Search by name
logo

Mouth Ulcer

Mouth ulcers are painful sores that appear on any of the structures of the mouth, including the gums, tongue, and inner lips. These are common and have various causes and triggers.

Symptoms

Mouth ulcers are blister-like lesions in the mouth. They are usually small, though can sometimes grow to over 1 cm in diameter. There can be just one or several. They may have clear, yellow coloured or whitish fluid in them. If a mouth ulcer becomes infected, it may have pus in it. The sores are uncomfortable and can make eating and drinking painful.

Causes & Triggers

Many mouth ulcers do not have a definite cause, but research has found triggers can include:

  • Minor injury such as accidentally biting the lip while chewing, rubbing from braces or dentures, sports injury, dental procedures
  • Feeling very stressed
  • Less sleep than usual
  • An allergic reaction to certain foods, toothpaste, other oral hygiene products, or to bacteria normally in the mouth
  • Menstruation or pregnancy
  • Vitamin or mineral deficiencies
  • Infections such as herpes or hand, foot, and mouth disease
  • Genetics – some families seem to get mouth ulcers more often than others
  • A side effect or allergic reaction to a medication

Less commonly, mouth ulcers are a sign of another medical condition which requires treatment, such as:

  • Crohn’s disease, a type of inflammatory bowel disease
  • HIV/AIDS
  • Diabetes
  • Coeliac disease
  • Lichen planus (a skin condition that can appear in the mouth as well as other areas of the body)
  • Mouth cancer
  • Other immune system problems

Diagnosis

Many mouth ulcers are easily diagnosed via visual examination. In some cases, the doctor or dentist may take a swab to confirm if there is a bacteria or virus causing the ulcer.

If a mouth ulcer does not heal after three weeks, the doctor or dentist may request other tests, such as a biopsy or blood tests.

Complications

Complications from mouth ulcers are rare. Sometimes, they can become infected and require antibiotic treatment. If the ulcer is a sign of another medical condition, complications can include those of the other condition as well.

Treatment

Most mouth ulcers heal on their own without help from a doctor or dentist.

Some at home remedies include:

  • Gargling with salt water and baking soda
  • Applying a paste of baking soda and water over the ulcer
  • Covering the ulcer with a damp tea bag
  • Applying ice
  • Giving it a bit of time

If home remedies do not help, a pharmacist can help find the best over-the-counter medications to reduce symptoms while the ulcer heals. Some options include:

  • Painkillers such as paracetamol and ibuprofen
  • Applying lozenges, sprays, gels, or pastes with numbing properties directly onto the ulcer
  • Avoiding foods or drinks which make the symptoms worse
  • Using a straw to drink
  • Antimicrobial mouthwash

If the ulcer does not heal after three weeks, it is time to see the doctor or dentist. The doctor or dentist may prescribe medicine, such as oral steroid tablets to reduce inflammation and allow the area to heal, or an antibiotic if infection is suspected.

Prevention

The following activities may help prevent mouth ulcers:

  • Regular visits to the dentist to maintain good oral health
  • Stress relief techniques
  • Brushing with a soft-bristled toothbrush
  • Not chewing gum
  • Getting enough sleep every night
  • Avoiding foods which seem to irritate the mouth, such as acidic foods or spicy foods
  • Taking a regular multivitamin to get enough of various vitamins and minerals

Unfortunately, even with the above prevention methods, it is not always possible to prevent mouth ulcers.

 
 
 

The content appearing on this site is not intended to treat, diagnose, or provide health care advice. The articles you read here are meant for informational purposes only. Please review additional information to learn more.