Recurrent Mouth Ulcers
Pediatrics Niharika•Gender: Female•Age: 9 years (Pediatric)• Chronicity: 1 year
Presenting Complaints & History
- Painful, shallow ulcers on the inner lips, cheeks, and tongue
- Difficulty chewing, swallowing, and speaking during flares
- Profuse salivation and mild fever
- Frequent crying and irritability due to pain
Clinical Assessment
Aphthous ulcers recurring every 3-4 weeks. Standard local gels provided only temporary pain relief, with ulcers taking over 10 days to heal.
Diagnostic Investigations: Hemoglobin at 11.0 g/dL; serum ferritin and B12 levels borderline low.
Homeopathic Therapeutics & Management
Constitutional therapy to reduce oral mucosal sensitivity, correct underlying digestion issues, and support mucosal healing.
Selected Constitutional Remedies: Borax and Merc Sol
Lifestyle & Nutritional Support
Inclusion of B-complex rich foods, avoiding spicy and acidic foods, and maintaining gentle oral hygiene.
Clinical Outcome
Follow-up Period: 5 months- Interval between ulcer episodes extended to over 5 months
- Ulcer healing time reduced from 10 days to a quick 2-3 days
- Significant improvement in chewing, speaking, and eating comfort
- Sustained improvement during follow-up with resolved mucosal swelling
✓Medically reviewed by Dr. Navaneeth K. Unni
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