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Old 21st July 2009, 21:15   #61
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necrosis of the gum?
That, actually, is the meanest cancer ever to exist - it's called the melanoma.
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Originally Posted by clevermax
Can frequently occurring mouth ulcers be a risk factor?
Persistent ulcers inside the mouth are a major risk factor, but ulcers like the RAU which occur often, heal up and recur in another part of the mouth are not considered to be risk factors for oral cancer.
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Old 21st July 2009, 22:00   #62
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... but ulcers like the RAU which occur often, heal up and recur in another part of the mouth are not considered to be risk factors for oral cancer.
Thanks Doc, that's a relief to know.
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Old 21st July 2009, 22:24   #63
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Here's a pic of what a cancer (in this case, a squamous cell carcinoma) looks like - look at the ulcerated area right at the back of the mouth. Not a pretty view, I agree, but a persistent ulcer like that for more than 2 weeks should get all kinds of alarm bells ringing.
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Old 28th July 2009, 19:30   #64
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Attempting at remote diagnosis (always doubtful), I would suspect a lichenoid tissue reaction to jalapenos.

Till the time that you can get to an allergy clinic or other specialist, avoid peppers in any form, and avoid toothpastes and foodstuff containing mint.
Doc, i remember you said mint can cause long term reaction. incidentally I stopped mint and all spices (but salt and turmeric) and now i can see some healing in the cheeks, grey spot is still there.

my dentist had given me something called clark's solution to squish and spit, which used to numb my tongue and surrounding area. But I got ticked off by the general affinity (obsession) towards teeth cleaning and insistence on follow up visits, with little or no concern towards the problem. Well i will leave that to the thread on healthcare system of USA

I would prefer to continue method of abstinence over any medical treatment. But the question is, how long? even the mildest of spices or the mint toothpaste gives me a burning sensation.
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Old 28th July 2009, 19:45   #65
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my dentist had given me something called clark's solution to squish and spit, which used to numb my tongue and surrounding area.
I am not sure what drug is contained in clark's solution, but please look at the label and let me know the generic name(s) of the contents.

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But the question is, how long? even the mildest of spices or the mint toothpaste gives me a burning sensation.
This abstinence is going to be pretty much life-long. When you are allergic to something, you generally remain allergic to it for life. You can get away with occasionally using things like mint or spices, but may not ever be able to go back to using these things on a regular basis.
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Old 28th July 2009, 20:01   #66
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I am not sure what drug is contained in clark's solution, but please look at the label and let me know the generic name(s) of the contents.
LOL, I did a search myself and nothing turned up. The prescription was kept by the pharmacy , all i remember was it was prepared in the pharmacy on request with three different drugs, one of which was some painkiller I am familiar with, but forget which one. It also said "viscous" in the prescription. The bottle pharmacy gave me back had nothing in terms of ingradients.

So it's THAT kind of allergy. Off to find bulk pack of mint free toothpaste.
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Old 28th July 2009, 23:15   #67
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This is one from my collection,my professional friends can use it for educational purpose.This patient aged 45 years,male came from a remote village of West Bengal to our General Surgery OPD nearly 15 months back,had personal H/O chewing tobacco from 16 years of age,comsumption of 60% homemade (desi/country) alcohol about 200 m.l. per day atleast for past 20 years,smoking of bidis nearly 30 pieces per day for past 25 years along with ganja addiction(cant gave the duration),as you can see the disease process has perforated his cheek,on clinical examination,he had palpable Level II cervical,submental,suboccipital,both side pre and post auricular lymphnodes of about 0.5-1 cm in diameter each(not going to detail),further examination revealed Virchows node(left supra clavicular) ,enlarged liver of 4 cm from MCL,was hard and smooth on palpation.
Unfortunately,patient denied to be admitted in the cold surgical ward,did not came back again to OPD again.
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Old 29th July 2009, 00:01   #68
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Originally Posted by vivekiny2k View Post
Doc, i remember you said mint can cause long term reaction. incidentally I stopped mint and all spices (but salt and turmeric) and now i can see some healing in the cheeks, grey spot is still there.

my dentist had given me something called clark's solution to squish and spit, which used to numb my tongue and surrounding area. But I got ticked off by the general affinity (obsession) towards teeth cleaning and insistence on follow up visits, with little or no concern towards the problem. Well i will leave that to the thread on healthcare system of USA

I would prefer to continue method of abstinence over any medical treatment. But the question is, how long? even the mildest of spices or the mint toothpaste gives me a burning sensation.
Please consult a General Surgeon or an Otorhinolaryngologist (E.N.T Specialist)-may be,you are suffering from submucous fibrosis.further clinical evaluation is needed.It is not cancer itself,but may be a precancerous condition.

