Mouth ulcers, also known as canker sores or aphthous ulcers, are small, painful lesions that develop inside the mouth. They can appear on the inner cheeks, lips, tongue, gums, or the roof of the mouth. These ulcers are usually not contagious and tend to heal on their own within 1–2 weeks. Below is detailed information on the causes of mouth ulcers:
🔹 Common Causes of Mouth Ulcers
1. Minor Trauma
Biting the inside of the cheek or tongue
Injury from sharp teeth, braces, dentures, or rough brushing
Burns from hot foods or drinks
2. Stress and Hormonal Changes
Emotional stress or anxiety can trigger mouth ulcers.
Hormonal changes during menstruation or pregnancy may also play a role.
3. Nutritional Deficiencies
Deficiencies in the following nutrients are commonly associated with ulcers:
Vitamin B12
Iron
Folate (Vitamin B9)
Zinc
4. Food Sensitivities and Allergies
Some individuals may develop ulcers after consuming:
Citrus fruits (like oranges, lemons)
Spicy or acidic foods
Chocolate
Coffee
Nuts or gluten-containing foods
5. Medical Conditions
Certain systemic diseases can cause or exacerbate ulcers:
Celiac disease
Crohn’s disease
Ulcerative colitis
Behçet’s disease
HIV/AIDS
Lupus
6. Infections
Viral infections (e.g., Herpes Simplex Virus)
Fungal infections (especially in immunocompromised people)
Bacterial infections
7. Immune System Dysfunction
An overactive immune response may cause the body to attack cells in the mouth, resulting in ulcers.
8. Medications
Some medications can trigger or worsen ulcers:
NSAIDs (e.g., ibuprofen)
Beta-blockers
Chemotherapy drugs
Immunosuppressants
9. Genetic Factors
A family history of mouth ulcers increases your risk, suggesting a genetic component.
🔹 Types of Mouth Ulcers
Minor aphthous ulcers
Small (less than 1 cm), round or oval
Heal within 7–10 days without scarring
Major aphthous ulcers
Larger and deeper
Can last several weeks and may leave scars
Herpetiform ulcers
Numerous small ulcers that can merge
Not caused by the herpes virus
🔹 When to See a Doctor
Seek medical attention if:
Ulcers last longer than 2–3 weeks
They are unusually large or spreading
You have frequent outbreaks
You experience high fever, diarrhea, or joint pain
There are signs of infection (pus, severe redness)
🔹 Prevention and Management Tips
Maintain good oral hygiene
Use a soft-bristled toothbrush
Avoid foods that trigger ulcers
Manage stress effectively
Treat underlying health conditions
Consider using protective dental devices if mechanical irritation is a cause
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