Persistent Mouth Ulcers_ When to Seek Medical Attention

Persistent Mouth Ulcers: When to Seek Medical Attention

Mouth ulcers, also known as canker sores, are a common and usually harmless oral condition that affects many people at some point in their lives. These small, painful lesions typically appear on the soft tissues inside the mouth, such as the inner cheeks, lips, tongue, or gums. While most mouth ulcers heal on their own within a week or two, some cases can persist for longer periods, causing discomfort and concern.

When a mouth ulcer lasts for five weeks or more, it's important to take notice and consider seeking medical attention. Prolonged ulcers can be a sign of an underlying health issue or may require professional treatment to promote healing and prevent complications.

There are several reasons why a mouth ulcer might persist for an extended period:

Recurrent aphthous stomatitis: This condition causes recurring ulcers that may appear in clusters or cycles, making it seem like a single ulcer is lasting longer than usual.

Nutritional deficiencies: Lack of essential vitamins and minerals, such as vitamin B12, folate, or iron, can contribute to slow healing of mouth ulcers.

Stress and fatigue: High levels of stress or exhaustion can weaken the immune system, making it harder for the body to heal ulcers quickly.

Hormonal changes: Fluctuations in hormone levels, such as those occurring during menstruation or pregnancy, can affect the healing process of mouth ulcers.

Certain medications: Some drugs, including nonsteroidal anti-inflammatory drugs (NSAIDs) and beta-blockers, may increase the likelihood of developing persistent mouth ulcers.

Allergic reactions: Sensitivities to certain foods, dental products, or oral care items can cause recurring or long-lasting ulcers.

Autoimmune disorders: Conditions like Beh?et's disease, lupus, or inflammatory bowel disease can manifest with persistent oral ulcers.

Oral infections: Bacterial, viral, or fungal infections in the mouth can lead to prolonged ulceration.

Trauma: Continued irritation from ill-fitting dental appliances, sharp teeth, or accidental biting can prevent ulcers from healing properly.

Oral cancer: In rare cases, a persistent ulcer may be a sign of oral cancer, especially if it's accompanied by other symptoms like unexplained bleeding or difficulty swallowing.

If you have a mouth ulcer that has lasted for five weeks or more, it's advisable to consult a healthcare professional, such as a dentist or doctor. They can perform a thorough examination and may recommend further tests to determine the underlying cause of the persistent ulcer.

During your appointment, be prepared to provide information about:

The duration and location of the ulcer

Any pain or discomfort associated with the ulcer

Your medical history and current medications

Recent changes in diet or oral care routine

Any other symptoms you may be experiencing

Your healthcare provider may suggest various treatments depending on the cause of the persistent ulcer.