White Spots on Your Throat - What Are They?

Canker Sore On Gums - White Spots on Your Throat - What Are They?

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When you look in the mirror do you notice little white spots on the back of your throat?

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If so, then you most likely are searching through books and websites trying to self diagnose these white spots, fearing the worst. It could be some sort of strep throat. It could be "thrush"- a yeast infection in your mouth. Or it could be tonsilloliths.

Tonsilloliths or "tonsil stones" are little white or yellow balls of built up food, dead white blood cells and other particles in your mouth.

Ask yourself this: - Do you have a sore throat that accompanies the white spots on your throat? - Do you have trouble swallowing or does it feel like something is stuck on the back of your throat? - And, do you have really bad breath?

If you have answered Yes to any of the above, then those white spots on your throat are most likely tonsil stones. Tonsil stones occur in some people and not in others. Experts suggest that overactive salivary glands, an excess of oral bacteria, larger tonsils and bigger tonsil crypts, or crevices, all play a factor in tonsil stones.

Tonsil stones are not life threatening or even dangerous. They are just annoying as they can be irritable and also cause embarrassment. They have quite a strong unpleasant odour caused by the build-up of bacteria. Tonsil stones, similar to tarter, will continue to grow and harden with time. While some tonsil stones are only the size of a pea, others can grow as big as a marble.

Removing tonsil stones can be quite difficult. Some people simply sneeze or flex their throat and these white spots will remove themselves. Others have to use a toothbrush, a Q-tip or their finger to scrape at the tonsil stones. Others opt to have their tonsils surgically removed or lasered if the problem becomes too much.

If you are prone to these annoying white spots on your throat, then you need to ensure that you practice good oral hygiene. Adding baking soda to your toothpaste can also combat against the bad odour as well as chewing on mint, thyme or parsley leaves during the day.

And keep in mind that those yucky white spots on your throat as more common than you may think. You are not alone.

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Inflamed Gums? What You Should Know About Gum Disease

Gums - Inflamed Gums? What You Should Know About Gum Disease

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Do you have inflamed gums? What should you do?

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About Gums

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I know that most people do not like to go for their regularly scheduled dental visits, but by not doing so they set themselves up for further pain down the road. I will tell you straight up that this is true for most people but their are alternative theories out there. I know a dentist who does not believe in getting her teeth cleaned and has not done so for over twenty years.

However, she has a whole different way of going about things that is beyond most people. You should not try going without professional help or you are likely to get into trouble. She is an expert. You are not. You do need someone to look at your gums and teeth to see what is going on.

If your gums are inflamed, there could be a few different causes. However, there is a good chance that you are facing gum disease or gingivitis. With inflamed gums, you may very well experience discomfort.

You should go visit a periodontist if at all possible. Periodontist are dentists who have additional training and focus on gum tissue health and disease. I can tell you from personal experience that I received better treatment and diagnosis from a periodontist rather than the regular dentist.

In fact, I consider my old dentist to be so inept that I will never go see her again. I don't intend to be mean spirited about it, that is just the way it is. There is no need to stay with a professional that you do not trust or respect. Once trust is broken, the relationship is over in my book.

If your gums are inflamed, make an appointment with your periodontist. If you cannot get in right away there are a few things that can help to relieve symptoms. Essential oils, such as oil of oregano seems to have produced good results for a number of people. However, don't do this unless instructed to do so by a licensed physician.

Look below to find the links that will lead you to more information on gum disease and what you can do to stop it and prevent it from coming back. These are things you can do at home to supplement your office visit.

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Gum Disease

Gums - Gum Disease

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Gum disease, also known as periodontal disease, is where the tissues that support your teeth have an infection. Although it may look as though the gums are attached very high to the teeth, it's not as high as it may look. The small v-shaped gap is called a sulcus between the tooth and gums. The infection stems from the sulcus. When the disease damages the tissues, the sulcus develops into a pouch. The more severe the disease is, the greater the depth of the pouch is. If the disease gets bad enough you might have to visit a periodontist for special attention.

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Periodontal disease is usually caused by plaque collecting on your teeth and gums. Plaque is an invisible sticky layer of germs that contains bacteria that irritate and damage the tissues and teeth. Depending on how severe it is depends on how the gum diseases are classified. The two main phases of the disease are gingivitis and periodontitis. Gingivitis is a more mild form of the disease that only affects the gums and can be taken care of if seen by a dentist. Periodontal disease, however, can not be taken care of as easily. This is when the disease eventually leads to more critical forms of the disease like periodontitis. When you have Periodontitis, this can lead to having your teeth become loose and even falling out. This can also lead to infection in the gums, sulcus, and the bone. If you don't get the plaque off of your gums in a timely manner, it will harden and form a calculus crust. Once this calculus is on your teeth, it is almost impossible to remove it without the help of a dentist.

There can be many different signs that can let you know that your gums are becoming infected. Tissues bleeding when brushing teeth, inflamed and even sore gums, permanent teeth that are loose or separating, persistent bad breath. Sometimes there aren't any signs that there are problems so getting a regular check up with your dentist would be highly recommended. If any kind of infection is beginning to occur, your dentist will see it and be able to take care of it effectively. The earlier you can catch this disease, the better off your gums will be. Females are more likely to get this disease during pregnancy and while taking birth control because of the hormones.

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Scalp Sores - What Causes Them and How to Get Rid of Them

White Sore - Scalp Sores - What Causes Them and How to Get Rid of Them

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Sores on the Scalp

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Scalp sores are more common than you might think. There are a few things that might cause this itchy and uncomfortable condition. Some of them are contact dermatitis, a viral infection, scalp acne, folliculitis, cyst, or skin cancer. Some people experience sores and bumps in conjunction with contact dermatitis, an irritant or allergic reaction to something. The usual culprit is chemicals in the many hair products we use. Sores may also be caused by a viral infection. Some examples are chicken pox and shingles.

If this is the case it is likely that the bumps will appear on other areas of the body as well. It is also possible for cysts to appear on the scalp as they do in other areas of the body. Folliculitis occurs when the hair follicle is left open due to an overly dry scalp. Bacteria then will become trapped causing the hair follicle to become inflamed and bumps or sores to occur. Acne can also occur on the scalp with many of the same cause we see for facial acne, hormones and stress being two of the most common. Both folliculitis and scalp acne may vary greatly from only a few bumps and pimples to large outbreaks with boils and sores. Skin cancer can occur on the scalp, most often in an area that has little or no hair covering it.

