[62F] Experiencing recurring canker sores

Patient Description

A 62-year-old female reports having recurring canker sores on her tongue, which have been occurring intermittently over the past 4 years. The sores appear in different places on the tongue each time. The patient has not identified any specific remedies that alleviate the discomfort caused by these sores. There are no additional symptoms accompanying the canker sores. The patient has not provided information regarding the size of the ulcers or the number of sores present during each occurrence.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be dealing with:

  • Recurrent aphthous stomatitis (RAS): This is the most common cause of recurring mouth ulcers, also known as canker sores. The exact cause is unknown, but it is thought to be related to an overactive immune response.

    • Treatment typically involves managing symptoms with over-the-counter pain relievers and mouth rinses. If these don't help, your doctor may prescribe a stronger solution.
  • Vitamin or mineral deficiency: Deficiencies in certain vitamins and minerals, such as iron, folic acid, or vitamin B12, can cause mouth ulcers.

    • Treatment involves supplementing the deficient nutrient.
  • Oral lichen planus: This is an inflammatory condition that can cause mouth ulcers. It's usually chronic and can come and go.

    • Treatment typically involves managing symptoms and may include topical corticosteroids.
  • Behçet's disease: This is a rare disorder that causes inflammation throughout the body, including the mouth. It's characterized by recurring mouth and genital sores.

    • Treatment typically involves medications to reduce inflammation and suppress the immune system.

Please note that this is not an exhaustive list and other conditions may also cause your symptoms.

What you can do

You should schedule an appointment with your doctor to discuss your symptoms. They may want to perform a physical examination or order tests to help determine the cause of your mouth sores.

In the meantime, you can try the following to help manage your symptoms:

  1. Avoid spicy, acidic, or hard foods that can irritate your mouth.
  2. Rinse your mouth with warm salt water.
  3. Apply a topical numbing cream or gel, or a protective paste to the sores.
  4. Take over-the-counter pain relievers if needed.

What you should look out for

You should seek immediate medical attention if you experience:

  • Sores that are spreading or getting worse
  • Sores that last longer than two weeks
  • Difficulty swallowing or drinking fluids
  • High fever or feeling unwell

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


What are common causes of recurring canker sores?

Common causes of recurring canker sores include recurrent aphthous stomatitis, vitamin or mineral deficiencies, oral lichen planus, and Behçet's disease. Stress, hormonal changes, and certain foods can also trigger them.


Can vitamin deficiencies lead to mouth ulcers?

Yes, deficiencies in vitamins and minerals such as iron, folic acid, and vitamin B12 can lead to mouth ulcers. It's important to address these deficiencies through diet or supplements.


How can I manage the pain from canker sores at home?

To manage pain from canker sores at home, avoid spicy and acidic foods, rinse your mouth with warm salt water, apply topical numbing creams or protective pastes, and take over-the-counter pain relievers if needed.


When should I see a doctor for recurring mouth sores?

You should see a doctor if your sores are spreading, last longer than two weeks, cause difficulty swallowing, or are accompanied by a high fever or feeling unwell.

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