Canker Sores in Mouth

Canker sores (ulcers afiosa) are an open sore in the mouth that can cause pain, especially when the mouth is moved. Small canker sores with a diameter of less than one centimeter appear frequently in a group of 2 to 3 open sores and will disappear by it within 10 days without scarring. There is also large canker sores which takes many weeks for the healing process. Irregular shape and often leave scars. However, do not worry; this type of canker sores is rare.

Cause of Canker Sores

Although canker sores is often taken for granted, but canker sores can also be a very serious health problem. Here are 8 causes unexpected appearance of canker sores, as reported Boldsky

1. Bitten. This is the most frequent cause of canker sores occur. Usually this happens when you eat in a hurry. So, try to eat slowly and carefully.

2. Spicy foods. Very spicy foods can also cause canker sores. Because excessive eating spicy foods can increase your body heat. The accumulation of body heat in turn can be a cause of canker sores.

3. Injury due to brushing teeth. One of the other reasons for canker sores is to use a toothbrush too hard. If you use low-quality toothbrush, which is known to have a very hard bristles, the inner lining of the mouth you can get injured. It can also cause canker sores.

4. Herpes. Alert, herpes is one of the common viral infections that can also cause canker sores or sores in the mouth.

5. Hot food. When you get used to chew food in hot conditions, then you could be mouth sores and inflammation, so it will be risky to have canker sores. Try to cool your food before putting it in the mouth.

6. Skin irritation. Some chemicals can cause skin irritation which can also make you exposed to canker sores, one of which is the use of a very strong mouthwash.

7. Smoking. Smoking is one of the activities that can cause inflammation in the mouth. If you are a smoker and frequent canker sores, you should consult a doctor because it could be a symptom of oral cancer.

8. Deficiency of vitamin C. The most common causes of canker sores are caused by vitamin C deficiency, which causes the gums to bleed very easily.

Symptoms of Canker Sores

Pictures of Canker Sores

Canker sores can appear in the form of a small, large, or in large quantities. Canker sores can also appear repeatedly called recurrent or phrase.

Before the ulcer lesions, inflamed area usually feel sores like a punctured or burned. After 2 or 3 days later ulcer lesions formed on the inflamed area. The pain of Canker sores are small will usually disappear between 7 to 10 days, and these lesions will recover completely in 1 to 2 weeks. However, if the lesion size is quite large Canker sores lesion usually takes anywhere from a few weeks to several months to heal.

Canker sores that do not heal within 1 week you should immediately consult with your dentist. Because there are some other more dangerous diseases that form lesions similar to Canker sores, including dangerous diseases such as oral cancer.

How to Treat Canker Sores

Canker sores treatment is more focused on the reduction of pain symptoms. Gargling with warm water and eat soft foods can reduce the discomfort of canker sores.

Some medications are applied to the lesions can also protect from irritation lesions, including drugs Orabase. If necessary, the dentist may prescribe these drugs.

Rinsing with an antimicrobial mouthwash can also be done to prevent lesions from infection, so the healing process will be faster.

To accelerate Canker sores healing period you can also consume vitamin C plays a role in tissue repair.

For Canker sores are large enough, the lesions are usually treated by applying steroid drugs. These drugs can accelerate the healing process and prevent the lesions getting bigger.

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Right Side Back Pain

Right back pain can occur in two places on the body. This can occur on the right side near the upper thighs or hips may occur in the groin area where the hip joint is located. Back pain can be felt in the joint itself or in the tissue around the hip joint hip pain that makes it difficult to diagnose.

Disease-Related Symptoms of Right Side Back Pain

Arthritis

One form of arthritis that can affect your right thigh is osteoarthritis. Types of arthritis can affect people who have suffered a broken right leg or right pelvic area.

Avascular necrosis Waist

According to the Mayo Clinic, when blood flow to the broken right hip, a condition called Avascular Necrosis may occur. Bone tissue dies as a result of blood flow stops. Avascular necrosis usually affects the femur but can occur in other areas of the hip. Patients with this condition may experience pain radiating to the leg.

Bursitis

Bursitis is a condition that occurs when the 'market' or a fluid-filled sac surrounding tissues and joints become inflamed. Waist area is a common spot for bursitis occurs. Patients may experience pain, stiffness or redness around the area of ​​the joint.

Lupus

Patients with joint pain may have a condition called Lupus. Lupus is an autoimmune disease that attacks a person and causes tissue inflammation. Along with joint pain, patients may experience fatigue, fever, mouth sores and skin lesions.

Hip fractures

Hip fractures are common in patients over 65 years old. Hip fractures are also more common in women because of lost bone density as they age. Patients usually experience severe pain and unable to support the weight on the hips and legs are affected.

