Participants: Nick Evenson (Host), Dr. James Marcum
Series Code: UP
Program Code: UP000087B
00:01 Welcome back to the program.
00:02 We've been covering pain in the series 00:04 on the Ultimate Prescription. 00:05 And today's topic we're talking about oral pain, 00:07 and that's pain in the mouth, 00:09 sometimes your teeth and the nerves, 00:10 or your tongue, everything's in the mouth. 00:12 And we've got a bunch of questions 00:13 that have come in from our website. 00:15 And we want you to visit, 00:16 if you have a question visit HeartwiseMinistries.org. 00:19 And there's a lot of good health resources there, 00:21 you can also request prayer for your health issues, 00:23 and you can also ask the doctor for personal health advice, 00:27 and, Dr Markham, 00:28 welcome back to the program. 00:29 Well, it's nice to talk about pain, 00:31 and you've got some little ones at the home 00:33 that's going to be having oral pain soon, too. 00:34 Yeah. 00:36 In fact just recently, just last week my son Hayden, 00:38 he's 18 almost 19 months old now. 00:41 He's been teething again and, you know, 00:43 just kind of fussy and cranky and... 00:45 So I remember what I used to do with my kids, 00:47 what do you do with your kid what's the newest, 00:49 latest way to treat oral pains. 00:52 Lots of snuggles and cuddles and then there's actually... 00:54 Oral gel or something? 00:56 Yeah, there's a gel 00:57 and there's also just a medication 00:58 that we just drop and it helps numb 01:00 some of the pain. 01:01 Yeah, well, that's, that's 01:03 because they don't know what the pain is coming from. 01:05 Right. 01:06 And I think that's an important concept 01:07 and a pain from anywhere, especially oral pain, 01:10 if you don't know what's causing the pain, 01:12 it always increases your anxiety and stress 01:15 which makes the pain worse. 01:17 If you have control over the pain 01:18 and know about it, 01:20 you know, know when to worry, 01:21 when not to worry, who to go to? 01:23 I think that we know that helps lower the stress 01:25 of the body 01:27 which turns off some of those chemicals 01:28 which makes the pain even more pronounced 01:31 and that's what we're trying to do here, 01:32 you know, I bet, I'm not an expert, 01:34 I don't know a lot of, 01:35 you know, I don't see a lot of people 01:37 with oral pain every day 01:38 but by learning some basic principles 01:40 and sharing 01:41 hopefully this will let them know 01:43 what to do, who to go to, where to go to for help. 01:45 That's right. 01:46 Now we talked a little bit 01:47 after break about processed sugar. 01:49 Yeah. 01:50 I mean everyone struggles with processed sugar. 01:52 You know a couple of years ago my wife was pregnant, 01:55 we didn't have any kids yet, my wife was pregnant 01:56 and we went on vacation 01:58 and I had tried to join this ten day challenge 02:01 where I was going to learn about all the different kinds 02:03 of refined sugars and learn all 02:04 the different names cos it comes 02:05 in a ton of different names, 02:07 and I was trying to avoid it for ten days 02:09 but that ten days overlapped the vacation 02:11 and that's not a good strategy. 02:12 Let me tell you 02:14 I made it to the fifth day. 02:16 And I was avoiding sugar pretty well. 02:18 And we were on vacation, my wife was pregnant, 02:21 she wanted an ice cream cone. 02:23 Yeah. 02:24 And I couldn't let her eat alone. 02:26 So we shared an ice cream cone and I ended my challenge there. 02:29 But since then, it was a good experience 02:31 because I've learned more about where sugar is 02:34 eats and foods you don't even think it's in. 02:36 And so I have reduced my intake of sugar from that experience. 02:40 My struggle is with donuts, 02:42 oh, man, donuts processed sugar, 02:44 so I'm trying to find substitutes 02:46 you know hopefully you can find 02:47 good healthy substitutes for the bad 02:49 healthy sugars instead of processed sugars. 02:51 Yeah, 02:52 You know just recently 02:53 we've had some really good pears 02:55 at our house 02:56 and they're pretty sweet, pretty tasty, pretty good. 02:58 Yeah, I guess you could cut it up 02:59 like a donut and you'd be happy with it huh. 03:01 Yeah, that'll be great, that'll be great. 03:03 We've had some questions and I guess, you know, 03:06 if I can't handle this I'm going to call 03:08 Dr Davis on my cell phone 03:11 and maybe he could break away from a patient 03:12 and help me out with these here, 03:14 but we will do the best we can 03:15 to answer these questions about oral pain. 03:18 And we like to thank people who have visited our website 03:20 to submit these questions 03:22 and our first question is, "Why is my throat always sore?" 03:25 Dr Markham. 