Canker sores are small ulcers or erosions appear in the oral cavity i.e. inside of the cheeks, lips, on or under the tongue, or on the floor of the mouth caused by variety of viruses.
Mouth ulcers are quite common and irritating. These painful, open sores are usually white in colour, surrounded by an inflamed red border.
They can arise as a result of dentures rubbing, biting your lip or tongue accidentally – or as a result of long term nervous tension and stress. If the latter causes recurrent ulcers, then it is often a sign that the immunity is suppressed.
Some people specifically suffer from mouth ulcers when they are run down – so it is vital to observe your body’s signals and heed the warning signs!
Mouth ulcers can also be an indication of an allergic reaction – particularly to certain food stuffs, which is often accompanied by inflammation of the tongue and inside of the mouth. They can also be an indication of candida albicans infestation – and can occur if you have oral thrush too.
COMMON CAUSES
They can be caused by a number of factors like:
- Food triggers / intolerance
- Gastric disturbances e.g. Constipation
- Hormonal changes
- Excess acidity
- Accidental cheek bites
- Deficiencies of vitamin B complex, vitamin C, iron, folic acid or other nutrients.
- Emotional stress.
- Local trauma- ill-fitting dentures or a sharp tooth.
- Allergy to local applications like toothpaste.
- Poor oral hygiene- not brushing teeth regularly.
- In females can be associated with menstrual cycle.
- Smoking, alcohol, spicy food.
- Drugs like antibiotics.
- Low immunity in any illness.
- Sometimes, A susceptibility to canker sores tends to run in families.
SIGNS AND SYMPTOMS
- Tiny shallow erosions in the oral cavity or on the tongue.
- The base of the ulcer may be grey or white in colour.
- Increased salivation.
- Burning pain on the affected part on touch, contact with food / drink.
- Ulcers may bleed.
- Bad breath.
- Fever in case of infection.
DIETARY MANAGEMENT
- Treat the causes.
- Avoid hot, spicy food.
- Drink plenty of water.
- Eat bland food.
- Do not eat / drink too hot or too cold food.
- Avoid sweets and carbohydrates.
- Avoid smoking and alcohol.
- Eat liquid / semi solid food, which you can easily swallow to avoid pain.
- Eat lots of vitamin C, vitamin B12 and folic acid –
- Fruit juice – citrus fruits like- orange, lime, sweet lime, strawberries, grape fruits, mango, amla (Indian Gooseberry) etc.
- Vegetable soups – tomatoes, green leafy vegetables – spinach, tangerines etc.
- Eat boiled vegetables – cabbage, broccoli, tubers- potatoes and sweet potatoes.
- Milk and milk products.
- Boiled or scrambled egg.
- Wheat, rice (brown) porridge.
- If pain is not too much you can have well-cooked (soft) meat, kidney, liver, sea food- shellfish, shrimps, crabs, lobsters.
- Wash your mouth with water and little turmeric.
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