If you have a mole that has grown or changed, or a sore or irritation that will not go away it is a good idea to have it checked out by a dermatologist. Herbal based shampoos that help to balance the scalp can be the best solution for long term results for these types of problems. Drug store and grocery store shampoos can even lead to more damage of the scalp so be careful which products you choose.

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5 Reasons Little White Bumps Are On Your Face and How to Get Rid Of Them

White Sore On Gums - 5 Reasons Little White Bumps Are On Your Face and How to Get Rid Of Them

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Are you making these mistakes each time you spot a little white little bump on your face? Fixing those little white bumps starts with a small dose of education and ends with a big dose of prevention. After understanding the five reasons below, your little bumps should give way to clearer skin.

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Reason #1: You have no clue what those little white bumps are anyway.

Little white bumps, or milia, are keratin-filled cysts, or simply little globs of protein under the skin. There are generally two types of milia. Primary milia may result from oil glands that have not fully or properly developed. Secondary milia result from trauma to the skin.

Reason #2: You think all little white bumps are acne, and treat them that way.

Just because you have little white bumps on your face does not necessarily mean that you have acne. Milia, are little balls of protein beneath the skin that do not have a pore, or hole in the skin through which to escape.

Comedones or whiteheads are excess fats and wastes that are trapped in a hair follicle and so they clog up the pore. In short, milia are proteins trapped within the skin, while comedones are fats and skin debris trapped within the pore.

Exfoliating the skin, or removing the dead skin cells from your skin with an abrasive product or chemical, is beneficial. But brutally scrubbing your face with soaps and chemicals too frequently may actually create milia. To avoid this, remember that gentle exfoliation helps prevent excess dead skin cell build-up that could clog your pores and cause whiteheads, not milia.

This gentle exfoliation helps make eventual removal of the milia easier because the skin layer around the milia becomes thinner, with frequent, yet gentle exfoliation. In short, Exfoliate your skin to prevent milia, not to cure them.

Reason # 3 You have no idea what causes those little white bumps anyway.

When you were a baby, you were probably covered with milia that disappear after a few days. Or, you may have inherited milia from your parents.

On the other hand, you may develop milia after excessive exposure to the sun. The reasons for developing milia after sun exposure are debatable. According to some studies, the active ingredients sunscreens like Parsol 1789 may cause sun allergies and later lead to a milia breakout. Other studies blame the sun itself for "damaging" the skin can thus causing little white bumps.

Some people experience milia around the mouth. This could be the result of fluoride irritation from toothpaste.

Reason # 4: No one ever told you how to prevent milia.

The best way to prevent milia is to avoid treating your skin with excessively harsh chemicals and to limit sun exposure.

To reduce creating milia around the eyes, use eye creams with the least amount of ingredients possible to avoid irritating the delicately thin eye area. Also, gently touch the eyes and avoid rubbing the eyes vigorously so as not to damage the skin.

When brushing you teeth, try to keep the pasty foam from staying around your mouth too long. This limits possible fluoride irritation to the skin.

Use a sunscreen with the least amount of ingredients. Extraneous ingredients like fragrances may irritate your skin. Additionally, purchase sunscreens that offer physical sun blockage that contain active ingredients like titanium oxide or zinc oxide.

Reason #5: You still want to know what you can do right now to get rid of milia.

The key to getting rid of milia is realizing that they have no escape route, those little bumps are trapped under the skin. So, to get them out, you'll need to have a professional like a dermatologist or aesthetician extract them. You can extract the milia yourself, but this involves risks.

Precautions
You need to ensure that you milia are not symptoms of some underlying disease or illness. Also, if you extract the milia yourself, you may have trouble completely pulling out the cysts, as the removable process may prove too painful.

Otherwise, if you are confident with your health and courage, you can cleanse your hands and face. Then wet a cloth with warm water and apply it to your face for a few minutes. Gently apply a sterile needle to the center of the little white bump to create a tiny opening in the skin.

Wrap your thumbs in a clean tissue and, using your thumbs, proceed to gently squeeze the contents of the little white bump out. Finally, cleanse the area of the extracted little white bump with an astringent.

Now, you have no reason to walk around with little white bumps on your face. If you still think you do, please consider the possibility that you're just telling yourself little white bumpy lies.

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Canker Sores

Canker Sore On Gums - Canker Sores

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These sores are usually found in the mouth. It could be on the roof of the mouth, beneath the tongue (on the soft palate), inside the chick, on the inside of the lips or beneath the gum.

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Canker sores are usually very painful and will go away between 7-10 days.
There is no known cure for these sores, neither is there a known cause for them. Unlike the cold sores, these are not contagious and you need not worry if a member of your family or a close friend has them.

Canker sores usually present themselves as a whitish lesion with a red border, a small bump or red spot which produces a slight burning/tingling sensation.

What causes canker sores? The following are some of the causes;

1. Braces could break the mucous membrane causing an infection

2. Weak immune system

3. Allergic response

4. Inflammatory bowel diseases

5. Certain food stuff eg. chocolate,coffee, strawberries, nuts, cheese etc.

6. Hormonal shifts during menstruation periods

7. Highly acidic foods such as pineapples

8. Emotional stress

9. HIV AIDS suppresses the immune system

There are two types of canker sores, minor sores and major sores. When you have minor sores, you will notice an oval lesion in your mouth, under your tongue or inside the chick which should clear between 1-2 weeks leaving no scar. Major sores however present themselves as large lesions and can last for a month or even years. They heal leaving an
extensive scar.

What are the symptoms of canker sores? These include fever, listlessness, swollen glands. It is best therefore that you make sure that your immune system is at its peak to avoid this infection and other opportunistic infection.

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Sore Throat

White Sore On Gums Health - Sore Throat

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Pharyngitis is the term doctors use to describe sore throat and it accounts for 10-15 percent of all pediatric office visits. Group A beta-hemolytic streptococcal pharyngitis (GABHS), more commonly known as strep throat, is a primary concern of a person with a sore throat. GABHS is more common in children than adults. In both kids and adults viruses are the most common cause of sore throat.

