[39F] Experiencing mouth ulcers, cough, and diarrhea

Patient Description

A 39-year-old female presents with a painful mouth ulcer that has not healed for three weeks, with new sores appearing. The ulcer is the size of a fingernail, located on the gum in the very back and bottom of the mouth, with white coloration and red, inflamed, puffy gum tissue surrounding it. Additionally, she has been suffering from moderate, forceful coughing attacks for a month, which worsen with movement, and watery diarrhea approximately four times daily for three months. She also reports a loss of appetite over the same period. The patient has a history of bipolar disorder and is currently taking Spironolactone, Vilazodone, and Aplenzin. No known allergies to medications have been reported, and there is no blood in the stool or recent travel that could explain the symptoms. No significant weight changes have been noted, as the patient does not weigh herself regularly.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Oral Ulcers: These are often caused by minor injuries or stress, but can also be a symptom of a more serious condition such as oral cancer or a viral infection like herpes simplex.

    • Treatment usually involves managing the symptoms while your body fights the illness. Over-the-counter solutions to ease pain and inflammation may be helpful. If the ulcer is caused by a viral infection, antiviral medication may be prescribed.
  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a bacterial or viral infection. It can cause diarrhea, vomiting, and abdominal pain.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. If symptoms persist, a doctor may prescribe antibiotics or antivirals.
  • Chronic cough: This can be due to a variety of causes, including postnasal drip, GERD, asthma, and certain medications. Given that you have been experiencing this for a month, it would be best to consult a healthcare provider.

    • Treatment depends on the underlying cause. It may involve medication to treat the root cause or lifestyle changes.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider who can evaluate your symptoms and medical history in person.

What you can do

  1. For your mouth ulcer, try rinsing your mouth with a saltwater solution or over-the-counter mouth rinse to ease pain and inflammation. Avoid spicy or acidic foods that can irritate the ulcer.
  2. Stay hydrated and eat bland, soft foods to help manage your diarrhea. Over-the-counter anti-diarrheal medication may also be helpful.
  3. For your cough, try to rest and stay hydrated. Over-the-counter cough suppressants may provide some relief. Avoid irritants such as smoke and dust.

What you should look out for

You should seek immediate medical attention if:

  • Your mouth ulcer continues to grow, becomes more painful, or does not improve after two weeks.
  • Your diarrhea persists for more than a few days, you see blood in your stool, or you become dehydrated (symptoms of dehydration include extreme thirst, dry mouth, dark yellow urine, and fatigue).
  • Your cough worsens, you cough up blood, or you have difficulty breathing.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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11 mo ago

People Also Ask


What could be causing my persistent mouth ulcer?

Persistent mouth ulcers can be caused by stress, minor injuries, or more serious conditions like oral cancer or viral infections such as herpes simplex. It's important to consult a healthcare provider for a proper diagnosis.


How can I manage my chronic cough at home?

To manage a chronic cough at home, try staying hydrated, using over-the-counter cough suppressants, and avoiding irritants like smoke and dust. Rest is also important. If the cough persists, consult a healthcare provider.


What are the possible causes of my prolonged diarrhea?

Prolonged diarrhea can be caused by infections, food intolerances, or chronic conditions like irritable bowel syndrome. It's important to stay hydrated and consult a healthcare provider if symptoms persist.


Could my medications be contributing to my symptoms?

Some medications can cause side effects like cough or diarrhea. It's important to discuss your symptoms with a healthcare provider to determine if your medications might be contributing to your symptoms.


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