[39F] With painful mouth ulcers and dry lips

What might be happening

Based on the symptoms you've described, here are some possible explanations:

• Oral Thrush (Candidiasis): This is a fungal infection in the mouth that can cause white patches, a burning sensation, and painful swallowing. It is more common in people who wear dentures, use inhaled steroids, or have a weakened immune system.

  • Treatment: Antifungal medications prescribed by a doctor can help clear up the infection. Good oral hygiene and cleaning your dentures thoroughly can also help prevent recurrence.

• Aphthous Stomatitis (Canker Sores): These are small, painful ulcers that can appear on the tongue, inside the cheeks, or on the gums. They can be triggered by stress, minor mouth injuries, or certain foods.

  • Treatment: Over-the-counter topical treatments, mouth rinses, and avoiding spicy or acidic foods can help manage the pain and promote healing.

• Dry Mouth (Xerostomia): This condition can cause dryness of the lips and mouth, making it easier for sores and infections to develop. It can be caused by dehydration, certain medications, or medical conditions.

  • Treatment: Staying hydrated, using saliva substitutes, and avoiding tobacco and alcohol can help alleviate dry mouth.

• Oral Lichen Planus: This is a chronic inflammatory condition that can cause white patches, painful sores, and a burning sensation in the mouth. It is often associated with an autoimmune response.

  • Treatment: A doctor may prescribe corticosteroids or other medications to reduce inflammation and manage symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

1. Maintain Good Oral Hygiene: Brush your teeth twice a day, floss daily, and clean your dentures thoroughly.
2. Stay Hydrated: Drink plenty of water to help alleviate dry mouth and keep your mouth moist.
3. Avoid Irritants: Stay away from spicy, acidic, or rough-textured foods that can aggravate your mouth sores.
4. Use Over-the-Counter Treatments: Consider using topical treatments or mouth rinses designed for canker sores or dry mouth.
5. Manage Stress: Practice stress-reducing techniques such as deep breathing, meditation, or gentle exercise.
6. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Persistent or Worsening Symptoms: If your symptoms do not improve or get worse despite home care.
• Fever or Chills: These could indicate an infection that requires medical treatment.
• Difficulty Swallowing or Breathing: Severe pain or difficulty swallowing or breathing should be evaluated by a healthcare professional.
• Unexplained Weight Loss or Fatigue: These could be signs of an underlying condition that needs medical attention.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.