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The most important concern in the person with a sore throat is to rule out some serious conditions associated with sore throat, including, most commonly GABHS. Certain factors will help predict if the cause of the sore throat is GABHS or a viral infection. The factors are not perfect and the use of a throat culture is needed in many cases in order to rule out strep throat.

Important factors to know about strep include:

• It most commonly affects children between 5-15 years old.
• It does not commonly affect children under three years old.
• It has an incubation period of 2-5 days. This means that if you have been in contact with someone who is infected and are infected your disease may not show up for 2-5 days.
• Respiratory secretions spread the infection.

Causes of sore throat

Viruses cause the majority of sore throats. Bacteria cause 5-15% of sore throats, but those between the ages of 5-15 have a higher incidence of bacterial causes of sore throat. In this group, 15-30 percent of sore throats may be caused by GABHS.

Certain factors can help determine if the sore throat is caused by a bacteria or a virus. Viruses that cause sore throat are more commonly accompanied by cough, stuffy nose, red eyes and fatigue.

Possible diagnoses

• Viral sore throat - there are over 200 viruses that cause the common cold and each presentation may be a little different. Many of these viruses are linked to sore throat. Below some specific viruses that cause sore throat will be discussed.
• Hand-foot and mouth disease. This is caused by a virus that is called the Cocsackie virus. It causes blisters on the hands and feet as well as in the mouth or throat.
• Infectious mononucleosis can also cause sore throat. This sore throat is typically severe and associated with pus (white patches) in the throat. This disease is associated with swollen lymph nodes - particularly the glands on the back of the neck. It sometimes comes with stomach pain due to an enlarged liver or spleen. Those who are treated with penicillin will usually develop a rash (90% of the time). It is most common in those who are 10-25 years old and is accompanied by fatigue and a lingering sore throat.
• HIV is a rare cause of sore throat. Individuals who have risk factors for HIV (multiple sexual partners, men who have sex with men, intravenous drug users) who present with a sore throat should have this diagnosis considered.
• Bacterial sore throat. The most common cause of bacterial sore throat is GABHS. Other bacteria can sometimes cause sore throat.
• Fungal infections rarely cause sore throats. Candida infections are a common cause of fungal sore throat. The individual will have a sore throat with a white coat on the tongue and in the oral cavity that looks like cottage cheese. The white coating will bleed if it is scraped off.
• Diphtheria is a rare cause of sore throat. It presents with a sore throat, fever, tender lymph nodes in the front on the neck and serosanguineous nasal discharge. It can be prevented by routine vaccinations.
• Kawasaki disease rarely occurs but affects children under five and presents with sore throat, tender lymph nodes, fever, eye discharge, red oral mucosa, strawberry tongue, cracked red lips, swelling of the hands and feet and red rash on the hands and feet, followed by peeling of the palms.
• Peritonsillar abscess is a serious cause of sore throat and presents with fever, feeling wiped out, a hot potato voice, difficulty swallowing, painful swallowing, ear pain and difficulty opening the mouth.
• Miscellaneous causes of sore throat include: persistent cough, smoking, gastroesophageal reflux, postnasal drip secondary to runny nose, allergies, foreign body and thyroiditis (inflamed thyroid gland).

Complications

Most sore throats are caused by a virus and go away on their own. It is important that all health care consumers are aware of when sore throats can be serious and when they are likely self-limiting.

Death is a risk of life, but it is rarely related to sore throat. Throat abscess (pus filled infection in the throat) may lead to breathing problems as the swelling in the throat reduces the ability to breath. Diphtheria can lead to respiratory failure. Untreated GABHS can affect the heart valves and has the potential to lead to heart failure.

These serious complications are rare. Rheumatic fever is one of the most common preventable complication of sore throat. It occurs after GABHS goes untreated. The general population is not as greatly affected, as people commonly believe. In fact it takes treating 3000 to 4000 people with antibiotics with strep throat to prevent one case of rheumatic fever. The incidence of rheumatic fever is about one case per one million people. Treatment with antibiotics do not guarantee prevention of rheumatic fever.

Rheumatic fever occurs about 3 weeks after an untreated GABHS infection. It is characterized by joint pain and swelling, erythema marginatum (pink rings on the trunk, arms and legs), heart murmur or subcutaneous nodules (painless, firm nodes over the bones or tendons often seen on the wrist, elbow or knees). If this is suspected an immediate evaluation with a health care provider is essential.

Peritonsillar abscess (pus behind the tonsils) can cause sore throat or can be a complication of GABHS. It is not common but is characterized by worsening sore throat, ear pain, inability to open the mouth, fever, and a hot potato voice.

A rash that feels rough, like sandpaper, is red and fades when you push in on it is likely scarlet fever. This rash will last about a week and will result in peeling of the skin. This is a common manifestation of streptococcal infection

Streptococcal infections have the potential to attack the kidneys. It may present 10-14 days after a strep throat. It is characterized by bloody urine and swelling (especially around the eyes). It is unclear if treating with antibiotics reduces the risk of kidney problems after strep throat.

Red Flags

• High fever
• Unable to handle secretions - drooling
• Difficult time opening the mouth
• Hot potato voice (muffled voice, sounds like you have a mouthful of hot potatoes)
• Uvula (piece of tissue that hangs down in the back of the throat) deviating to one side
• One swollen tonsil
• Difficultly breathing

Diagnosing strep throat

Key features of the history and the physical exam will help the health care provider determine the likelihood of streptococcal infection. There are a few key features that are most predictive of strep throat.

Recent exposure to streptococcus and white patches in the throat or on the tonsils are the two most important factors in predicting strep throat. Tonsils that are free from swelling or pus and non-tender lymph nodes in the neck are the best criteria for ruling out strep throati.

Clinical prediction rules have been developed for helping the health care provider determine who has strep and who does not. None of these rules are perfect, and it usually requires the work of a throat culture to definitively determine who has strep throat. None-the less, these key features can be useful in helping patients determining their risk for strep throat.

The prediction rule has been based off of five key criteria.

1. Fever above 100.4 degrees Fahrenheit
2. Swelling of the tonsils or pus on the tonsils
3. Sore throat in the absence of cough
4. Tender lymph nodes in the front of the neck
5. Age - One point is given if the age is between 3 and 14, and one point is taken away if over the age of 45.

