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Doctor says "Do it"; Dentist says "Don't"! What do I do?

(58 Posts)
KatyMac Tue 08-Oct-13 19:09:40

It's use Corsadyl mouthwash (I have bad ulcers)

So who do I believe & why?

Why does the dentist think you shouldn't? I thought it was a medicated mouthwash so surely would have the approval of a dentist too?

HRHLadyG Tue 08-Oct-13 19:11:31

Use it carefully just until mouth heals. Follow instruction to prevent staining x

bundaberg Tue 08-Oct-13 19:13:42

i would trust the dentist over the doctor on this one..... did either of them explain why/why not?

bonzo77 Tue 08-Oct-13 19:13:44

Dentist here. I'd say not. If you've used corsadyl you'll know why. It's soooo strong and astringent. Can really irritate. Is stick with peroxyl or hot salt water.

ErrolTheDragon Tue 08-Oct-13 19:18:13

Dentists are oral specialists so that's who I'd go with. My mother was once told to only use hot salt water for some problem, she used something else and the dentist could tell.

mathanxiety Tue 08-Oct-13 19:19:34

Use cinnamon flavoured gum for mouth ulcers. You might be able to find some on Amazon or in a shop that sells US imported foods/candy.

LifeHuh Tue 08-Oct-13 19:26:10

Believe the dentist, it is a mouth question and the dentist is a specialist in that area. The GP isn't unless they have a special interest .

SalmonellaDeGhoul Tue 08-Oct-13 19:45:49

Optometrist here. I know far more about eyes than most GPs. I would think the dentist would also know more about mouths than most GPS. Go with the dentist!

KatyMac Tue 08-Oct-13 19:48:35

Thanks - that is what I thought too

Mrsmorton Tue 08-Oct-13 20:39:16

mathan cinnamon is a significant cause of oral ulceration, cinnamonaldehyde being an irritant. I'm not certain that's great advice. Horses for courses though.

KatyMac Tue 08-Oct-13 21:30:41

Is it Mrsmorton? What else is (so I can avoid)?

ThePuffyShirt Tue 08-Oct-13 21:37:58

Paying my bill at the dentist's, I was earwigging a conversation between a member of staff and a dental sales rep concerning Corsodyl. The staff member mentioned the large number of complaints they had regarding teeth staining by Corsodyl users.

kotinka Tue 08-Oct-13 21:43:24

if the mouth ulcers are persistent, go back to your gp, thst can be a symptom of other things.

meanwhile, have you tried topping up on vitamin c?

KatyMac Tue 08-Oct-13 21:58:37

They are infected (this week) last week they were an allergy so I'm taking Doxycycline & antihistamines

kotinka Tue 08-Oct-13 22:00:54

aw, bet you feel shit. sad

KatyMac Tue 08-Oct-13 22:03:25

Yep

It's growing & it has a ridge

kotinka Tue 08-Oct-13 22:05:29

yuck!

KatyMac Tue 08-Oct-13 22:07:39

Yep

I wonder if the 'sporners' would like a photo......there is blood but no pus so it might not need a klaxon

kotinka Tue 08-Oct-13 22:11:04

grin definitely needs a klaxon!

almondfinger Tue 08-Oct-13 22:11:17

Liquorice is also a good healer for ulceration. Preferably a tincture that you can add to water, swish around your mouth and swallow.

I'd be going with the dentists advice on this one.

I use salt water gargles for bad ulcers. There was a topical ointment called adcortyl in orabase that was amazing. I'm not sure if it's only available on prescription now or discontinued. Ask your dentist.

It sounds hellish, go back to the dentist if it doesn't improve by the weekend.

KatyMac Tue 08-Oct-13 22:19:45

Adcortyl isn't available either on or off prescription

I use salt (ouch!) - never tried liquorice....I'll see if I can find some

KatyMac Tue 08-Oct-13 22:20:16

Seeing dentist on Thursday & asking for a referral

I am a wimp

kotinka Tue 08-Oct-13 22:34:20

hope you get some improvement soon, the kids bonjela is good for deadening the pain of them for a bit wine wine

KatyMac Tue 08-Oct-13 22:39:02

Thanks

CockBollocks Tue 08-Oct-13 22:42:15

Corsodyl daily is not as strong.

Mrsmorton Wed 09-Oct-13 07:17:26

IMO corsodyl is massively overrated. People seem to think it's a panacea for all oral ills but it's definitely not.

The list of things that can cause ulcers is massive. SLS (found in lots of toothpastes) cinnamon, if you're nickel sensitive then foods high in nickel (chocolate, tuna, oranges amongst lots of others), pineapple, anything that causes you gastric problems because the skin in your mouth is pretty much the same as the skin all through your gut, malaria medications, there are so many.