03:27 Well, sore throats I would think 03:28 the most logical thing is would be an infection. 03:31 We talked about the infections, the bacterial flexions, 03:34 that can be treated with antibiotics, 03:36 the viral flexions that we usually do to with the time 03:41 but other things that might cause 03:42 a sore throat is sinus drainage. 03:44 Yeah. 03:46 You know post nasal drip can cause a sore throat 03:48 and unfortunately I've seen a few people 03:50 that have reflux, 03:51 you know, we talked about acid bubbling up. 03:53 Acid can bubble up all the way to the mouth 03:56 and I saw one fellow once, 03:58 he was really sick retching 03:59 and he actually the bad stuff came up so much 04:03 that it caused damage to the back of his throat. 04:05 He had a sore throat for a long period of time. 04:08 So those are some things that can cause a sore throat, 04:12 if, of course, if you're dehydrated ok, 04:14 that can sometimes cause a sore throat. 04:17 But when you have a sore throat what do you do? 04:19 Ok, well, 04:20 have someone look in the back to see if it's an infection, 04:23 see if you can know what the cause of it is. 04:25 And if it doesn't go away 04:26 sometimes it needs an antibiotic 04:28 but usually something that will make it 04:29 feel better right away 04:30 is gargling warm salt water that usually helps hydrate it, 04:35 salt so they relieve the pain. 04:36 They also make some lozenges that will help numb the pain. 04:40 And sometimes that's all that's needed till the body 04:42 can heal itself. 04:44 Now if acid or post nasal drip or bad infection. 04:47 You want to treat the underlying cause 04:49 and that will help the pain 04:50 so that's some of the things that causes a sore throat. 04:53 Now here's one thing that I saw one time 04:55 I saw one kid that had a stick 04:58 and he shoved the stick in his mouth 04:59 and it went back of his throat and that caused him 05:02 we know kids are putting stuff in their mouth all the time, 05:05 you'll be surprised. 05:06 Your kids will put pins in their mouth, 05:08 they'll put toys in their mouth. 05:10 They'll put things in their mouth 05:11 and if they come to you and have a sore throat 05:13 you might just want to say, 05:15 "Hey, Haden did you stick some in mouth 05:16 and shove it in there?" 05:18 And there is some trauma. Yeah, they do funny things. 05:19 Tinker toys I've seen before. 05:21 So that might be something you put in the back 05:23 of your mind especially if you have kids. 05:24 Adults usually we don't have that problem. 05:26 You know when I was a kid 05:27 if we had a sore throat or cough, 05:29 my dad always have us drink 05:30 lots of water and take vitamin C. 05:32 is vitamin C. helpful for sore throat or... 05:34 It's not going to hurt I mean, 05:35 it's an anti-oxidant that might help a little bit 05:38 but a lot of people think 05:40 it helps boost your immune system. 05:42 But anything that will boost your immune system will help. 05:45 So vitamin D in the sun, 05:47 exercise will boost your immune system, 05:49 eating the right foods, anti-oxidants. 05:51 So anything that will make your immune system stronger 05:53 will help infections quite a bit. 05:56 Now here's an interesting we talk about sore throat 05:58 this was not a sore throat but I knew someone once 06:00 the chewed toothpicks all the time. 06:02 Always had a tooth pick in his mouth. 06:04 When he had that toothpick one time 06:05 and he got in a bad position 06:07 and it can cause quite a bit of oral pain. 06:09 I guess a little bit of that. 06:10 So if you're a toothpick chewer. 06:12 Be careful. 06:14 Because anything you stick in your mouth 06:15 could cause some type of oral pain 06:17 and especially if it has sharp ends, 06:18 so I try not to stick anything in the mouth 06:20 unless it's heading south to the stomach. 06:23 Alright that sounds like great advice. 06:24 Wait, wait here's another one. 06:26 Alright. A pearl, a pearl. 06:27 If people chew gum, 06:29 if they chew gum sometimes you're not paying attention 06:31 and you chew your tongue, 06:33 another cause of oral pain. 06:35 Have you ever bitten your tongue? 06:36 Yeah, and it's the one of the worst things 06:37 like I don't have too much pain in my body generally 06:39 but if I bite the side of my cheek 06:40 or if I bite my tongue. 06:42 That seems to be 06:43 one of those most painful things I get. 06:44 Yeah, tongues are very vascular too. 06:46 They heal up and I had a person that bit their tongue so bad 06:49 once they had to have a stitch in their tongue. 