Recurring mouth ulcers. On tonact-tg, vitamin-E, folic acid for high cholesterol, triglycerides. What is the cause?
Patient: I am 47 years old.just two months before i had my lipid profile done and my cholestrol and triglycerids both were high.so i was advised tonact-tg for two months with vitamin e tablet also and miltivitamins too.I am pure veg.I also do exercise ( gym/ yoga ) thrice four times a week.When ever I have time I also go for long walks.But now i am facing problems with mouth ulcers frequently in very mild form.I take folic acid tablets too.But it gets cure and comes back again.So is this due to tonact or some other problem.Please advice some remedial measures.Shall I do my tests again.hope for the answer soon. Doctor: Hello, There are different types of mouth ulcers that can occur in different physical conditions. Practically  higher cholesterol and triglycerides does not directly relates to any type of mouth ulcer. The anti-lipid drug that has been prescribed to you is also not related to formation of any mouth ulcers. But in suppressed physical condition some different mouth ulcers can occur. It is extremely difficult to diagnose such ulcers without seeing them. Your history of occurrence  "gets cure and comes back" shows that the ulcer is most probably Recurrent Apthus ulcer. A picture of that ulcer will confirm the diagnosis. If the ulcer is painful you can use Zytee or Mucopain cream 3 to 4 times a day to reduce pain. The actual treatment of mouth ulcers can only be done after confirming the diagnosis. For that you have to contact some local dentist( preferably a specialist in oral medicine whom you can found in nearby Dental College or hospital) or send your details here including photograph of the lesion. Stay well. Thank you