Most aphthous ulcers are idiopathic, there's no identifiable cause and it's unlikely to be because of some underlying illness or deficiency but it is possible. In nearly ten years, I've seen one case of this that was attributed to an issue with white blood cells.

In elderly people, sometimes a zinc deficiency can contribute. Often the cause is minor trauma that then becomes infected and hot salt water is great for controlling that in the early stages.

RawCoconutMacaroon Wed 09-Oct-13 07:29:21

Look carefully at the ingredients in your toothpaste. A couple of times I've bought a slightly different formulation of the same toothpaste by accident (in a similar package to sensodyne repair and protect), and each time I developed inflamed gums and mouth users within a couple of days use. I think it is an ingredient called Xanthan gum which caused it in my case.

KatyMac Wed 09-Oct-13 08:02:53

I have a lot of gut & auto-immune issues (ibs/cfs/fm) so maybe one of my intolerances?

Although I'm on an exclusion diet so not eating a lot

LightsOnNotIn Wed 09-Oct-13 08:10:58

I suffer from lots of ulcers - apthous ulcers - and I remember my dentist told me not to use Corsydol. Careful with cinnamon - I was referred to hospital for my ulcers, and an allergy specialist found an allergy to cinnamon. I was given a big list of foods and drinks to avoid. Most toothpastes contain cinnamon and affect my mouth badly. I can only use Colgate Original toothpaste. I'd use salt. stings but seems to help.

ZiaMaria Wed 09-Oct-13 08:16:42

If your ulcer lasts longer than two weeks - go back to the dr - it can be a sign of more serious issues.

LightsOnNotIn Wed 09-Oct-13 08:18:16

mrsmorton - I wish I'd read back through the posts before posting. You've given a great answer, and given me something to think about. I'm allergic to nickel as well as cinnamon, and I hadn't realised nickel is in food! I know that chocolate gives me ulcers on the soft palette, but didn't know about the nickel. I will Google nickel in food...thank you!

eatyourveg Wed 09-Oct-13 08:18:52

ds2 (asd) has massive ulcer flare ups when he gets too stressed and this summer has seen the worst ever as he was leaving school to go to college

I took him to the GP having tried TCP and unsuccesfully trying to get him to gargle with salt water . GP prescribed Difflam oral rinse (benzydamine hydrochloride) to take the edge off the pain as he had stopped eating solids altogether. After 2 bottles of that he tried the difflam oral spray which was more effective. You can get the oral rinse without prescription but its £10+

LightsOnNotIn Wed 09-Oct-13 08:25:36

ps. sorry for hijacking thread a bit, but I've lived with ulcers for, erm, 20 years, and really want to pass on advice that may help you. Cinnamon does not have to be listed in the ingredients of food or drink, so you have to get hold of the kind of list I got from the specialist. eg you won't find it listed on: red wine, biscuits, tomato sauce, heinz beans, toothpaste...long list...

So if anyone gets ulcers, try avoiding the stuff mrsmorton mentioned.

KatyMac Wed 09-Oct-13 09:07:28

Well I'm excluding all of those atm anyway wink

I am off: Milk & dairy, eggs, coconut, almonds, pluses (no baked beans), onions & garlic (no bought sauces), loads of fruit

I can have meat & potatoes & peppers & green spring onions & bread & bananas - no cinnamon in those......maybe my problem is a lack of cinnamon?

LightsOnNotIn Wed 09-Oct-13 09:49:59

you only know what's in the bread if you make it yourself. Or trust the baker knows what's in it. Try Colgate Original for at least 3 weeks - the red tube with no fancy whitening or extra stuff. See if things improve.

I suspect you are not short on cinnamon smile I doubt that's possible. I have access to peer reviewed journal articles for my job, and I haven't noticed any discussing cinnamon shortage. Oh wait ... you were kidding grin

KatyMac Wed 09-Oct-13 10:15:45

I do & I made the burgers for tea last night too - but I couldn't eat either sad

Is it worth 2 co-codamol to eat a cinnamon free breakfast? I think I'll wait until lunch.......

48th Wed 09-Oct-13 10:17:11

So dh had 20 years plus of awful mouth ulcers and pissed off with his glum ulcer face I made him try random stuff people rated online. l-lysine and vit b although it is the l-lysine that really works have transformed him to entirely ulcer free. If he stops it eventually be gets an ulcer or a crop of them but restarting makes them go in days instead of weeks.

DD gets them too but not with the supplements. We are an entirely non woo family but this works. We know other people it has really worked for too so try it. There was nothing else he hadn't tried.

KatyMac Wed 09-Oct-13 11:50:33

Good job I am seeing the dentist tomorrow - I now have a small hard lump under my tongue

eatyourveg Wed 09-Oct-13 12:53:50

Never heard of non woo - can someone translate please?

KatyMac Wed 09-Oct-13 12:58:26

'woo' is alternative or maybe unconventional - hth

indecisiveandclueless Wed 09-Oct-13 13:19:01

Mouth ulcers can also point to gluten intolerance, so that might be another thing to watch out for!

KatyMac Wed 09-Oct-13 13:22:40

Thanks I've had the blood test & a biopsey bith negative

gingeroots Wed 09-Oct-13 15:59:36

Another vote here for following dentists advice as opposed to doctor .
Remember the G as in general in GP ?

And another who finds zinc and Lysine helpful for mouth ulcers . Though poor KatyMac with that restrictive a diet maybe you are lacking in certain elements ?

Speaking as someone who has currently got oral thrush ...I do wonder if the antiseptic element of Cordosyl really does ,as claimed ,deal with fungal infections ?
Or possibly make them worse ?

Really hope you're better soon .

gingeroots Wed 09-Oct-13 16:03:16

You can buy liquorice tea bags - Clipper I think - from health food shops .Very yummy .

kotinka Wed 09-Oct-13 16:58:19

I mentioned vitamin c because a pharmacist suggested we try it for my oldest. but having seen how severe your diet is, I'd definitely try vitamin c and b12.

hope the dentist can help.

kotinka Wed 09-Oct-13 17:01:08

pretty vague post there, blush I meant to say, my eldest had had some very painful mouth ulcers for 2 weeks. they cleared up through salt washes and vitamin c tablets daily. it took a bit over a week if I remember correctly.

RawCoconutMacaroon Wed 09-Oct-13 18:21:20

Like indecisiveandcluless, I was going to mention gluten/wheat too, especially after your comment about the lump under the tongue (can be autoimmune related/metabolic syndrome related.

Re coeliac or wheat allergy, a positive test is positive, but a negative test is not really negative - the biopsy mean that particular bit of the gut is ok, not the whole gut. The blood tests are looking at ranges, so if the number is below a certain cutoff it's "negative", but the disease process could still be there.

I guess that as you have had those tests, you had other symptoms of possible coeliac - if so, I think it would be worth you doing something radical like completely and utterly remove ALL trace of ALL grains from your diet for a few weeks (google paleo challenge or whole30 for ideas and info), just to see what happens when you reintroduce each grain...

KatyMac Wed 09-Oct-13 22:26:06

Really

Oh poo - I was hoping just to cut down to spelt sad

Bread & meat is all I eat atm

RawCoconutMacaroon Wed 09-Oct-13 23:32:55

I know, poor you... Your list is looking pretty restrictive ATM!
Been there, done it and have added some things back in (occasional white rice, occasional baby potatoes) but remain grain free (with the exception of the white rice), as I react strongly to very small amounts of gluten and cross react to processed maize flours too. And yet a few years ago, I was living on the stuff - wheat at every meal (and was really quite unwell in a lot of "minor" ways).

I am about to try egg again, the yolk is a migraine trigger for me but anecdotal evidence from paleo blogs suggest a lot of people stop reacting to other dietary intolerances after they start eating "clean" ie no additives, no grains, no legumes...

I'm hoping that will be the case for me, I'd love to have fried eggs for breakfast!

RawCoconutMacaroon Wed 09-Oct-13 23:37:49

I mean, after they have eaten that way for many months/years, the gut may heal, meaning not leaking food proteins into the blood to the same extent, so fewer other food reactions iykwim

KatyMac Thu 10-Oct-13 18:05:59

I have steroids, Difflam & she wants to know why I've never been referred before because I've always been told to "get on with it"

& please don't mess with my diet anymore until they have time to look at my blood tests & results

kotinka Fri 11-Oct-13 00:19:24

that sounds hopeful Katy, hope you feel better soon

KatyMac Fri 11-Oct-13 11:25:22

Thanks

DrinaDancesInParis Sat 12-Oct-13 16:32:25

Ouch! Try this stuff it works wonders on mouth ulcers.

mathanxiety Sun 13-Oct-13 06:23:58

My neighbour used to swish a little buttermilk around her mouth a few times a day when she had them and it worked.

Have you been checked for diabetes?

Timeforabiscuit Sun 13-Oct-13 08:00:32

If the bread is homemade, how much yeast are you adding? I had to stop eating home made as I got lovely doses of thrush when I over indulged hmm

KatyMac Sun 13-Oct-13 08:20:16

I'm just going to take the steroids (& the antibiotics & the antihistamines) and wait & see what happens at my next appointment

The lady I saw was amazing - she said let's get you out of pain and worry about why you get them next time; but she did say don't change my diet anymore

Buttermilk is a no-no I think as I am definitely milk intolerant - but yeast bears looking at

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