Guest guest Posted November 25, 2003 Report Share Posted November 25, 2003 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 ------------------------- 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 Unsubscribe: mailto:Graduate-OSSG-unsubscribe Quote Link to comment Share on other sites More sharing options...
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