lip/mouth problems

[Guest guest]

Some info from http://www.cps.ca/english/statements/N/n90-03.htm

Chrissie

shihtzumom@...

http://users.snip.net/~shihtzumom

My WLS Journey:

http://millennium.fortunecity.com/doddington/691/WLS/this_is_me.htm

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Oral Manifestations of Nutrient Deficiencies

While nutrient deficiencies may contribute to abnormal color, topography, size

and sensations

in the oral cavity (13), other causes of abnormal findings such as glossodynia

and glossopyrosis

(painful and burning tongue and soft tissue), dysgeusia (altered taste), angular

cheilitis (painful, dry

cracked corners of the mouth), and changes in appearance and texture of the

tongue must also be

evaluated. Abnormal findings may reflect oral manifestations of a myriad of

systemic diseases,

medications, disorders unique to the oral cavity, or a nutrient deficiency (14).

Three possible

categories of etiologies include: oral manifestations of a nutrient deficiency,

oral manifestations of

a systemic disease that impacts on diet and nutrition status, and local oral

disorders that interfere with

dietary intake (Table 3).

Angular Stomatitis and Cheilosis

Angular stomatitis (painful fissures at the corners of the mouth) and cheilosis

(dry scaling of

the lips and corners of the mouth) are common findings in riboflavin deficiency.

Similar findings may

be noted with niacin and B6 deficiency states. The similarity of these findings

may be due to

riboflavin's role in B6 and tryptophan (which is converted to niacin)

metabolism. Angular stomatitis,

however, may be associated with iron deficiency anemia (15). Angular cheilitis,

however, is often

associated with fungal infections, lip-sucking, and dehydration (16). Treatment

must focus on

correcting the deficiency state and providing adequate energy, protein, fluids

and nutrients to promote

healing. When angular cheilitis is due to opportunistic infections brought on by

decreased resistance

secondary to nutrient deficiencies, treatment should focus on antifungal

therapy, correction of the

nutrient deficiency, and diet modification to make eating a more comfortable

experience. Temperate,

non-spicy foods and fluids should be used to avoid further irritation to the

lips and mouth. At least

6-8 cups of fluid per day should be encouraged. Individuals with angular

stomatitis or cheilosis may

experience difficulty and pain when they try to open their mouths wide to laugh

or eat. They will lick

their lips repeatedly with their tongues to moisten them, a habit that should be

discouraged to prevent

further irritation and infection.

Burning mouth and tongue

May be with or without associated erythema,edema (stomatitis)

- - -anemia, diabetes, candidiasis

Glossitis

- - - -R/O deficiency of iron, folate, B6, and B12, niacin and/or

riboflaven

Pale, atrophic, smooth tongue

- - - R/O deficiency of iron, folate, and B12

Angular fissures of the lips

Dry, cracked lips

- - -R/O niacin, riboflavin, B6 iron deficiency, dehydration

Re: Re: Support Group Member doing everything wrong

Is anyone having problems with lips? I am having a weird case of dry,

chapped, burnt looking lips. I have to keep putting moisturizer and keep them

with ointment on them or they look ugly and peel.. is this a hydration prob? or

derm? anyone else having this problem...please advise and help...I do have an

appt with Derm soon.. but is it our WLS side complication or just me? hmmmm. ;/

Tricia

265lbs 1/9/2002

155lbs.

Homepage: http://groups.yahoo.com/group/Graduate-OSSG

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