods can activate the virus.

Many other viruses can cause symptoms in the mouth area. Many skin diseases such as lichen ruber planus can cause changes in the mouth’s mucous membranes.

Treating the changes in the mouth’s mucous membranes is difficult, because it is difficult to keep the medication in its place. Rinsing with antibacterial rinses is worth trying. Try a moistened teabag to treat ulcers of the mouth.

Tumors of the mouth are also a possibility, so it is recommended to see a doctor when the problems continue.

Avoid foods that are irritating, too hot, or spicy. Some patients get relief from the regular use of dairy products such as yoghurt and sour milk.



Toothaches

The most common reasons for toothache are the development of cavities due to caries. The first symptom may be shooting pains in the teeth when eating sugary foods. As the hole gets bigger, appear shooting pains caused by cold and hot. If eating cold or hot foods or beverages causes prolonged pain, the tooth may be infected at its core.

Toothaches can radiate from the upper jaw toward the temples and from the lower jaw toward the ear. Examination shows that the tooth feels painful when tapped on and during a dental check-up. If necessary, an x-ray will confirm the diagnosis.

It is necessary to have cavities treated as early as possible. Treatment consists of removal of the destroyed tooth tissue and filling the cavity. If the root infects, a root canal may be necessary.

Over-the-counter anti-inflammatories can be used as self-treatment. It is, however, needed to see a dentist. A cold compress can be placed on the painful area.



Gingivitis

Gingivitis can also cause pain in the teeth. It may be caused by poor oral hygiene, formation of tartar, poorly fitting dentures, and edges of fillings. If this problem proceeds, the result may be infection of the deep tissue.

Treatment in milder cases consists of improved oral hygiene and removal of irritating local factors. Self-treatment consists of careful brushing and flossing. In tough cases local antibacterial treatments and sometimes even antibiotics may be used.

Tongue Pains

Pain in the tongue may be caused by a fungus. Yeast infections in the mouth can be found in 50 percent of people who have no symptoms. Many factors such as diabetes, lack of vitamin B12 or iron, improperly fitted dentures, antibiotics and poor oral hygiene may make one vulnerable to yeast infections.

Lack of adequate saliva production may be an enabler. Arthritis, the Sjögren Syndrome, or LED may cause a decrease in saliva production. Some blood pressure medications, antidepressants, tranquilizers or allergy medications may cause the same kind of reaction.

The dryness can be treated with mouthwash, ointments or lozenges made for this purpose. Try a local application of vegetable oil. Avoid alcohol-based mouthwashes because they can increase the dryness of the membranes. The same goes for sour and spicy foods.

A yeast infection may appear in the form of red membranes, shiny tongue or a light covering on the tongue and membranes. Try to reduce factors that predispose to infection. Recurrence of infections is common.

Pain in the tongue can be caused by lack of vitamin B12. A third of patients with anemia receive oral symptoms. Intestinal illnesses, dieting or excessive alcohol use may cause pain in the tongue. Patients with the Sjögren Syndrome may experience pain due to dryness of the mucous membranes even if no yeast infection is present.



Pharyngitis

Pharyngitis is common. It can be caused by viruses or bacteria. When a sore throat combines with congestion or a cough, the reason is most likely a virus. Viral infections are often accompanied by muscle pain. Usually the sore throat is not terribly serious in this case, the fever is reasonable, and the general condition of the patient is good.

The most common viral infections in children are adenoviruses. Mononucleosis spreads via kissing and is common in young people. The lymph nodes in the neck enlarge with mononucleosis and can cause even strong pain and perhaps even difficulty swallowing. There is no medication for viral infections.

If the sore throat persists without there being any other respiratory symptoms, there is a possibility of tonsillitis. Here the tonsils swell, white spots form on them, and a high temperature is likely. Tonsillitis, caused by streptococcus needs treatment in order to prevent complications as infections in the heart, kidneys or joints.

The diagnosis can be confirmed by a throat culture. This helps avoid unnecessary antibiotic treatment. It is difficult to distinguish between a bacterial or viral infection by examination. The treatment for bacterial infections is usually antibiotics.

If antibiotics are not necessary, rest, gargling, and other treatments that alleviate the symptoms are prescribed.

A morning sore throat without any other symptoms is usually due to enlarged adenoids or tonsils. Because breathing through the nose is restricted, sleeping with the mouth open dries the mucous membranes, and causes pain. As first aid, try drinking something warm, which usually alleviates the pain. People who snore, may also experience this kind of morning sore throat, caused in the same way.

When suffering from pharyngitis, it is essential to drink lots of liquids and get enough rest. If necessary, over-the-counter anti-inflammatories or flu medication may be used.

Try gargling with a solution consisting of a tablespoon of salt or baking soda mixed with a glass of water. This alleviates the pain. Some cough medicines can also be used for gargling.

Over-the-counter throat lozenges or drops can be used to alleviate the pain temporarily.

Many people think that taking a lot of vitamin C will speed up recovery.

Throat Abscess

Abscesses may sometimes develop in the upper part of the throat. The symptom in this case is a sore throat that may radiate pain towards the ear. It may be difficult to open the mouth and speaking may be difficult.

Usually this symptom appears after a common pharyngitis. If antibiotics were prescribed for that, the symptoms may temporarily disappear. Examination shows a one-sided swelling in the area of the abscess. Treatment consists of surgically lancing the abscess. In the case of children, the tonsils are often removed concurrently.


Vocal Cords Problems

If there are other symptoms apart from a sore throat, such as hoarseness and possibly a cough, an infection of the vocal cords may be suspected. This is usually treated with antibiotics. Diagnosis can be confirmed by viewing the vocal cords with a speculum.

In the case of infected vocal cords, it is crucial to relax the vocal cords and speak only when necessary. Whispering is more stressful to the vocal cords than normal speech and should be avoided. In the worst phase of the infection, one can use notes in writing.

If the patient starts feeling worse rapidly, has problems swallowing saliva and feels better when the head is tipped forward, it is advisable to visit the emergency room to rule out the possibility of an infection of the epiglottis. The doctor can check the epiglottis with a speculum; if infectious changes are visible, the patient needs to be hospitalized. Antibiotics usually cure the infection.

Emergencies

A sore throat with white spots on the tonsils, but no other symptoms of a respiratory infection.
A sore throat accompanied with worsening general condition and problems swallowing saliva.
A sore throat with a rapid worsening of general condition.
A sore throat people in your immediate surroundings have had pharyngitis that required antibiotics.
Suspicion of an abscess in the throat.

See a Doctor

A persistent pharyngitis.
Changes in the mucous membranes of the mouth that heal slowly.
See a Dentist

Continuing toothache.
Pain in teeth or gums.

Mouth pain, more information:

Wikipedia about cold sores.
Otolaryngology Houston pictures of acute tonsillitis.
Ear, Nose & Throat Health Care Providers pages photos of mouth problems.
Netdoctor.co.uk about toothache.
Mayo Clinic pages about the infection of the tissues that surround and support the teeth, periodontitis.
Wikipedia on inflammation of the gum tissue, gingivitis.
MedlinePlus on tongue problems.
Emedicine about pharyngitis.
Wikipedia on peritonsillar abscess.
Otolaryngology Houston pictures of peritonsillar abscess.
Emedicine pages about vocal cord problems.

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