Up to 20 percent of patients with this inflammatory bowel disorder develop lesions in their mouth that may even precede abdominal symptoms such as cramps and diarrhea, according to a 2010 study from the Medical University of South Carolina in Charleston.
Dr. Meinecke says that she’s seen swollen lips and dime-sized ulcers on the inside of cheeks and lips—a white center with a red halo circling it. If she suspects Crohn disease, she’ll do X-rays to rule out gum disease and ask about medical history and medications. “If I can’t find a reasonable explanation for the symptoms, I’ll recommend they see their regular doctor,” she says.
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