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Aphthous Ulcers

Aphthous ulcers, commonly known as canker sores, are small, painful sores that develop on the soft tissues inside the mouth. They usually appear as round or oval lesions with a white or gray center and a red border. These ulcers can make eating, drinking, and speaking uncomfortable.

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Symptoms

Aphthous ulcers typically present with:
• Painful sores inside the mouth.
• Sores that may be round or oval in shape.
• A burning or tingling sensation before the sore appears.
• Difficulty eating or drinking due to pain.

Causes

The exact cause of aphthous ulcers is not well understood, but several factors may contribute to their development:
• Stress: Emotional stress can trigger outbreaks.
• Injury: Biting the inside of the cheek or irritation from braces or dental work.
• Nutritional Deficiencies: Lack of vitamins such as B12, folate, and iron.
• Hormonal Changes: Fluctuations during menstrual cycles may increase occurrence.
• Certain Foods: Spicy, acidic, or hard foods can irritate the mouth.

Diagnosis

Aphthous ulcers are usually diagnosed based on their appearance and location in the mouth. A healthcare provider may:
• Perform a physical examination.
• Ask about symptoms and medical history.
• Rule out other conditions if ulcers persist or recur frequently.

Treatment Options

While there is no cure for aphthous ulcers, several treatments can help manage symptoms and promote healing:
• Topical Treatments:
• Corticosteroids: Such as triamcinolone paste can reduce inflammation and pain.
• Amlexanox paste: Applied directly to the ulcer to speed healing.
• Over-the-counter anesthetics: Like benzocaine or lidocaine for temporary pain relief.
• Mouth Rinses:
• Saltwater rinse: Helps soothe irritation.
• Chlorhexidine mouthwash: An antiseptic that can reduce bacteria and promote healing.
• Oral Medications:
• In severe cases, doctors may prescribe systemic medications like corticosteroids or immunosuppressants.
Home Remedies
Several home remedies may provide relief:
• Rinsing with warm salt water or baking soda solution.
• Applying milk of magnesia directly to the ulcer.
• Sucking on ice chips to reduce swelling and numb pain.
• Avoiding irritating foods like citrus fruits and spicy dishes.

Frequently Asked Questions

Q: Are aphthous ulcers contagious?


A: No, aphthous ulcers are not contagious; they cannot be spread from person to person.

Q: How long do aphthous ulcers last?


A: Most aphthous ulcers heal on their own within 10 to 14 days without treatment.

Q: When should I see a doctor about an ulcer?


A: If an ulcer lasts longer than two weeks, is unusually large, or if you experience frequent outbreaks, consult a healthcare provider.

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