Mouth ulcers sle
by Nathan Wei, MD, FACP, FACR
Nathan Wei is a nationally known board-certified rheumatologist and author of the Second Opinion Arthritis Treatment Kit. It's available exclusively at this website... not available in stores.
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Mouth or nose ulcers have been reported in 12 to 30% of lupus patients, depending on the study. They can be a tip off to diagnosis.
They most often occur in the mouth on the hard or soft palate but may also be found on the nasal septum.
These may be painless particularly if located on the hard palate…or they may be very uncomfortable. Lupus related ulcers may persist for weeks as opposed to painful canker sores which usually last for a shorter period of time.
Treatment is pretty straightforward. Rinse your mouth with salt water and eat soft foods if you have mouth ulcers. A number of other treatments and preparations are available to treat mouth ulcers as well as those in the nose and vagina.
Several medications used to treat lupus can cause gastrointestinal (GI) disturbances, such as heartburn, upset stomach, nausea, vomiting, or painful mouth ulcers.
If you are having GI problems, tell your doctor or nurse immediately. Because many of these problems are related to how and when a medication is taken, the dose or schedule can sometimes be changed to reduce or stop the side effects. In some cases, the doctor may change the drug. Many medications can be taken with food, which helps reduce side effects. If you have mouth ulcers, liquid forms of the drugs you are taking may be available. In addition, local anesthetics can decrease the pain of mouth ulcers and make swallowing easier.
One patient reports her experience…”After being plagued from the start with mouth ulcers ...I have recently discovered that taking 1000mg of L-Lysine and using a toothpaste that is Sodium Lauryl Sulphate free has cleared up my ulcers."
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