This is Dr. David
yes, that cut on the upper palate of your mouth most likely is due to the lichen planus of your mouth.
you might need to be on steroid and lidocaine mouth rinses to help decrease the inflammatory changes in your mouth.
it sounds like you have been prescribed betamethasone steroid oral already.
Difflam Oral Rinse is a locally acting analgesic and anti-inflammatory rinse.
have these been helping?
you also need to increase the protein and vitamin C in take in your diet to help heal the cut area in your mouth as well.
slat water gargles will help keep the area from getting infected.
They have controlled it to some extent but I am worried that this may develop into something more serious!
it shouldn't manifest to be more serious.
that is good it has controlled it.
there are systemic treatments which could help
like systemic steroid therapy which could help.
have you been on systemic steroids before?
I have only been prescibed treatment as stated.What are these treatments that you state>
systemic steroids are oral or IV steroids which go through your whole body to help decrease the immune response which is causing this lichen planus.
predisone 30mg orally daily days has been used before.
oral betamethasone 5 mg consecutive days in a week months has been used.
I have noted this re predisone. do I swallow betamethasone after gargling as have always been told to spit it out.The predisone I will need to see my gp or a another
you can spit or swallow the betamethasone
you should talk to your doctor about a course of steroids which could help your mouth heal.
but steroids taken orally into your system can have side effects
they can upset your stomach
and cause poor sleep
and suppress your immune system.
so you have to do it under your doctors supervision.
you might need to take stomach acid blocking medications to help protect your stomach.
and take the steroids first thing in the morning.
talk to your doctor before swallowing the oral betamethasone rinse.
let me know if you have other questions.
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Thankyou I will stay as I am with spitting it out as my dentist is arranging to see someone. I wanted some form of reassurance that it has not developed into something more serious. I will also see my gp or dentist re the peridone treatment does that sound ok
good luck to you
let me know if you have other quesitons.
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