Aphthous ulcers: Painful mouth sores

21 October 2017

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Aphthous ulcers can have many causes - in most cases it remains unclear how the painful mucosal damage has occurred in the mouth.

The cause of recurrent aphthous ulcers (So-called. Habitual or chronic recurrent aphthous ulcers) is not known. The painful mucosal reactions may be due to an immune reaction of the body, whose origin is unclear. Most sufferers are otherwise healthy and there is no specific cause of aphthous ulcers to detect. In some cases, however, certain factors seem to increase the likelihood of mouth ulcers. are discussed initiating or facilitating factors as:

Viruses or bacteria could be the cause, was discussed, but so far not used.

An aphthous ulcer on the lower lip: In most cases, the causes of mouth ulcers are unclear. © iStock

In most cases, the causes of mouth ulcers are unclear.

aphthous ulcers may also under other diseases occur. These include, for example:

People with HIV infection often suffer from recurrent aphthous ulcers. In addition, certain drugs (for example, anti-inflammatory drugs) may promote aphthous ulcers.

The causes individually occurring, non-recurring aphthous ulcers (So-called. Solitary aphthous ulcers) are varied. Possible triggers include:

So-called bednarsche aphthous ulcers occur in the oral mucosa of infants. These mouth ulcers are the result of small injuries caused for example by sucking on the bottle. They usually occur in the area of ​​the hard palate.

Sometimes arise aphthous ulcers on the tongue lower surface or at the frenulum of young children, when often cough it with his tongue sticking out - such as in whooping cough (pertussis called ulcer or. Fede-Riga-Aphthe). In this case, a mechanical stimulation is the cause.

Aphthous ulcers are

Rare aphthous ulcers are not found in the mouth, but on the mucous membranes in the genital area.

Aphthous ulcers may occur at various locations in the mouth, such as on the tongue. The mucous membrane of the genitals may also be affected. © iStock

Aphthous ulcers may occur at various locations in the mouth, such as on the tongue. The mucous membrane of the genitals may also be affected.

Recurring called aphthae (Also: chronic recurrent aphthous ulcers) are distinguished in that they occur over years to decades away at intervals of weeks to months again. Often there are doing more painful mouth ulcers in the mouth at the same time. They are usually no bigger than a pinhead, but they can also be substantially higher.

Physicians distinguish three main types of habitual aphthae:

In addition, it may be necessary to rule out other diseases that are very similar to the appearance of aphthous ulcers, such as herpes simplex, the hand-mouth-foot disease or foot-and-mouth disease.

If you often suffer from recurrent aphthous ulcers or canker sores remains longer exist than six weeks, you should see your doctor.

Most require aphthous ulcers no special treatment and heal on its own again. When therapy is merely to relieve symptoms and speed healing. Join the aphthous ulcers under another disorder (for example, Behcet's disease or Crohn's disease), it must be treated.

Individually occurring, so-called solitary aphthous ulcers form usually quickly and without scarring back treatment is not usually necessary. To relieve pain, it may be helpful to dab the affected area with a numbing solution (local anesthetic), for example with the active ingredients benzocaine or lidocaine.

If you suffer from mouth ulcers, it is best to food waive that could intensify the pain. These include, for example,

Food such as biscuits or rolls can irritate the mucous membrane attacked, so you consume this cautiously as long as aphthous ulcers are in your mouth. If there is suspicion that a particular food could have been the trigger, you should avoid this.

A woman makes a mouthwash. © Jupiterimages / Photodisc

Mouthwashes can ease the pain and speed healing.

Also re-occurring, known as habitual or chronic recurrent aphthous ulcers can only be treated symptomatically, since the actual cause is unknown. Although the treatment shortens the healing time, but has no effect on the period in which recur aphthous ulcers. Depending on the severity of mouth ulcers medicines can help, acting directly in the oral cavity (so-called. local therapy) Or drugs that act throughout the body (so-called. systemic therapy):

Most mouth ulcers heal in the course of a few days to two weeks.

The history recurrent Aphthous ulcers depends on, among other things, what type it is. Few small aphthous ulcers (Minor type) usually heal without scarring off again, while larger, deeper aphthous ulcers (major type) may require a longer healing time of up to six weeks, leaving scars. Aphthae can live long in spurts occur again and again.

The so-called herpetiform type, in which many small aphthous ulcers occur, the damage caused over the years to decades always again; rarely the person is completely symptom free. Complications occur only rarely in aphthous ulcers. In severe cases, bacterial infections can occur which are accompanied by inflammation.

Aphthous you can prevent limited, because the causes of the painful mucosal damage in the mouth or genital area are largely unknown.

If it is suspected that certain foods trigger could have been for aphthous ulcers - such as nuts or tomatoes -, you should avoid all possible.

Join aphthous ulcers more often, they are made more than six weeks or if they are particularly large, you should consult a precaution a doctor to rule out any other medical condition.


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