-IBIS-1.7.6-
tx
eyes/ears/nose/throat
aphthous stomatitis
Nutrition
dietary guidelines
eating principles:
elimination/rotation diet, rotation diet, rotation diet expanded
high complex carbohydrates
low gluten, if applicable.
therapeutic foods:
acidophilus in tablets, liquid, or yogurt (Bricklin, p. 62)
foods rich in flavonoids
specific remedies:
apply the ash of charcoaled eggplant to mouth sores (Ni, p. 161)
take 1-2 fresh pomegranates, discard the skin and save the seeds. Crush them, add water and simmer, then strain to obtain the liquid. Let this cool, then use as a mouth wash
(Yin-fang and Cheng-jun, p. 26)
take two pieces of pickled plum (plums soaked in vinegar), including the pits, and crush. Add a little table salt and one cup of boiling water. Mix and when cool use as a mouthwash to gargle two to three times per day. (Yin-fang and Cheng-jun, p. 36)
avoid:
Highly acidic foods: citrus, strawberries, cherries; sweet juices, spicy, hot foods, alcohol, shellfish, coffee, fried foods
Eliminate allergies and food intolerances; it is especially important to rule out gluten sensitivity.
Note: Two studies have shown that if you remove gluten from the diet of patients with celiac disease, complete remission of the recurrent aphthous stomatitis results.
(Ferguson, et al. Br Med J 1975;1:11-13; Hay KD, Reade PC. Oral Surg Oral Med Oral Pathol 1984;57:504-507; Wray D. Dig Dis Sci 1981;26:737-740; Wray D, et al. Oral Surg Oral Med Oral Pathol 1982;54:338-395; Wright A, et al. Br Med J 1986;292:1237.)
Avoid use of toothpastes containing sodium lauryl sulfate (SLS) as several researchers have found that its use contributes to the incidence of mouth ulcers and that eliminating use can contribute to resolution of the problem. (Herlosfson BB, Barkvoll P. Acta Odontol Scand 1994;52:257-259; Chanine L, et al. Compend Contin Educ Dent 1997;18:1238-1240; Herlosfson BB, Barkvoll P. Acta Odontol Scand 1996;54:150-153.)
supplements
Multivitamin & mineral supplements (Wray, et al. J Oral Path 1978;7:418-423.)
Vitamin B-complex (Bricklin, p. 63; Palopoli J, Waxman J. South Med J 1990;83:475-477; Haisraeli-Shalish M, et al. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;82:634-636.)
Vitamin C: 1gm per day
Vitamin E (Bricklin, p. 64)
Zinc gluconate (Bricklin, pp. 63-64)
Zinc picolinate: 25 mg per day.
Zinc lozenges
Lactobacillus mouth rinse: two to three times per day. (Gerenrich RL, Hart RW. Oral Surg 1970;30:196-200.)
Quercetin (Kowolik, et al. Br. Dent. J. 1978;144:384-389.)
footnotes
Chanine L, Sempson N, Wagoner C. The effect of sodium lauryl sulfate on recurrent aphthous ulcers: a clinical study. Compend Contin Educ Dent 1997;18:1238-1240.
Ferguson, Bashu, Asquith, Cooke. Jejunal mucosal abnormalities in patients with recurrent aphthous ulceration. Br Med J 1975;1:11-13.
Abstract: Jejunal biopsy of 33 patients with RAS showed 8 to have the villous atrophy typical of celiac disease along with histological signs of immunological reactions to food allergens. The remaining patients also exhibited these types of signs, but to a lesser degree.
Gerenrich RL, Hart RW. Treatment of oral ulcerations with Bacid (Lactobacillus acidophilus). Oral Surg 1970;30:196-200.
Haisraeli-Shalish M, Livneh A, Katz J, et al. Recurrent aphthous stomatitis and thiamine deficiency. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;82:634-636.
Hay KD, Reade PC. The use of an elimination diet in the treatment of recurrent aphthous ulceration of the oral cavity. Oral Surg Oral Med Oral Pathol 1984;57:504-507.
Herlosfson BB, Barkvoll P. Sodium lauryl sulfate and recurrent aphthous ulcers. A preliminary trial. Acta Odontol Scand 1994;52:257-259.
Herlosfson BB, Barkvoll P. The effect of two toothpaste detergents on the frequency of recurrent aphthous ulcers. Acta Odontol Scand 1996;54:150-153.
Kowolik, Muir, MacPhee. Di-sodium cromoglycate in the treatment of recurrent aphthous ulcers. Br. Dent. J. 1978;144:384-389.
Abstract: Cromoglycate, an anti-allergy drug very similar in action to quercetin, was shown to increase the number of ulcer-free days and provide mild symptomatic relief.
Nolan A, et al. Recurrent aphthous ulceration. J Oral Pathol Med 1991;20:389-391.
Palopoli J, Waxman J. Recurrent aphthous stomatitis and vitamin B12 deficiency. South Med J 1990;83:475-477.
Porter SR, et al. Hematologic status in recurrent aphthous stomatitis compared to other oral disease. Oral Surg Oral Med Oral Pathol 1988;66:41-44.
Werbach MR. Nutritional Influences on Illness, Second ed; Tarzana, CA: Third Line Press, 1993, 56. (Review)
Wray D, et al. Food allergens and basophil histamine release in recurrent aphthous stomatitis. Oral Surg Oral Med Oral Pathol 1982;54:338-395.
Wray D, Ferguson, McLennan, Dagg. Nutritional deficiencies in recurrent aphthae. J Oral Pathol 1978;7:418-423.
Abstract: It was found that of 330 patients with recurrent aphthous ulcers 14% were deficient in iron, folate or Vitamin B12, or a combination of these nutrients. When these deficiencies were corrected, the majority had complete remission.
Wray D. Gluten-sensitive recurrent aphthous stomatitis. Dig Dis Sci 1981;26:737-740.
Wright A, et al. Food allergy or intolerance in severe recurrent aphthous ulceration of the mouth. Br Med J 1986;292:1237.