Mouth Ulcers Under the Tongue_ Common Causes and Contributing Factors

Mouth Ulcers Under the Tongue: Common Causes and Contributing Factors

Mouth ulcers under the tongue, also known as canker sores or aphthous ulcers, can be particularly uncomfortable due to the tongue's frequent movement and sensitivity. While the exact cause isn't always clear, several factors can contribute to their development. Understanding these causes can help in prevention and management of these painful lesions.

Minor injuries: Accidental biting, dental work, or rough food textures can cause small injuries that may develop into ulcers.

Stress and anxiety: Emotional stress is a common trigger for mouth ulcers, including those under the tongue.

Nutritional deficiencies: Lack of essential vitamins and minerals, particularly vitamin B12, iron, and folic acid, can increase susceptibility to mouth ulcers.

Hormonal changes: Fluctuations in hormones, such as during menstruation or pregnancy, can trigger mouth ulcers in some individuals.

Food sensitivities: Certain foods, especially acidic or spicy items, may irritate the delicate tissue under the tongue and lead to ulcer formation.

Allergic reactions: Some people may develop mouth ulcers as a response to specific allergens in food or oral care products.

Viral infections: Certain viruses, such as herpes simplex virus (HSV), can cause ulcers in and around the mouth, including under the tongue.

Autoimmune disorders: Conditions like Beh?et's disease, lupus, or inflammatory bowel diseases can increase the likelihood of developing mouth ulcers.

Genetic factors: Some individuals may have a genetic predisposition to developing mouth ulcers more frequently.

Certain medications: Some drugs, particularly those that affect the immune system, can increase the risk of mouth ulcers as a side effect.

Tobacco use: Smoking or chewing tobacco can irritate the mouth's soft tissues, potentially leading to ulcer formation.

Poor oral hygiene: Inadequate oral care can lead to bacterial overgrowth and increase the risk of mouth ulcers.

Sodium lauryl sulfate (SLS): This common ingredient in toothpaste may cause irritation and contribute to ulcer formation in sensitive individuals.

Dehydration: Lack of proper hydration can lead to dry mouth, potentially increasing the risk of tissue damage and ulcer formation.

Compromised immune system: Conditions that weaken the immune system, such as HIV/AIDS or certain cancer treatments, can make individuals more susceptible to mouth ulcers.

Sharp tooth edges or ill-fitting dental appliances: These can repeatedly irritate the tissue under the tongue, potentially leading to ulcers.

Celiac disease: This autoimmune disorder triggered by gluten can sometimes manifest with recurrent mouth ulcers.

Helicobacter pylori infection: While primarily associated with stomach ulcers, some studies suggest a potential link between H. pylori and recurrent mouth ulcers.

Lack of sleep: Chronic sleep deprivation can weaken the immune system and potentially increase susceptibility to mouth ulcers.

Excessive alcohol consumption: Regular heavy drinking can irritate the mouth's soft tissues and potentially lead to ulcer formation.

While most mouth ulcers under the tongue are benign and heal on their own within a couple of weeks, persistent or recurrent ulcers may warrant medical attention. If you frequently experience mouth ulcers or have concerns about their cause, it's advisable to consult with a healthcare professional or dentist for a proper evaluation and personalized advice on prevention and treatment.