oral ulcer or glossitis

soreness of ulcer tongue ulcer inside the lips are quite common among the patient 
                        invariable the diagnosis of vit B ccomplex deficiency is made is the spot which is not correct vit B complex is not common in our country 
                               iron deficiency anaemia is quite common but is it presentation as glossitis is no common . however if patient with oral ulcerand glossitis is looking aneamia then iron therapy is indicated
                                  other important cause for the glossitis as use of antibiotic .antibiotic lead to the change of bacterial flora of the mouth and enhance the fungal growth [candida albicans] which is presented as glossitis 
                      secondary antibiotic may them self be irritant to the tongue and causes its soreness 
                       [other causes include ]
     intake of excessive chilli and masalas
    excessive intake of hot drinks coffee and tea
    intake of pan and tobacco pan contain chuna 
   which very irritant for tongue and buccal mucosa 
   sipary as astringent and lead to the dryness of the mouth .dry tongue is more pron to be injured by irritants and lead to soreness and ulceration 
chronic indigestion
chronic constipation 
dental trauma

                  [ aphthous ulcer]

 these have yellowish base and reed margin accurring on the tips and sides of tongue .on the frenulum and inside the lips .these are very painful .they create problem for the patient as he can not eat and speak properly .exact cause of the aphthous ulcer is not know however food indigestion constipation and some time found to be associated with it even without treatment they disappear within 7 to 10 days 

treatment 

steroids [prednisolon one TDS]

flagyl [one TDS]

oral gel somogel give good results after 3 to 5 days