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Mouth
ulcers |
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What is Mouth ulcers
A mouth ulcer is an open sore inside the oral
cavity. Two common mouth ulcer types are aphthous ulcers (canker
sores) and cold sores (caused by the herpes simplex virus).
The types of oral ulcers are diverse, with a multitude of
associated causes including: physical or chemical trauma,
infection from microorganisms or viruses, medical conditions or
medications, cancerous and sometimes nonspecific processes. Once
formed, the ulcer may be maintained by inflammation and/or
secondary infection.
Symptoms
The symptoms preceding the ulcer may vary according to the cause
of the ulcerative process.
Some oral ulcers may begin with a sharp stinging or burning
sensation at the site of the future mouth ulcer. In a few days,
they often progress to form a red spot or bump, followed by an
open ulcer. Sometimes this takes a little bit longer, depending on
the cause of the ulcer.
The oral ulcer appears as a white or yellow oval with an inflamed
red border. Sometimes a white circle or halo around the lesion can
be observed. The grey, white, or yellow coloured area within the
red boundary is due to the formation of layers of fibrin, a
protein involved in the clotting of blood. The ulcer, which itself
is often extremely painful, especially when agitated, may be
accompanied by a painful swelling of the lymph nodes below the
jaw, which can be mistaken for toothache.
Causes
There are many processes which can lead to ulceration of the oral
tissues. In some cases they are caused by an overreaction by the
body's own immune system.
Factors that appear to provoke mouth ulcers include stress,
fatigue, illness, injury from accidental biting, hormonal changes,
menstruation, sudden weight loss, food allergies and deficiencies
in vitamin B12, iron and folic acid.
Treatment
Treatments based on antibiotics and steroids are reserved for
severe cases, and should be used only under medical supervision.
Some doctors may also prescribe a local anaesthetic, such as
lidocaine, for cases of multiple or severe oral ulcers.
Some people benefit from using the over-the-counter topical gel
Bonjela, which contains choline salicylate -- choline salicylate
is a local analgesic that helps to reduce the pain and
inflammation associated with oral ulcers.
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