Based on the number of criteria that are present one can take a guess as to how likely GABHS is. The person is given a score of -1 to 5 and utilizing that point total one can predict the likelihood of strep throat.

For example, if we look at the case study presented in chapter 2: A 20 year-old female comes to her doctor with tonsillitis. "My nose has been stuffy for the last couple of days and I have been coughing. I woke up this morning and my throat hurt really badly. I looked in my throat and my tonsils were swollen and there were white dots on them.

It is also determined that she did not have a fever. When the doctor felt the front of her neck, he determined that her lymph nodes were swollen and tender.

This patient receives one point for swollen tonsils with pus and one point for swollen lymph nodes. She has a point total of 2. Therefore, her risk of strep is about 17%.

Table 1: Percent change of having GABHS based on number of clinical criteria

-1 or 0 - 1%
1 - 10%
2 - 17%
3 - 35%
4 or 5 - 51%

As you can see from the chart, it is impossible to rule in or rule out strep throat just by doing an interview and physical examination. The CDC recommends that antibiotics not be given unless GABHS is found on strep culture. When there is a score of 4 or 5 many health care providers will treat instead of doing a culture and some clinicians even choose to treat if there is a score of 3 or more.

One fact that is not well know is that strep throat will go away on its own. Well, that is not entirely true. The symptom of sore throat will remit, but the bacteria may still persist. It has the potential to go to the heart and cause rheumatic fever, it is therefore important to treat strep throat even though the sore throat will go away.

When sore throat persists beyond five days strep throat is not likely. It is more likely mononucleosis, a sinus infection, allergies or post-nasal drip.

Diagnostic Testing

Who is a candidate for diagnostic testing?

1. All children with a sore throat
2. Selected adults with a sore throat. This includes adults with at least one feature suggestive of strep throat (swollen tonsils, pus on the tonsils, fever above 100.4 degrees Fahrenheit, swollen lymph nodes, sore throat in the absence of a cough)

What type of testing should be done?

1. A rapid strep test is indicated for most patients with a sore throat with a back up throat culture

If the rapid test reads positive, it is quite reliable. If it reads negative it may not be that reliable. Because of the tests ability to miss the diagnosis, it is recommended that the health care provider get a back up culture that is sent to the lab to confirm every negative rapid strep test. Some experts suggest you do not need a back up culture in the adult, but my experience suggests that you should do a back up culture in the adult.

The rapid test should not be used in those who had a positive strep test in the last 30 days as there still may be strep antigen fragments hanging around that could give a false positive test.
Other testing for sore throat

When sore throat persists another diagnosis to consider is mononucleosis. This is most common in those 10-25 years-old. It can be testing by checking the blood for antibodies to the Epstein-bar virus. During the first week of the illness, the test may not pick up the disease but by the second week the test picks up the disease over 80% of the time.

Testing for HIV and other sexually transmitted diseases may be warranted in the high-risk individuals. Individuals who have oral sex may need the throat tested for gonorrhea.

Some cases of sore throat warrant a broad culture that looks for other causes of sore throat such as other bacteria.
Treatment

Most cases of sore throat are either caused by a virus or GABHS. If strep throat is present treatment with antibiotics is important and if it is not present treatment of the symptoms is all that is necessary. Treatment of strep throat will reduce rheumatic fever, abscess formation, transmission and improve comfort. It is always important to stay alert for other complications of sore throat - even though they are rare.

There is a nine-day window that the clinician has to treat strep throat to prevent rheumatic fever after GABHS. Treatment will also speed healing. After starting treatment you should be feeling much better in 24-48 hours. Ideally treatment should be started within 48-72 hours.

Some clinicians choose to treat patients while they wait for the return of the culture. Realizing that resolution will be faster and it will provide comfort to some patients.

This is not a wise strategy to implement for all patients. This requires some professional judgment of the treating health care provider. Those who are suspected of having strep are better candidates for this method of treatment. The goal is to avoid excessive exposure to antibiotics. When antibiotics are prescribed without a confirmed diagnosis the patient should be encouraged to stop antibiotics immediately if the culture comes back negative.

There is no resistance to penicillin in the United States, so it is the drug of choiceii. Ten days of pills or a shot is equally effective in its management. People who will not take all of their medication should receive a shot.

Amoxicillin, which is a type of penicillin, is often used in place of penicillin in children, as the suspension of penicillin does not taste good. Amoxicillin suspension has a pleasant tasting bubble gum flavor.

Individuals who do not have angioedema (swelling deep in the skin near the eyes and lips) or hives as their allergic reaction to penicillin can be treated with first or second-generation cephalosporins. If they are, they need to be watched closely as allergic reactions with penicillin sometime cross over to an allergic reaction to cephalosporins.

Erythromycin is recommended in patients with a severe penicillin allergy. Due to side effects - mainly gastrointestinal - azithromycin or clarithromycin is sometimes substituted.

Recurrent GABHS can be treated with amoxicillin-clavulanate (Augmentin). It is not usually picked as a first line medication as it is a more expensive and has a wider spectrum of activity. A wider spectrum of activity means that it is able to cover many other types of infections. The routine utilization of broad-spectrum antibiotics for simple infections has the potential to increase the risk of antibiotic resistance.

Penicillin should be used for 10 days in the treatment of GABHS to assure that all the bacteria are killed and no straggling bacteria remain.

The use of probiotics are one strategy that will significantly reduce the risk of Clostridium difficile and other complications of antibiotic use. When you are on antibiotic it is critical to take probiotics to reduce the risk of this complications. Always keep a supply of probiotics on hand because you never know when you will need to go on antibiotics.

Treating the symptoms

Sore throat pain can be quite debilitating and managing that pain is a critical part of treatment. Symptomatic treatment often involves a combination of systemic medications and local acting medications.

Systemic medications include medications that are taken by mouth that can help relieve the pain of the sore throat and may also help other symptoms that accompany sore throats such as headache, fever and body aches. Systemic medications include: ibuprofen, acetaminophen, naproxen or acetaminophen/codeine (in severe cases). The use of medications to reduce pain and fever, in addition to reducing symptoms, may help shorten the course of disease by one to two days.