06:51 Oh, my... 06:52 That's when it gets really bad. 06:53 In tongues you have to be careful 06:55 with because tongues believe it or not 06:56 are dirty organs 06:57 because there's so much bacteria 06:59 in the mouth 07:00 and they can get infected pretty easy. 07:01 So those are some preventive medicines 07:03 that you can do and tongues bleed a lot 07:06 if you're if you have a bite your tongue 07:08 or get something wrong with your tongue 07:09 and is a cause oral pain. 07:11 It's going to bleed quite a bit. 07:12 Yeah, well let's take a look at another question here. 07:14 Someone writes in, 07:15 "What is the function of your tonsils." 07:17 Well, no one really knows that, 07:19 we can, I actually had my tonsils removed 07:21 but some people think it has something to do 07:23 with detoxifying, you know, 07:24 sort of an organ that helps with infections 07:27 but you can live without them. 07:28 So I'm not really sure what the tonsils do 07:32 but they do seem to be a place 07:33 where infections tend to deposit 07:35 and some people thought it was immune tissue 07:37 and had something to do with your immune system. 07:40 But if you're having lots of sore throats, 07:42 lots of oral pain from that, 07:43 sometimes the tonsils pick up bacteria 07:46 and infections more than other parts. 07:48 So you have a tonsillectomy, 07:50 that's where they removed the tonsils. 07:52 I had mine removed 07:53 when I was five or six because, 07:55 I kept getting frequent strep throats. 07:57 Ok. 07:58 So I had mine removed when I was young 07:59 and I had it done in Nashville, Tennessee. 08:01 My tonsils were out and I could remember 08:03 it was great because afterwards. 08:04 Now they weren't... 08:05 this was years ago, 08:07 Nick and afterwards guess 08:08 what they gave you after you had 08:10 your tonsils removed. 08:11 Was that ice cream? Yes. 08:12 Probably not the best in processed sugar 08:14 but they didn't know everything back 08:15 then you know we probably should give me 08:17 some sorbet or something. 08:18 Although, it probably helped you be happy, 08:20 which probably was a good thing.' 08:21 Yeah, they got me over the hump of having my tonsils out 08:25 but if you haven't done tonsils out at a younger age, 08:27 it's a little bit easier 08:29 than waiting till you're older to have em out. 08:30 Now, educate us a little bit where is the tonsils? 08:32 Is it in the back of the throat or what? 08:34 It's usually to the sides 08:36 and if you open your mouth and look to your sides 08:38 if you still have them you can usually see them 08:40 and I don't want to do it on air 08:42 but this is one go to Wikipedia. 08:45 Wikipedia. Yeah, check it out on that. 08:46 And look at out where your tonsils 08:47 are but it's over here to the... 08:49 Kind of back of the side... 08:50 Yeah, back on the side, you can see em, 08:52 if you still have them. 08:53 And, but the main thing is if it causes, 08:54 if you have lots of infections in your throat 08:56 that might be 08:57 something you might want to have removed. 08:59 Alright, 09:01 our next viewer writes in and asks, 09:02 "What could be causing lip pain?" 09:04 Pain in your lips. 09:06 Wow, that's a good question. 09:08 Well, I'd have to talk to that person 09:10 because dry lips I guess could. 09:11 Yeah. 09:13 Sores could cause pain in the lips, 09:14 using your lips too much ok, 09:17 if you're a big, 09:18 big time kisser I guess Nick if you kept kissing 09:21 persons over and over I guess that could 09:22 you know wear your lips out 09:24 but that is a good question 09:25 that I'm going to have to defer to a dentist, 09:27 but sores I would guess could cause it. 09:30 You know those would be some of the more common things... 09:32 So let's say... 09:34 ...Lip pain other than sores and cankers 09:35 and things like that, 09:36 that they're usually viral infections 09:38 and immune system like reactions. 09:40 Sometimes of course, 09:42 if the lips gets too dry 09:43 they're more prone to cracking 09:44 and that can hurt as well so water would help the lips. 09:48 So I'm guessing this person probably 09:49 only had severely chapped lips 09:51 or some kind of sore 09:52 and you said a sore is a viral infection? 09:54 Usually the viral, 09:55 usually viral infections trigger it 09:57 and here's another thing 09:58 when we're talking about oral and mouth health. 10:00 Never put your mouth, 10:01 we talked about putting sharp things 10:03 in your mouth. 