tongue ulcer
Introduction
Introduction Tongue ulcer is a type of oral ulcer. Tongue ulcer, commonly known as "oral fire" or "mouth sore", is a kind of localized mucosal ulceration characterized by periodic recurrent hair. It can heal itself and can occur in any part of the oral mucosa. To improve ulcers, you can eat foods that contain high levels of zinc, such as animal livers and seafood. You can also eat zinc selenium tablets, which is better.
Cause
Cause
1. Digestive diseases and dysfunction
Patients with systemic diseases are prone to oral ulcers, mainly by affecting the immune system. Oral ulcers are associated with gastric ulcer, duodenal ulcer, ulcerative colitis, localized enteritis, hepatitis, and the like. Studies have shown that 30% to 48% of patients with oral ulcers have digestive tract diseases such as bloating, diarrhea or constipation. More than 9% of them have digestive ulcers.
2, endocrine changes
Some female patients often occur during menstruation and may be associated with decreased estrogen levels in the body. Some women may have oral ulcers before or after menstruation or menstruation. The medication can only be temporarily relieved. It will still appear as usual in the next month, and the pain is unbearable. At the same time, it is often accompanied by dry mouth, upset, irritability and Annoying symptoms such as dry stools. Clinical studies have found that oral ulcers during menstruation are mainly caused by decreased levels of progesterone (progesterone, etc.) in the body.
3. Mental factors
Some patients develop symptoms in the case of mental stress, mood swings, and poor sleep conditions, which may be related to autonomic dysfunction.
4, genetic factors
If both parents have recurrent oral ulcers, about 80-90% of their children are sick. If one of the parents suffers from the disease, about 50-60% of their children are sick.
5, other factors
Such as the lack of trace elements of zinc, iron, lack of folic acid, vitamin B12 and malnutrition, etc., can reduce immune function and increase the possibility of recurrent oral ulcers. The virus may be the initiator of oral ulcers, but no related antibodies have been detected in the serum of patients, and no reports of virus isolation from oral ulcer tissue have been reported. The role of bacteria in oral ulcers has been proposed for many years, and bacteria closely related to oral ulcers are Streptococcus sanguis and Helicobacter pylori [14]. Unbalanced production and clearance of superoxide free radicals, imbalance of thromboxane B2 and 6-keto prostaglandins, and decreased overall levels can cause oral ulcers. The microcirculatory disorder causes slow blood flow, low blood flow, and dilated capillary diameter in the capillary vein, causing ischemia and hypoxia, causing mucosal membrane damage and ulcer formation. There is a certain correlation between serum zinc deficiency, iron deficiency and high copper in the occurrence of RAU. It has been reported that smoking cessation can also induce oral ulcers. The ingredient in the toothpaste, sodium 12-alkyl sulfate (SLS), may irritate the mucous membranes and induce oral ulcers.
Examine
an examination
Related inspection
Trace elements in the human body, endocrine function test, blood test
Because the cause is unknown, the diagnosis of oral ulcers is based entirely on medical history and clinical manifestations, and lacks laboratory indicators that can be used as a basis for diagnosis. Oral ulcers indicate that the body may have underlying systemic diseases, such as diseases of the gastrointestinal, blood and endocrine systems, but most of the patients in the clinic are healthy and have no systemic diseases.
Diagnosis
Differential diagnosis
Tongue pain:
It is the same as tongue burning and tongue fever, and it is the subjective feeling of tongue. Common in middle-aged or elderly women, or local pain, or burning sensation, or local fever, different in nature and degree, with the most sensitive tip of the tongue. Fatigue, alcohol or irritating food can increase discomfort, and no abnormal findings are found in the oral examination. The disease is mostly related to mental factors, and may also be associated with systemic diseases such as pernicious anemia and niacin deficiency. On the one hand, necessary examinations should be carried out to detect and treat systemic diseases in a timely manner; at the same time, patients' concerns should be relieved and the mood should be maintained. Take Chinese medicine treatment if necessary.