Topical medications are available in many over the counter formulations and some can be made at home. A common home remedy is salt-water gargles, which can be made by adding one-fourth of a teaspoon of salt to 6-8 ounces of warm water. This concoction can be gargled and spit out every 3-4 hours. Sugar-free or regular Popsicles can help ease the discomfort of a sore throat.

Multiple over the counter medications are available for treating sore throat. They come in sprays and lozenges.

Certain foods can help the throat feel better. For example, warm or cool liquids soothe and moisturize the throat. Nasal saline can moisturize the nasal passages and clean mucus out of the nose. This will reduce the amount of post-nasal drip, which will help reduce throat discomfort. Herbal teas may be helpful in the treatment of sore throat. Throat coat - a herbal tea - has a demulcent that is more effective at providing relief than regular tea.

Certain prescription medications have the potential to aid a sore throat. Viscous lidocaine is a medications that comes as a thick liquid that the health care provider can prescribe that will numb the throat. It can also be mixed with other liquids such as liquid Benadryl and/or Maalox to ease the discomfort.

Steroids are used in some patients with sore throats. This is a prescription given by the doctor and can be given by mouth or as a shot. Steroids reduce the inflammation of a severely inflamed throat.

Home remedies for a sore throat:

• Salt water gargles as outlined above.
• A cool mist humidifier should be used. Many sore throats are caused by or exacerbated by dryness; the moisture that a cool mist humidifier provides can improve symptoms.
• Suck on a sour drop. Lemon drops or another type of drop will stimulate saliva and reduce throat pain
• Drink tea with honey as this will coat the throat.

Follow up

Improvement in the sore throat caused by a bacteria or virus is typically noted in 2-3 days. When there is no improvement or a worsening of symptoms noted a follow up with your health care provider should be attained to rule out a more serious (cellulitis or abscess) or another underlying condition (mononucleosis or chronic post-nasal drip).

Rarely, other bacteria can cause sore throat. This is much more common in the adult than the child. This may be considered when there is a non-response to antibiotics or a negative GABHS culture and the patient is getting worse. The health care provider will often take a more broad culture to look for other bacteria that may be causing the sore throat.

At times further testing is indicated. This is not common, but may occur in the sore throat that is not explained by other causes. It is most often carried out by an ear, nose and throat specialist. A laryngoscope will be used to look for cancer, a foreign body, acid reflux or another cause of sore throat.
Recurrent Disease

When disease returns within one week of completing antibiotic therapy it is considered treatment failure. The main causes of this are:

• Not taking the medication as directed
• Resistance to the antibiotic
• Repeat infections

For those who are thought to have a resistant strain, a different antibiotic may be considered such as a cephalosporin, macrolide or amoxicillin-clavulanate.

In cases where there is repeat infection, family members should be checked to see if they are carriers of strep. If they have a positive strep culture, they should be treated.

What is a carrier?

A surprising number of people - 10 to 25 percent - are colonized with GABHSviii. When one is colonized, it means that the strep is living in the throat with out causing the person to be sick. Generally, those who are colonized do not need to be treated, but sometimes they do. Treatment should ensue when there is:

• A personal or family history of rheumatic fever
• Recurrent transmission between close contacts
• Significant anxiety about GABHS
• Consideration of removal of the tonsils to eradicate the carrier state

Tonsillectomy and Adenoidectomy

Tonsils and adenoids are often removed, but the surgery may be done too often. The tonsils are there for a reason. The tonsils, while they often get infected, help fight infections in the throat and nose and keep the infection from spreading.

There are risks with this procedure. Bleeding is the most common complications and can occur up to eight days after surgery. Sore throat after the procedure is common. The voice sometimes changes after the procedure. The most worrisome complication is death, but this only occurs in one of every 250,000 operations.

The tonsils and/or adenoids can be removed for multiple reasons including:

• Recurrent GABHS: For two-year olds, more than 4 episodes a year; for three year-olds more than 3 episodes per year; and those over 3-years-old, greater than 6 episodes a year is an indication for the tonsils and adenoids to be removed.
• Obstructive sleep apnea
• A severe infection that does not respond to antibiotics
• Recurrent peritonsillar abscess
• Potential cancer
• Persistent mouth breathers may be a candidate for removal of the adenoids
• Persistent swallowing problems if they are caused by large tonsils or adenoids

What you need to know

If you are diagnosed with strep throat:

• Do not infect others. Do not come in close contact with others for 24 hours after starting antibiotics.
• Removable oral appliances (e.g. retainers) should be cleaned completely.
• A new toothbrush should be used after 24 hours.
• Complete the entire course of antibiotics or resistance to that antibiotic may occur.
• Symptoms that do not improve by 72 hours or get worse after 48 hours require a medical evaluation.
• Do not take any antibiotics that are lying around the house for a sore throat without visiting the health care provider. Antibiotics will invalidate a throat culture.

Questions to Ask Your Health Care Provider

1. Is my sore throat related to a virus or a bacterium?
2. Do I need a culture to determine if there is a bacterial infection?
3. Which medications do you recommend to manage my symptoms?
4. Do you recommend any home remedies?
5. Will an antibiotic help my infection?
6. Are there any potential interactions between the medications that you are recommending and the current medications that I am on or any other health problems I may have?
7. When should I expect an improvement in my condition?
8. What complications should I look out for and how will they show up?

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I Need Minerals for Healthy Hair?

White Sore On Gums Health - I Need Minerals for Healthy Hair?

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There are a great many minerals are needed to keep the skin, hair, and glands healthy. Some such minerals are copper, iodine, iron, magnesium, manganese, molybdenum, potassium, selenium, silica, silver, and zinc.

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Copper
Copper works with vitamin C and zinc to form elastin, the material in skin which causes its (can you guess?) elasticity. Copper, therefore, can help prevent wrinkles and keep skin smooth. As a topical treatment, copper has been shown to firm skin, improve skin roughness and clarity, clear fine lines, and improve skin thickness. There have also been claims that copper can increase subcutaneous fat while also rebuilding blood circulation and nerve outgrowth. Copper also diminishes photodamage, blemishes and inflammation. Research shows that copper can act as an exfoliate, lessening the appearances of scars, and can remove skin tags, moles, and blemishes. Copper may improve skin tone. As for the hair, copper has been shown to improve growth and thickness and reduce the chance of hair loss after chemotherapy. Copper can protect the skin against UV rays, thereby preventing skin cancers. Wound healing is another benefit often exhibited by those using copper treatment.