10:04 That's a no, no. 10:05 Another thing is putting your mouth 10:07 on very cold things, 10:08 don't do that you know 10:09 if you hear this occasionally... 10:11 Your stories with kids... 10:13 Even adults, you know the teenagers. 10:15 I dare you to stick your tongue on this cold, ice cube. 10:18 I dare you to kiss this cold ice cube... 10:20 And end up with some trauma. 10:21 That's not good and that's a traumatic thing... 10:23 Right. 10:25 I tell this because it does happen. 10:26 I don't think these things happen 10:27 but occasionally these things happen 10:29 and this is a way to lower your risk 10:30 and anything, you know, that's a good point. 10:32 Anything that we put in our, 10:33 our mouth that's too hot or too cold could cause damage. 10:37 That's right. 10:38 Think about it, you eat some hot foods 10:40 and it can cause oral pain as well. 10:42 Yeah, you know with young kids it's something we're always 10:45 trying to be aware of make sure 10:46 we don't give something that's too hot because, 10:48 inevitably I'm sure everybody does at once 10:49 and you realize oh, oh, 10:51 that's too hot for him and it end up 10:52 in a bad time. 10:54 A lot of adults drink hot drinks 10:55 and that causes acute damage 10:57 and you don't want to burn yourself 10:58 because that can cause oral pain so that's, 11:00 that could cause lip pain if it got in your lip. 11:02 But I don't see a lot of lip pain 11:04 in my practice. 11:05 That's good. I'm glad people are... 11:07 Usually not life threatening. 11:09 So who would you see it if you had, 11:10 if had lip pain, 11:12 you see a dermatologist maybe your dentist. 11:13 I'd see my dentist first, 11:14 because he probably sees more lip pains 11:16 than other people, 11:17 some people I guess bite their lips, you know. 11:18 Yeah, right. 11:20 You know, if they're nervous type of person. 11:22 Let's move on to another question, 11:25 "What is the best tooth brush to use." 11:26 Ok. 11:28 The best tooth brush to use 11:29 is anything that you actually use on a regular basis. 11:31 The one that you'll use right? 11:32 But I actually asked Dr Davis that question some others 11:34 and they say the one that's the best is the one 11:37 you know not the manual one 11:39 but they sort of the ones that spring put the water, 11:42 it's more like a water pick one. 11:43 Ok. Or the electric ones. 11:44 And the electric ones? 11:46 Electric ones and the ones 11:47 that have water come out the same time, 11:48 those are very good. 11:50 I don't know why I never I got the habit of using 11:51 just a regular one myself, 11:53 but some people that use the electric one 11:55 say that's great, 11:56 but I think the key is just to use the toothbrush, 11:59 floss on a regular basis 12:01 that's probably the best thing 12:02 that we can do not only for oral health 12:04 but it can prevent how halitosis, 12:06 keeping the mouth clean can get rid of sores in the mouth, 12:09 drinking lots of water all those things 12:11 are just great for the mouth 12:13 and I hope no one out there has mouth oral pain. 12:16 Well, Dr Markham thank you for sharing your thoughts 12:19 and thank you for watching this program. 12:20 If you're having serious mouth pain, 12:22 please go see your dentist. 12:24 And then if you have other questions, 12:25 go to our website at Hearwiseministries.org. 12:28 And we'll get you the best information we can. 12:30 Dr Markham will close the program 12:31 with prayer in just a moment. 12:33 So stay with us. 12:43 I hope no one in our viewing audience 12:46 is having mouth or oral pain. 12:48 It's not fun to have but remember 12:50 if you have pain in your mouth or anywhere, 12:53 that's your signal that something's wrong 12:55 so pay attention to that symptom. 12:58 Pain is a way that we learn that something's not going well 13:01 with our body and sometimes just common sense 13:04 is what we need to help prevent 13:06 episodes of pain. 13:07 Let's pray together. 13:09 Father in heaven, 13:10 there are some out there that are having pain. 13:13 We want you to be with them. 13:14 There's both the physical pain 13:15 and also the mental pains of life 13:17 and we know that you're the ultimate physician 13:20 who wants to be a part of every aspect. 13:22 Thank you for being with us today, 13:24 and guiding us in knowledge and truth. 13:27 This is our prayer. 13:28 Amen. 13:31 Well, if you have more questions. 13:33 I'm going to get them to Dr. Davis, 13:34 you can go to our website that's Heartwiseministries.org. 13:38 And I'm Dr James Markham, wishing you the best of health. |
Revised 2016-12-31