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Mouth ulcer and weakness
Frequent mouth ulcer and multiple at once happened since one week and since two weeks fever is up and down loss of appetite in between weight drop what should I do
Answers (19)
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Need a few more history. Kindly consult for further evaluation and management
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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
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Tablet becosule once a day for one month
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Frequent multiple mouth ulcers with fever, appetite loss and weight loss may occur due to viral infection, vitamin deficiency (B12/folate/iron)
Next Steps
Tab Becosules / B-complex – once daily for 15 days
• Tab Zincovit – once daily for 15 days
• Hexidine mouthwash – gargle twice daily for 5–7 days
• Dologel-CT oral gel – apply on ulcers 3–4 times daily
Health Tips
Drink plenty of fluids
• Eat soft foods (curd, banana, khichdi, soups)
Eat green leafy vegetables,liver meat,dates and fruits
• Avoid spicy, citrus, very hot foods
• Maintain good oral hygiene
Contact me anytime on practo for further consultation
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Dear Patient, Multiple mouth ulcers with fever, poor appetite, weakness and weight loss need proper medical evaluation, not just symptomatic treatment. It can be due to infection, vitamin deficiency, anemia, or an underlying systemic illness. Please get examined soon. If you want, consult online for detailed assessment, tests, and treatment guidance.
Dr. Utkarsh Shrivastava, Internal Medicine Specialist �
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Most likely its due to b12 deficiency or anemia.take b complex +follic acid.
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Take tab doxycycline 200mg one daily for 7 days.
Tab acyclovir 400mg one every morning and one evening for 7 days.
Syp betonin 5m.l. morning and evening for 2 weeks.
Apply orasore ointment 2 to 3 times over ulcers.
Avoid hot foods, hot fluids to drink
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Apply ZYTEE MOUTH ULCER GEL
Add probiotics
Tab.VIBACT Ds BD for 5days
Tab.ULTIVITE PLUS OD for 1week
Check CBC,CRP
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Frequent multiple mouth ulcers along with on-and-off fever, loss of appetite, and recent weight loss for about two weeks should not be ignored. While simple aphthous ulcers can occur due to stress or vitamin deficiency, the presence of fever and weight loss suggests that there may be an underlying systemic cause.
Common possibilities include:
• Nutritional deficiencies (especially Vitamin B12, folate, or iron)
• Viral infections such as **Herpes Simplex Infection
• Immune related mouth ulcers such as **Recurrent Aphthous Stomatitis
• Less commonly systemic conditions like **Anemia or other infections
Since the symptoms have persisted for two weeks with weight loss, it is important to investigate rather than treating only the ulcers.
Next Steps
You should consult a physician or an ENT specialist for evaluation. The doctor may advise basic tests such as:
• CBC (to check for infection or anemia)
• Vitamin B12 and folate levels
• Iron profile
• ESR or CRP
• Blood sugar if needed
For symptomatic relief meanwhile:
• Apply oral gel like **Dologel CT or **Mucopain Gel 3–4 times daily on ulcers
• Take a B-complex supplement such as **Becosules once daily for 2–3 weeks
• Use warm saline mouth rinses 3–4 times daily
If fever persists beyond a few more days or ulcers continue to recur, further evaluation may be required.
Health Tips
Avoid spicy, acidic, and very hot foods because they worsen ulcer pain.
Maintain good hydration and try soft foods like curd, banana, khichdi, or soups if appetite is low.
Stress, lack of sleep, and nutritional deficiencies are common triggers for recurrent ulcers, so improving diet and rest is important.
If you want, you can book an online consultation and share more details about the fever pattern and weight loss so I can guide you on the exact tests and treatment needed.
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If mouth ulcers are presenting with fever and weight loss, you need to get evaluated for this
Next Steps
consult a physician asap
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Kindly Consult ASAP
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Tablet b complex once daily .
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Meconerv 1500mcg once a day for 30 days
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Do cbp
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Saarika
General Physician
4 yrs exp
Chennai
You may start with tab riboflavin along with zytee gel ( local application)for mouth ulcer.
Paracetamol for fever ,adviced to take light food.Avoid spicy and oily food.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.