White hair can often be revered by copper supplementation, since lack of melanin in the hair is often a symptom of copper deficiency. Hair loss is another symptom of copper deficiency which can easily be remedied by supplementation.

Iodine
Iodine is commonly used as a topical treatment for wounds because of its antiseptic qualities. Ointments containing iodine are frequently used on burns to lower the risk of infection. A lack of iodine in the body manifests as very dry skin and skin that does not sweat when an individual becomes overheated. Iodine is also used to treat sebaceous cysts, sores that contain a fatty, oily material, which usually appear rather suddenly on the face or in the groin or labia.

An excess of iodine in the body can adversely affect the thyroid. The lack of iodine can cause hypothyroidism. In hypothyroidism, your cell metabolism slows down and body cells and hair cells don't receive the energy they need to function properly. When you lack iodine, you will lose more hair than normal and may even lose eyebrow hair.

Iron
Iron is essential for making hemoglobin, the red substance in blood that carries oxygen and nutrients to body cells. Without iron, the skin, hair, and glands would never receive any of the vitamins, minerals, and other nutrients that are necessary for healthy growth and maintenance. It is the primary form of transportation in the blood.

Iron deficiency often results in hair loss.

Magnesium
Magnesium is another very important mineral in the body. In fact, without magnesium, no cells in the body could survive at all. Magnesium, an "anti-aging" mineral, is required by cells to function correctly and to produce energy. Magnesium also rejuvenates and detoxifies cells. DNA, the "blueprint" that is used by every cell to reproduce, requires magnesium to function as well. Antioxidants needed to prevent free radical damage are activated my magnesium.

Manganese
Manganese is an essential element and a component of important anti-oxidative enzymes which are involved in the defenses against UV induced photoaging. Manganese is also a Component of some enzymes important in metabolism. Manganese may inhibit the appearance of melanin accumulation and photoaging. Clinical studies showed significant improvement in the appearance of hyperpigmentation after 12 weeks of manganese supplementation. Manganese, like many other vitamins, protect the body from free radical damage.

Molybdenum
Molybdenum helps to enhance healthy cell function. Molybdenum has a role as an essential trace element in nearly all forms of life. It has a function as a cofactor for a number of enzymes. These enzymes act as a catalyst for crucial chemical transformations in the global nitrogen, sulfur and carbon cycles. Therefore enzymes which are dependent on molybdenum are not only important nutrients for human health, but also have an important role to play in the well being of the earth's ecosystem.

Potassium
Potassium regulated the pressure between the inside and outside of cells. With inadequate potassium, cellular wastes are not efficiently transported into the extracellular spaces and carried away. Toxic material is left to accumulate in the cell can cause premature cell death. Potassium also helps with the growth of new cells. When your body is able to produce new cells, your skin will become healthier.

Selenium
Selenium is a "super-antioxidant"-much stronger than normal antioxidants such as vitamin C. As such, selenium prevents free radical damage. Selenium can also reduce the effect of UV sun rays, acting as a natural sun block. Because of this protective ability, selenium can prevent skin cancer caused by exposure to the sun. In the Journal of the American Medical Association, 1996, it was reported that skin cancer patients who ingested 200 micrograms of selenium daily exhibited 375 fewer malignancies; a 50% reduced risk of death from skin cancer; and a 17% decrease in overall mortality. The French Journal "Photodermal Photoimmunal Photomed" (1991) showed that oral selenium, as well as copper, helped reduce formation of sunburn cells in the human skin. Studies have also suggested that higher selenium concentrations in the blood correlated with a decreased risk of basal cell carcinoma and squamous cell carcinoma of the skin. Other research has reported that subjects with the highest selenium levels showed decreased risk of basal cell tumors, by 57%. Subjects also showed a decreased risk of squamous cell tumors (by 64%) when compared to subjects with lowest serum selenium levels.

Silica
A depletion of silica in the body will be demonstrated by wrinkles, dry skin, lifeless hair, and brittle nails. Silica is very important to the immune system, since it partakes in the manufacturing process of antibodies and antigens. Collagen, a substance which gives skin firmness, is composed mainly of silica. Silica is essential for all the basic metabolic processes. Tissue deterioration accelerates due to aging when connective tissue (composed mainly of silica) cultivates an increasing ability to hold on to moisture when left without help. Connective tissue aids moisture retention. Capacity to hold on to moisture keeps the connective tissue resilient and has important role in premature aging.

Silica provides strength to your hair, and although it will not necessarily stop your hair from falling out from the follicle, it will stop hair breakage.

Silver
Silver is utilized in burn centers to destroy an antibiotic-resistant microorganism that causes death in burn patients, greatly decreasing the mortality rate of burn victims. In a clinical study, 339 out of 400 chronic skin ulcers were improved by silver. Bacterial counts in ulcer lesions were decreased by 99% in one week. Silver is also helpful in treating bug bites, cuts, rashes, fungus, and athlete's foot.

Zinc
Zinc is a well known mineral to those concerned with the appearance of their skin, both young and old alike. On the face, zinc can help clear acne by controlling oil production and by acting as a mild astringent. As an astringent, zinc constricts and tightens body tissues and removes oils from the skin. Zinc can also control the formation of acne lesions and help existing lesions to heal more quickly. Acne lesions are not the only problems zinc can heal, though. Zinc is a component in the proper functioning of enzymes that are required by the body to heal skin wounds. Zinc supplements are commonly used to heal various skin wounds, such as bed sores, canker sores, surgical incisions, and burns. Zinc is also a proven anti-inflammatory. Contact dermatitis is another problem easily solved with the help of zinc. Zinc can prevent wrinkles by maintaining collagen and elastin fibers, giving the skin firmness. Dandruff is treated by zinc; zinc is a natural insect repellant and sunscreen; poison ivy, blisters, and gum disease are all also treated using zinc. Zinc can also stimulate the transportation of vitamin A from the liver to the skin to be used.

Deficiency in zinc can contribute a lot to hair loss because without zinc and other related minerals, you hair shafts get weakened, causing hair breakage and very slow hair regrowth. Zinc benefits for hair include promotion of cell reproduction, tissue growth and repair of broken tissues. It also maintains the oil-secreting glands that are attached to your hair follicles, which combats dandruff thus decreasing their chances of falling off.

