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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Thursday, February 9, 2012
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NetWellness provides the highest quality health information and education services created and evaluated by faculty of our partner universities.
Thursday, February 9, 2012
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Mouth Diseases |
Primary Acute Herpetic Gingivostomatitis01/11/2008 |
In early November, I suddently developed pain in my right ear. After a day I broke out in ulcers on my tongue and could not eat or drink without severe pain. I also developed laryngitis. I saw an oral surgeon who told me that I had primary acute herpetic gingivostomatis and gave me a chlorhexidine mouthwash and told me to rest for a week and the infection would be self-limiting after about two weeks. It`s now the middle of January almost, and I still have cold sores in the corner of my mouth (new for me) as well as pain in the front half of my tongue. I still can`t eat or drink with out pain, as my tongue seems irritated and burning. I also am hoarse in the morning when I wake up and have a sore throat that comes and goes. Is there any thing I can do? Any medical treatment? The oral surgeon told me that only immunocompromised patients are placed on anti-virals. PS -- I was very rundown taking care of elderly, sick patients when I came down with this infection, and I still haven`t been able to rest enough. Thanks.
Without having seen your initial episode in November, it would be difficult to say whether a correct diagnosis was made. Primary herpes usually does not cause unilateral ear pain or laryngitis. You don't mention your age or the distribution of the ulcers. Adults may develop shingles (herpes zoster) in the head and neck region, but the sores are just on one side of the body. Both of these conditions will run their course in about 2-3 weeks, even without treatment. Antiviral drugs are given to immune-competent patients, but to be effective, they have to be given in the first 1-3 days of the infection. The "cold sore" at the corner of your mouth could be a condition called angular cheilitis, usually caused by the yeast, Candida albicans. The burning sensation could be caused by yeast infection, but you could also have a condition known as burning mouth syndrome.
Ideally, you should be evaluated by an oral pathologist.
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Carl M Allen, DDS, MSD Professor & Director of Oral & Maxillofacial Surgery and Pathology Dental Faculty Practice Section of Oral and Maxillofacial Pathology College of Dentistry The Ohio State University |
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