By the way,my previous post contains some silly mistakes on header and the last line,sorry for your inconvinience.
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Old 29th July 2009, 00:32   #69
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Yes SS-Traveller,I must agree from that picture,that is definitely a case of malignant melanoma.
(I myself a General Surgeon,M.S.,D.N.B.,V.S. of an unit,Depatment of General Surgery,of "a" Govt. medical college and hospital).
As for academic interest,what was the surgical management done?(I mean to say,what was the primary level of dissection at the site of leison and whether block dissection or a radical neck dissection was done).
It is very interesting academic case of General Surgery as well for our post graduate students.
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Old 15th March 2010, 22:24   #70
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...that is definitely a case of malignant melanoma.

As for academic interest,what was the surgical management done?
Apologies for missing out on this post all this while.

A block dissection was done to treat the tumour, followed by reconstructive surgery. The patient survives and is doing fine as of a few weeks ago.
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Old 16th March 2010, 06:18   #71
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since we are all discussing cancer's.
although im not sure whether to post this here.
but since i did not find any relevant thread so im doing so.
yesterday i saw a movie called Ikiru(Japanese) its about a guy suffering from stomach cancer.
It got me a bit worried especially with all the junk that im feeding my self recently.
so is there any particular reason for Stomach cancers to occur? (talking about carcinogens)
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Old 16th March 2010, 12:02   #72
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...is there any particular reason for Stomach cancers to occur? (talking about carcinogens)
Carcinogens are one of the reasons why cancers occur - in the stomach as well as in all other parts of the body. The term "carcinogen" is so broad-based, it involves a whole lot of stuff we are totally habituated to use in our daily lives. Anything extraneous, natural or artificial, that we suspect could have caused cancer or made it worse, is a carcinogen.

On the one hand, complex chemicals like MIC (of the Union Carbide notoriety) are carcinogens. So are x-rays of some types. On the other, stuff we eat like chillies can be carcinogens. Even sunlight is a carcinogen. The pesticides in our food are suspected to cause stomach cancers (which is why there is a big market for organically grown foods today). But none of our stuff in daily use cause cancers in small quantities - if they did, they would not have been used!

So the right approach would be to moderate / reduce consumption of what you call the "junk" foods, but not necessarily switch off completely. I know of people who have died of liver cancer though they never drank a drop of alcohol, and of people who got lung cancer though they never smoked. In the end, carcinogenesis is a process we do not understand completely, and the day that landmark is achieved, we will have taken a giant step forward in cancer prevention, obviating the need for cancer treatment.

Till then, don't worry - be happy! Worry is a suspected cause for cancer, esp. stomach cancers. (Can worry and stress cause cancer? >> Medical Questions, Weight Loss, Pregnancy, Drugs, Health Insurance)

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Old 10th July 2010, 08:58   #73
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funny you started this, because i have been trying to get an oral specialist's appointment. I have noticed that I can not tolerate very spicy food any more for last one month. i think i noticed it first while having jalapenos in a pizza.

then only last week noticed that both lower sides on my inner cheeks (which touches lower jaw) had painless grey surfaces. This is the part that burns with spices. also in middle of both cheeks, I have a small scar surrounded by white stuff. since it has appeared in all sides, I am guessing it's something internal.

Should I be worried?
I switched to a herbal toothpaste and now the problem is almost resolved. I thought it may have been natural recovery. but around a week back wife started using it since her stock of regular toothpaste was over and her tooth ache is disappeared too. This thing works. Or in other words, regular toothpastes seem to be doing harm with their strong mint content.
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Old 10th July 2010, 09:36   #74
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...their strong mint content.
Natural mint (pudina) doesn't cause the reactions that strong artificial mint does. But then, now I suppose we'll be wary of the toxic effects of herbal products too. Man dies after drinking lauki juice - Delhi - City - The Times of India.
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Old 20th July 2010, 13:13   #75
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Hi SS, thanks for creating this thread and sharing all the information. One of my tooth (left below, third last) got broke and there is small leftover of that tooth, now seeing these pictures I am worried.

Guess I should consult a good dentist ASAP. Any recommendations in NCR area ? Will get it checked out this weekend itself.
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