Hip labral Tear

Hip labral tear can affect athletes who have sports injuries. This disease occurs in tissue near your hip joint. In addition to pain, patients with hip labral Tear may feel inhibited movement inside or near the joint.

References: Mayo Clinic: Hip Pain Causes, The University Hospital: Hip Pain, Mayo Clinic: Avascular Necrosis

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Tuberculosis Arthritis & Rheumatoid Arthritis: Differences MRI overview

Arthritis Tuberculosis (AT) is generally a monoarticular disease that usually involves the spine and medium or large joints, such as hips and knees. Rheumatoid Arthritis (RA) is usually a symmetrical polyarticular disease with peripheral joint involvement common. However, AR may also manifest as monoarticular disease and survive for such a long time. RA and TB arthritis may have similar clinical characteristics, consisting of a chronic form of the periarticular soft tissue swelling, and similar radiological findings, such as periarticular osteoporosis, bone erosion, and the presence of joint effusion, differential diagnosis difficult. Actually, there are reports of cases of arthritis where TB is misdiagnosed as AR or juvenile AR. Value of MRI (Magnetic Resonance Imaging) has been supported in each of the two diseases because of superior soft tissue contrast and the ability to describe changes in cartilage, ligaments, and synovial tissue, especially in the evaluation of early changes. With MRI, the two diseases have been reported heterogenositas low signal intensity in the joint due to body mass, fragments of cartilage, and bleeding.

Monoarticular disease is most commonly caused by a contagious disease process but can also come from non-communicable diseases, such as metabolic or immunologic. In some cases, it is difficult to distinguish the origin of monoarticular disease. Differential diagnosis includes infectious arthritides, such as phylogenic arthritis or tuberculosis, or non-communicable diseases, such as synovial osteochondromatosis, pigmented villonodular synovitis, rheumatoid arthritis, gout, and hemophilic arthropathy, and many others. Appropriate treatment after an accurate diagnosis is essential for a good prognosis and improved joint function, final pathologic diagnosis usually requires a culture of synovial fluid or synovial biopsy or both.

Tuberculosis Arthritis & Rheumatoid Arthritis

RA is a chronic inflammatory arthritis, which affects approximately 1% of the population worldwide, leading to cartilage and bone breakdown and eventual loss of function. Arthritis, tuberculosis is the second in frequency of involvement with spinal tuberculosis, osteoarticular TB is estimated to occur in 1.5-3% of patients with musculoskeletal tuberculosis. The incidence of tuberculosis has increased over the last decade due to increased travel and immigration, an increasing number of elderly, chronically ill patients, or immunosuppression, and an increasing number of patients with AIDS.

RA and TB arthritis, may not only similar clinical manifestations, but also similar radiographic findings, such as periarticular osteopenia, marginal erosion with relatively late from the joint space, and increased joint effusion, which can make differential diagnosis difficult in some cases.

AR and TB arthritis synovial hypertrophy have chronic inflammation. However , on microscopic examination , AR synovium showed infiltration by plasma cells and lymphocytes with or without lymphoid follicles and fibrin deposits are often seen close to the synovial lining or in the stroma , whereas in rheumatoid synovium TB containing material such as fibrin and necrotic , caseous areas , and the number of leukocytes and mononuclear phagocytes . AR consists of articular disease manifestations immunoregulatory dysfunctions are linked by a complex process. In addition to lymphocytes and plasma cells, many different cells, as well as their variable products (cytokines), which contribute to the disease process Lymphocytes , plasma cells , and a large number of cells in the synovium produces many AR , hipervaskular , proliferative lesions , almost resembling a tumor , in response to a proliferative factor produced by activated immune response . In fact, synovial tissue taken from knee arthritis can weigh up to 500 grams or more, in contrast to normal synovium in the knee, which in total is usually, weigh less than 5 grams.

Nonuniform and a greater degree of synovial thickening is more frequent in the AR (p <0.01), the thicker the synovial membrane, the more likely the AR (p <0, 01). TB arthritis bone erosion greater (p <0.01), and the possibility of TB arthritis increases proportionally with the increase in the size of bone erosions (p <0, 01). Rim enhancement in bone erosion in arthritis TB more frequently (p <0, 01). Extra articular cystic masses more and more often seen in arthritis TB (p <0, 01).

Uniform synovial thickening, bone erosion size, rim enhancement in the area of bone erosion, and extra articular cystic masses more often and more on TB arthritis. MRI may help in the differentiation between RA and tuberculosis arthritis.

Reference: AJR 2009; 193:1347-1353

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