Mouth blisters are very common. Other day, a lady came to me with blisters on her palate –she had got it for the first time. Any relevant history? –she said that just a few hours ago, she had taken Golgappa (paani-puri- an Indian snack commonly sold on road-side stalls). She said there was something wrong in that only.
It is quite understandable. These days for using the tamarind, many vendors use tartaric and citric acids which,if used uncontrolled, obviously are quite injurious for the mouth. In that lady also she had got the chemical burn from such contents. When made aware, she said s he would never have those in future. I have also taken a similar pledge.
In this photograph you are looking at the mouth ulcer in a 20year old girl. She has 2-3 blisters on the lip also. These are very painful. These are sometimes also known as aphthous ulcers.
Reason ? –it is still an enigma. I have grown listening these are due to worms infestation, gastric problems, hormonal imbalances, autoimmune reasons – I also don’t know why these happen but they do crop up every now and then in susceptible individuals.
When I see such patients, I just check out whether they are taking too much of junk food which obviously leads to deficiency of so-many essential micronutrients. So, I try my best to motivate them to adopt a healthy life-style, daily do some physical activity and eat a well-balanced nutritious diet, that’s all.
And regarding pain in these ulcers, most of the times I don’t recommend an antibiotic. It is still given by many doctors – it does not serve any purpose. Since my earlier days in the profession, I was never convinced that broad spectrum antibiotics can play any role in their healing or preventing recurrence.
I definitely recommend an antiseptic analgesic mouth gel for these ulcers and patients are required to apply that gel with clean finger 3-4 times a day particularly before eating anything. And for eating, only bland diet is recommended. No spices, no chillies , no acidic stuff till these blisters are healed up. I tell my patients to make it a point to spit out the contents ( of this gel) before taking meals, but even if little bit is ingested, it is okay. And if one can use some antiseptic mouthrinse like Betadine gargle etc during those 2-3 days, it helps in keeping the mouth clean thereby hastening the healing process.