Thread: Mouth sores
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Old 07-17-2009, 10:47 AM
jccgf jccgf is offline
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Join Date: Aug 2006
Location: Wisconsin
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jccgf jccgf is offline
Senior Member (jccglutenfree)
 
Join Date: Aug 2006
Location: Wisconsin
Posts: 1,581
15 yr Member
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Hi!

How interesting, and unfortunate .

Mouth sores are absolutey associated with gluten sensitivity/celiac disease... but they should be going away... not starting!
http://jccglutenfree.googlepages.com/cankersores

Two thoughts.

One is that after removing gluten from the diet, people sometimes go through an extra hypersensitivity phase... where the smallest traces of gluten (even in the form of cross contamination) can provoke major symptoms. Even a person who never noticed symptoms after eating gluten before a gluten free diet, may begin to notice new and significant symptoms. So... it could be that "gluten errors" are provoking the mouth sores.

You might want to be sure you aren't still getting hidden gluten somewhere... for example, do you share your home with other gluten eaters? If so, you need a toaster of your own, and be careful not to let their gluten food get in your way. It is best to have designated cupboards for gluten and non-gluten food. Watch for crumbs in silverware trays and on tables. You need to be sure not to share things like peanut butter jars, margarine tubs, mayo jars, etc, where cross contamination could be a factor. ANd of course, consider other possible sources... like handling pet foods, and double triple check all processed foods.

Second thought: Oral symptoms are often associated with vitamin B deficiencies. It seems odd that this would show up suddenly, after beginning a gluten free diet... but if you aren't already... you might try a B-complex vitamin, along with a basic multivitamin... to see if this helps.

Iron deficiency and zinc deficiency can cause mouth sores, too, I think. You might ask your doctor to run a full nutritional panel on you if it hasn't been done. This is something that should be done for every newly diagnosed celiac, but often isn't. Celiac disease is an autoimmune disease of malabsorption, and symptoms are going to be related to either nutritional deficiency or immune system activity.

On B Vitamins and oral symptoms:
Quote:
B-COMPLEX in GENERAL
..... Deficiency: angular cheilosis of lips, leukoplakia, burning tongue, papillary atrophy, magenta tongue, fissuring, glossitis
B2 RIBOFLAVIN
..... Deficiency: angular cheilosis, atrophy of filiform papillae, enlarged fungiform papillae, shiny red lips, magenta tongue,sore tongue
B3 Niacin
..... Deficiency: angular cheilosis, mucositis, stomatitis, oral pain, ulceration, denuded tongue, glossitis, glossodynia, (tongue: tips are red, swollen, beefy, dorsum is smooth and dry), ulcerative gingivitis
FOLIC ACID
..... Deficiency: angular cheilosis, mucositis, stomatitis, sore or burning mouth, increased risk of candidiasis, inflamed gingiva glossitis (tongue: red, swollen tip or borders, slick bald pale dorsum), apthous-type ulcers
B6 Pyridoxine
..... Deficiency: angular cheilosis, sore burning mouth, glossitis, and glossodynia
VITAMIN B12 Cynocobalamin
..... Deficiency: angular cheilosis, sore burning mouth, mucositis/stomatitis, hemorrhagic gingiva, halitosis, epithelial dysplasia of oral mucosa, oral paresthesia (numbness, tingling), detachment of periodontal fibers, loss or distortion of taste, glossitis, glossodynia (tongue: beefy red, smooth, glossy), delayed wound healing, xerostomia, bone loss, apthous-type ulcers
From Modern Nutrition in Health and Disease. 9th. edition. Table 66.4.....Page 1114...... PART IV / PREVENTION AND MANAGEMENT OF DISEASE
Data from Martin WE. In: Chernoff R, ed. Oral health in the elderly in geriatric nutrition, the health Drofessional's handbook. Gaithersburg, MD. Aspe" Publishers, 1991,107-81.
McKinney Rv Oral and dental diseases. In: Feldman EB. ed. Essentials of clinical nutrition. Philadelphia: FA Davis. 1988.
And a parting thought... I did see one reference to casein sensitivity and oral mouth sores. About 50% of those with celiac disease also have casein sensitivity. You might try eliminating cow's milk, but again, hard to know why this would suddenly emerge.
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