Suggest Treatment For Ulcer Like Rough Patch On The Inner Cheek

Posted on Wed, 17 Feb 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 17 Feb 2016 Answered on

Mon, 18 Apr 2016 Last reviewed on

Question : I HAVE ULCER LIKE ROUGH PATCH ON MY INNER CHEEK. HAVE TRIED VARIOUS STERIOD BASED GELS.
IAM DAIBITIC BUT UNDER CONTROL

Answered by Dr. Vasudha (1 hour later)

Brief Answer:
some more information please.

Detailed Answer:
Hi M. XXXXX,
Thanks for the query.
I have read it carefully, & need some more information about it..
- The color of the patch,Is it painful/ burning? Can you attach a picture?
- Since how many days it's there?
- Any other dental or oral problem?
- Any digestive problem ?
Knowing a bit more, I would get some direction to think & advise you correctly.
Please answer.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vasudha (8 minutes later)

Thepatch has no specific calour, bur becomes rough . its there for about 1 month. it some times escalates and some time reduces.no pain , but burns if i eat spicy stuff. no other oral proble,Iam a patient of GERT , otherwise no other major digestive problem. do have gas issues on and off.

HV uploaded the photo

Answered by Dr. Vasudha (52 minutes later)

Brief Answer:
Dental treatment/ self care would help.

Detailed Answer:
Hi, Mr M XXXX,
Thanks for the information & image .
The lesion in cheek seems to be due to repeated injury& healing of oral cavity involving cheek.This can be due to-
- Accidental / repeated biting of cheek mucus membrane ,while eating big bite hurriedly/ thickened oral cavity due to overweight( deposition of fat makng it thick )
- Ill fitting denture/ a sharp edged /partially broken tooth.. this keeps on irritating interior of cheek,
- tobacco chewing/ Ghutkha chewing/ smoking can add to the condition.
- Your GERD ( gastric regurgitation in esophagus ) & gas problem can lead to digestive deficiency.... this will lead to imbalance in normal intestinal flora ( lacto bacilli) & enhance the problem by causing B complex deficiency.
* In this context I would advise you to consult a dentist.. he will examine you to find the basic cause & treat accordingly ( It will be medicines, B complex ,supplements, anti inflammatory pills, along with local applications for healing )/ Grinding of the sharp edged tooth/ denture /Extraction)
* You should have a word with your GERD doctor.. for any change in medication/ medication to control constipation( if any), to improve digestion, to supplement lactobacilli.)
* Self care-
_ Try to avoid spicy, oily, food, eat at fixed hours.More fibers & water in diet improve digestive function. Eat curds daily ( for lactobacilli)
- Regular walking exercises, yoga/ facial exercises would help
- Sleep well at fixed hours. have fixed working hours & less of stress..
- Have regular bowel habits,
- Avoid tobacco/ Ghutkha/ smoking.Be aware of oral hygiene.
* removal of basic cause & self care would help.
I hope the information given in the answer was useful to you. Any follow up query is welcome,
If you find the answer helping, please grade the answer before you close it.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar