Question
I would see a dermatologist, who is also trained in identifying and managing diseases of both the skin and the mucosa (lining of the mouth), for evaluation and management.
Lip ulcers that are persistent could be a sign of a viral infection (herpes simplex), a venous malformation, or a traumatized salivary gland (mucocele). It could also be something more serious like an actinic keratosis.
In the majority of the situations, a perforated ulcer presents itself in an acute emergency situation with severe abdominal pain. The treatment is surgery to either seal the perforation or to resection the portion of bowel that has perforated. This may be done via laparoscopic (keyhole) approach. In a very small proportion of patients, the presentation may be delayed for whatever reasons and the patient may no longer experience severe pain and it is possible that nature has taken its course to seal the perforation.
If a teenage girl does not get her period by the age of 16, she has primary amenorrhea (or absence of menses), which is typically caused by structural or chromosomal abnormalities or functional problems with the hypothalamus or pituitary gland. But when a woman who’s previously had her period stops menstruating for three months or longer, and she’s not pregnant or in menopause, it is called secondary amenorrhea. While secondary amenorrhea can have many causes, it’s important for a woman to find out why her periods have stopped.
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