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Pros And Cons Of Lasik

More Results From Steadyhealth.Com ? - Pros And Cons Of Lasik

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LASIK eye surgery has been the most recent development in correcting visual problems and thus, an alluring option for people suffering from similar diseases. However, like all the other developments in medical science, a LASIK surgery also has its advantages and disadvantages contributing to the pros and cons of a LASIK surgery. The best way to reap the utmost benefits of LASIK surgery would be to gain enough knowledge about the pros and cons and then decide whether opting for a LASIK would be really beneficial or not. Comprehensive tests and screening combined with consultation with the concerned doctor would then, help the patients in evaluating the consequences.

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LASIK surgery is known to have quick recovery and immediate results. It has been observed that the eye acuity of the patients improves up to 85% within a day of the surgery. LASIK surgery can be performed within minutes and is essentially painless. Compared to other types of eye surgery, only a short gap is required for performing LASIK surgery on both the eyes on the same day. Most of the LASIK patients describe the operating procedure involving a sensation of pressure while the corneal flap is being created, but not pain.

While the pros of LASIK seem quite impressive, the cons may equally involve sufficient consideration and importance. If diagnosed incorrectly, LASIK surgery may lead to permanent debilitating visual symptoms such as double vision, night vision, glares, and halos. In case of farsighted patients, the effects of the surgery may reduce with age and the person may go back to the usage of glasses or contact lenses.

The success of the surgery depends largely on the efficiency of the operating surgeon and staff training and thus, choosing an experienced LASIK surgeon becomes crucial. The possibilities of an imperfect flap and other surgical disorders may require repeating the process within 3 to 6 months of the first operation. The lack of long-term scientific studies has raised doubts about the safety of the procedure, but with the increasing number of patients and over the course of time, it might become more reliable and safer.

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A Sore on the Corner of Your Mouth is Often Chelitis

Painful White Sore On Gums - A Sore on the Corner of Your Mouth is Often Chelitis

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If you have a sore in the corner of your mouth, usually in both sides, you may have Angular Chelitis. This condition is not fatal, nor is it contagious, however the legions in the corner of the mouth can be very uncomfortable. The lips split and ulcerate, often if feels like paper cuts at the corners of the mouth. The legions get crusty and have a whitish hue.

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Often sufferers report it is brought on during a cold spell, or during the onset of winter, indicating a weakening of the immune system. This points to the fact that the fungal bacteria may become dormant, but always present. When the immune system weakens temporarily due to the sufferer failing to keep warm, the bacteria get a chance to flair up causing the symptoms.

Chelitis is also linked to a vitamin and mineral deficiency. Particularly a deficiency in iron, which can be found plentiful in red meat.

The typical way a doctor may approach Angular Chelitis is to offer a 1% hydro cortisone prescription. This ointment can also be bought over the counter. However, many sufferers report that this cream has little to no effect. The legions remain and people often give up on trying to cure their condition.

Angular Chelitis often goes away on it's own, but without the ability to control the symptoms, a sufferer can get an attack 3 to 4 times a year, with some people tolerating the condition on an almost permanent basis. The legions are very difficult to disguise, being right on the face, they can be a source of embarrassment.

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Six Common Causes of Lip Sores

Painful White Sore On Gums - Six Common Causes of Lip Sores

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Comment from my mailbox: Hi Dr. Moffat --I just wanted to let you know that my lips cracking in the corners are all healed up today! Looks like the call on the lip balm was perfect -- I started using mint lip balm from Trader Joe's after I got your message on Monday. The little bumps on the upper edge of my lip is also gone and the corners aren't all puffy anymore either. Thanks again for testing that for me. The fact that it wasn't healing was driving me nuts. Sheila.

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Sheila was having a couple different challenges with her lips. Because they were not responding, she kept trying new things. We found several things she was using occasionally and a couple of things she was using more consistently that she was allergic to.

This is a common thing that people do for both themselves and their pets (trying lots of products when something isn't working then not knowing which products are causing the problem.) Unfortunately sometimes this only makes the problem worse and difficult to decipher--unless you use muscle testing which is what we did.

In general though:

1) People are often allergic to products containing petroleum and even some products labeled "hypoallergenic". Occasionally people are allergic to their toothpaste and more often to their lipstick/lip balm. Many people are allergic to Neosporin and Chap Stick. I recommend Mentholatum Lip Balm often. It comes in tube, like Chap Stick. There are also homeopathic remedies to detox the body of what it is allergically responding to.

2) Sores on the outside corners of the mouth are usually vitamin deficiencies--especially vitamin B6.

3) Sores on the top and bottom lip edge are often allergies to something being put on the lips and often this can be aggravated by sunshine.

4) Canker sores, herpes sores and cold sores are often related to what it is in the person's life that they are "biting their tongue" about or not saying out loud and is also accentuated by stress, poor diet, not enough raw foods, and sleep issues (in combination of course).

5) Sores inside the lip and under the tongue can sometimes be viral in origin or an allergy to something. I know a few people who are allergic to nutmeg which causes a little vesicle to form under the tongue on the frenulum.

6) White sores on the mouth are usually caused from yeast (Candida). Try getting a lip product that contains Myrrh essential oil. You will also have incorporate lifestyle changes to overcome the yeast inside your system.

I hope those clues can empower you to figure out the cause of the most common lip challenges. Sometimes they make your lips itch, they can make you feel ugly, and you certainly don't want to kiss anybody! We don't want that for you as loving yourself is the most important thing you can do for your family and your planet!

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Infectious Mononucleosis Symptoms - Sore Throat, Swollen Glands, Fever and Cough

Painful White Sore On Gums - Infectious Mononucleosis Symptoms - Sore Throat, Swollen Glands, Fever and Cough

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Do you know - Infectious Mononucleosis Symptoms - Sore Throat, Swollen Glands, Fever and Cough

Acute infectious mononucleosis symptoms can include a red sore throat, swollen lymph glands, fever and respiratory discharge. Although these infectious mononucleosis symptoms may be annoying and uncomfortable, they are your body's way of ridding the virus from your system.

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Let's have a look at these infectious mononucleosis symptoms in more detail and see why they should be allowed to run their course, rather than be suppressed with conventional medication.

