Aphthous ulcers
Aphthous ulcers, also known as canker sores, are small, painful lesions that typically develop on the soft tissues inside the mouth, such as the cheeks, gums, tongue, or the roof of the mouth. They are not contagious and are different from cold sores (which are caused by the herpes virus).
Common causes of aphthous ulcers:
- Injury to the mouth – biting the inside of the cheek or brushing too hard.
- Stress – emotional or physical stress can trigger ulcers.
- Nutritional deficiencies – especially in B vitamins, iron, and folic acid.
- Hormonal changes – they can occur during menstruation or other hormonal shifts.
- Certain foods – spicy, acidic, or abrasive foods may trigger or worsen ulcers.
- Underlying health conditions – such as autoimmune diseases (e.g., Crohn’s disease, celiac disease), or conditions like HIV/AIDS.
Symptoms:
- Painful round or oval sores with a white or yellowish center and a red border.
- Sensitivity to certain foods (like citrus, spicy foods, or salty snacks).
- Swelling in the surrounding area.
Treatment options:
- Over-the-counter medications: topical creams, gels, or patches (e.g., benzocaine or hydrocortisone).
- Saltwater rinse: helps soothe the pain and promote healing.
- Mouthwash: medicated mouthwashes that may contain ingredients like chlorhexidine.
- Avoiding irritants: staying away from spicy, acidic, or rough-textured foods.
- Pain relief: taking over-the-counter painkillers like ibuprofen or acetaminophen can help with discomfort.
Most aphthous ulcers heal on their own within 1-2 weeks. However, if they’re unusually large, persistent, or frequent, or if you experience symptoms like fever or difficulty swallowing, it’s advisable to consult a healthcare professional.
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