Sunday, September 11, 2011

Stomatitis and Unani Treatment

Oral inflammation and ulcers, known as stomatitis, may be mild and localized or severe and widespread. They are invariably painful. Stomatitis may involve swelling and redness of the oral mucosa or discrete, painful ulcers (single or multiple). Less commonly, whitish lesions form, and, rarely, the mouth appears normal (burning mouth syndrome) despite significant symptoms. Symptoms hinder eating, sometimes leading to dehydration and malnutrition. Secondary infection occasionally occurs. Some conditions are recurrent. Stomatitis may be caused by local infection, systemic disease, a physical or chemical irritant, or an allergic reaction. many cases are idiopathic. Because the normal flow of saliva protects the mucosa against many insults, xerostomia predisposes the mouth to stomatitis of any cause. The most common specific causes overall include
  • Recurrent aphthous stomatitis (RAS)—also called recurrent aphthous ulcers (RAU)
  • Viral infections, particularly herpes simplex and herpes zoster
  • Other infectious agents (Candida albicans and bacteria)
  • Trauma
  • Tobacco
  • Chemotherapy and radiation therapy
  • Some causes usually also have extraoral, cutaneous findings
  • .Diagnosis:  Diagnosis is based on appearance and on exclusion, because there are no definitive histologic features or laboratory tests.
  • Primary oral herpes simplex may mimic RAS but usually occurs in younger children, always involves the gingiva and may affect any keratinized mucosa (hard palate, attached gingiva, dorsum of tongue), and is associated with systemic symptoms. Viral culture can be done to identify herpes simplex. Recurrent herpetic lesions are usually unilateral.
    Similar recurrent episodes can occur with Behçet's syndrome, inflammatory bowel disease, sprue, HIV infection, and nutritional deficiencies; these conditions generally have systemic symptoms and signs. Isolated recurrent oral ulcers can occur with herpes infection, HIV, and, rarely, nutritional deficiency. Viral testing and serum hematologic tests can identify these conditions.
    Drug reactions may mimic RAS but are usually temporally related to ingestion. However, reactions to foods or dental products may be difficult to identify; sequential elimination may be necessary.
    Unani Treatment:
    1. Kath safaid, Dana eelaichi khurd, Kishneez khusk, Shab Yamani grind all in same quantity and sprinkle thispowder at ulcers.
    2. Tabasheer, Gulnar, Kath safaid, Sandal safaid, Sandal surkh, Gul surkh, Gul sayoti, Posth Haleela zard, Asl alsoos muqassar, Dana eelaichi khurd each same in quantity and make powder, use this powder 6 gm twice a day along with Arq Zeera 50 ml.
    3. Sharbat Neelofar 20 ml twice a day.
    4. Qurs Tabasheer thrice a day.
    5. Gulkhand 10 gm at bed time.
    6. Safoof Kishnizi 5 gm twice a day and Qurs kustha Gauthandi 2 tab twice a day

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