A sore throat.

When your throat is infected by a microbe like Epstein Barr - the virus that causes mono, your body responds immediately. The throat tissue sends out biochemical distress signals that attract phagocytes - the white blood cells that kill and scavenge the virus.

Your throat may appear red and inflamed but there is a reason for this. The blood vessels in the affected area widen and become more permeable in order to allow more white blood cells, immune proteins and warmth to flood the tissue.

Your sore throat is a signal that Nature is taking its course. The best response is to rest your body, avoid overuse of your voice, keep yourself hydrated and let your body heal. If you continue to rush around, use your voice or take pain killers to mask the pain you may find you prolong your recovery or get even sicker.

Swollen glands

Sore, swollen and inflamed glands are a typical infectious mononucleosis symptom seen throughout this illness. Swollen glands are normally felt in the neck although some people feel them in the armpits and groin.

The role of the lymph is to drain your body of antigens like viruses and to produce antibodies to fight infection. When your glands are swollen it means your body is working overtime to rid the infection from your body.

Fever

Of all the infectious mononucleosis symptoms, fever is probably the most debilitating. It will make you feel heavy, tired and lethargic.

Fever plays a crucial role in fighting mono. Its job is to raise your body temperature to the point where viruses and bacteria cannot survive. Fever also stimulates interferon which stops the virus from spreading to adjacent cells.

Fever should be allowed to run its course unless it goes dangerously high (above 40 degrees C or 104 degrees F). Very high fever can trigger convulsions particularly in children. To lower a high fever sponge the body with luke warm water or have a tepid bath. Avoid using aspirin or Tylenol as studies have shown that taking these can suppress the body's ability to produce antibodies which fight the invading organism. Aspirin in particular should be avoided as it has been linked to Reye's Syndrome - a potentially fatal disease which causes brain and liver inflammation. This risk is greatest in children under the age of 16.

Respiratory infectious mononucleosis symptoms - coughing, sneezing and nasal discharge

When an infection strikes, your body produces histamine which causes immune cells to flood the area triggering infectious mononucleosis symptoms like swelling and pain. Histamine also causes mucus to be produced to help flush dead microbes out of the body. Nerves in your throat and sinuses sense swelling and mucus, forcing you to sneeze, cough and blow your nose.

Taking cough medicine, antihistamines or nasal sprays may reduce the natural elimination of the Epstein Barr virus from your body. This can lead to a longer recovery time or it may lead to secondary conditions like sinus infections, bronchitis or pneumonia.

It is vital that you allow your infectious mononucleosis symptoms to run their course naturally. A sore throat, swollen glands, fever and respiratory discharge are all indications that your body is fighting the infection. Suppressing your infectious mononucleosis symptoms with pain killers, cough medicine, antihistamine or corticosteroids will only mask your symptoms temporarily.

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Best Antibiotic For a Gum Infection

Canker Sore On Gums - Best Antibiotic For a Gum Infection

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Gum infections are caused by the overgrowth of bacteria in the mouth that inflame and infect the gums surrounding the teeth, and can even reach to the root of the tooth and deeper into bone. Regular dental care can help prevent this potentially serious infection.

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However, if you find yourself in the dentist chair for treatment of gum disease or periodontitis (a more serious type of gum disease) there are several antibacterial medications your dentist or periodontitis may give you to help kill the bacteria causing infection. You may be surprised to know that antibiotics are a last resort in fighting gum disease. Bacteria can easily become resistant to antibiotics.

If the medication is not taken exactly as prescribed, or is stopped early, bacteria can become more difficult to treat and kill, making it hard to clear up the infection. Antibiotics are most often only given if you have a rare and aggressive form of gum disease called Necrotizing Ulcerative Gingivitis (NUG) or if you haven't responded well to other treatments.

Antibiotics may also be prescribed if you have a weakened immune system or another serious health condition. If your dentist does give you an antibiotic, you may take a pill or your dentist may pack pockets of gum infection with gel, powder, or small pill-like dissolving chips of antibiotics. These are typically left in place for 7-10 days, and then any remaining residue is removed. Antibiotics are used in conjunction with scraping and planing-a procedure that removes hard tarter buildup and bacteria from the tooth and gum line.

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Five Steps to Getting Rid of Canker Sores on Your Tongue

Canker Sore On Gums - Five Steps to Getting Rid of Canker Sores on Your Tongue

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Although no one has yet been able to find a cure-all for canker sores, there are plenty of steps you can take to reduce your risk. Canker sores on the tongue, mouth, and cheek are normally quite painful, which is probably why you are reading this article. So, let's get right into it.

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• One of the most common causes of cankers is physical trauma to the mouth. Sometimes this comes from dental work like braces or dentures, or even from sports or biting the side of your cheek accidentally while chewing gum. If you know you are prone to them (more than 3 or 4 times a month), you would be wise to avoid chewing gum, and if you have braces, you can ask your dentist for orthodontic wax to cover the sharp edges.

• Watch what you eat. You'll notice that certain foods seem to trigger an outbreak of cankers, like pretzels or potato chips, even acidic fruits like lemon, pineapple, or oranges. One approach to preventative needed treatment is to keep what's called a "food diary" and compare it at the end of the month with your canker sore outbreaks.

• Another good reason to do the food journal thing is that some people get canker sores because of vitamin or nutritional deficiencies. Some of the vitamins and nutrients that may be at fault include B1, B2, B6, B12, C, zinc, folic acid, iron, calcium, and selenium. Go over the food journal results with your doctor and see if he thinks a blood test might reveal anything lacking.

• A simple canker cure that many people have used is just changing to a toothpaste that doesn't contain sodium lauryl sulfate. Almost all the toothpastes on the market today include this compound, which is also used as an engine degreaser and floor cleaner, and is a powerful surfactant. Toothpaste companies like it because it makes happy bubbles when you brush your teeth; your mouth may not like it so much.

• Try to relax. Some evidence links cankers on the tongue, cheeks, and mouth to higher stress levels, specifically to students during exam time who reported a higher incidence of cankers. But students aren't the only ones who experience stress; emotional or psychological stress can come from work or home as well. Exercise, prayer, or just a much-needed vacation can be just the canker sore cure you needed in that case. Hey, when life hands you lemons...

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