Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
159 Doctors are Online
Ask a Dentist   »  

Having on and off mouth ulcer. What is causing this and how to get rid of it?

DOCTOR OF THE MONTH - Jul 2016
Jul 2016
User rating for this question
Very Good
Answered by

Urologist
Practicing since : 1971
Answered : 9329 Questions
Question
I have had a mouth ulcer on and off for 4 or so months. If one goes to this photo: WWW.WWWW.WW

The ulcer that looks exactly like mine (when mine is irritated and comes up) looks most similar to the small pin prick sized ulcer above the large central red ulcer. So the ulcer is pretty small in size. The ulcer is also not sore or irritable, but seems to have the typical characteristics of most ulcers in that it is irritated by hot/acidic foods at times or fizzy drinks (although this is not always a given). The strange thing is, a couple of days may go where it does not come up or is visible at all, but then it will suddenly re-appear one day over the course of a few hours.

I do not get ulcers regularly, and I am very unlikely to be deficient in vits and minerals (take regular supplements). The only other time I have had ulcers in the past was around 6-7 months ago when I had a very brief outbreak of ulcers during what may have been a virus (raised temp, glands and random mouth and lip ulcers). I can not remember having any other ulcers other than this one on and off since that point. All the ulcers other than this one appear to have cleared up.

I am only writing this because I am concerned as to why this ulcer has persisted for more than 3 weeks and my current doctor believes it may be stress, however I'm not continuously stressed, yet it still persists. Any thoughts or opinions on this problem would be most welcome. For now, the ulcer has not grown in size and I have not seen any new ulcers appear. If it was something malignant or suspicious should I have expected changes by now?
Something else I must also add is that, when irritated and it comes up, the ulcer almost looks like a bubble - and just before I typed this, it appears it may have burst and it then deflates back to the lining of the roof of my mouth. Is this is a particular sort of ulcer? It has done this a number of times, but keeps coming back up.

Many thanks and apologies for the long message!
Posted Mon, 7 Jan 2013 in Dental Health
 
 
Answered by Dr. P. T. Patil 2 hours later
Hello,

Thanks for your query.

I understand your difficulty of having recurrent ulcers in the mouth. It would be easier for me to comment on the ulcers if you could kindly provide some more details.

1) Does this ulcer appear after eating hot spicy food?
2) Did you have unprotected oral sex before appearance of Ulcer?
3) Do you have any digestive problems?
4) Do you smoke?
5) Do you have chronic Constipation?
6) Do you have any problem related to tooth and gums?

You also have a feature to upload an image of your ulcers, by yourself at the right side of the query page. Please utilize that, so that I can answer your queries better

Please revert back. I will try my best to address your queries.

Thanks and Regards.
Dr. Patil
Above answer was peer-reviewed by
 
Follow-up: Having on and off mouth ulcer. What is causing this and how to get rid of it? 8 hours later
1) Does this ulcer appear after eating hot spicy food?

Hot food does indeed appear to irritate it, however it does not necessarily always appear after this.

2) Did you have unprotected oral sex before appearance of Ulcer?

I had unprotected oral sex around 6 months ago, but I do not think the ulcer appeared for a number of weeks after this point. I am glad you mentioned this point, however as I also thought of this possible connection and have booked a sexual health screening appointment for this week.

3) Do you have any digestive problems?

No. My digestive system appears to be in a good state of health currently.

4) Do you smoke?

I used to smoke on and off for around a year in 2009/2010. I do not currently smoke however and have not smoked anything more than a cigarette or two over the past year.

5) Do you have chronic Constipation?

I do not have chronic constipation.

6) Do you have any problem related to tooth and gums

I do not have any issues with my teeth or gums.


Since it came up yesterday afternoon, it has now almost disappeared again over night. I will monitor it over the course of the day and see what irritates it. In the mean time I will book a sexual health screening. Other than HIV (which hopefully is extremely unlikely), are there any other STIs that may cause a mouth ulcer to appear. I must re-emphasise that it has only been one re-occurring mouth ulcer in the exact same location of the roof of my mouth now for the previous months. Currently no other ulcers have appeared and the current ulcer does not appear to be getting any larger or more irritated - it simply comes and goes.

Kind regards
XXXXXXX
 
 
Answered by Dr. P. T. Patil 51 minutes later
Hello
Thanks for your feedback.

The ulcer that you have on the roof of the mouth looks like a simple ulcer termed as Apthous Ulcer. As the ulcer is on the the roof of the mouth its based on a hard palate (Bone), it takes long time to heal compared to the ulcers on the cheek and floor of the mouth.

As planned you can go ahead with the sexual health screening and provide me the result of the same.You can also consult a Surgeon and get the biopsy of the Ulcer done to come to conclusion about the nature and pathology of a Ulcer.

Feel free to write me again.. Thanks and Regards
Dr.Patil
Above answer was peer-reviewed by
 
Follow-up: Having on and off mouth ulcer. What is causing this and how to get rid of it? 5 days later
Thanks very much for the reply. Perhaps I should have been clearer as to the ulcers location. It is on the soft lining of the top of my mouth/throat. It is where the hard roof of my mouth ends and the softer tissue towards my throat starts. It had actually gone down and away for the last few days, but has come back up slightly this morning - in fact it came up a little last night after a hot meal (not spicy, but just of a very hot temperature) last night. It almost looks like a bubble, then as it reaches its largest size it then almost bursts or 'deflates' and is eliminated until another point in time.

I am awaiting blood test results (which will contain rbc, abc, platelets, and the full blood count as well as b vitamins, kidney function, liver and iron). I am also doing a sexual health screen later this afternoon. If these results are all normal and the ulcer continues then I will return to my doctor.
 
 
Answered by Dr. P. T. Patil 8 hours later
Hello
Thanks for your feedback.
It appears to be a superficial burn of the mucosa due to hot meal and does not look like to be due to other pathological Ulcer.
Please do write once you get all the reports.
Regards
Dr.Patil
Above answer was peer-reviewed by
 
Follow-up: Having on and off mouth ulcer. What is causing this and how to get rid of it? 25 hours later
So can a hot meal actually cause a long-lasting ulcer? As promised here are a few photos of the ulcer (apologies if they are not especially clear, but this is the best I can do). They are under 'new report' attachments. I hope this gives you a good idea of where it is and how it appears.

Kind regards
 
 
Answered by Dr. P. T. Patil 9 hours later
Hi,

I have looked at the photograph that you have loaded. It appears to be located over the hard palate and does not look to be malignant in nature.

Please take symptomatic treatment like Multivitamins and apply Soothing gel of local anesthetic agent. You have to get the prescription of these drugs from your family physician. I think it should heal in a week.

Thanks with Regards.
Dr.Patil
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to

The user accepted the expert's answer

Ask a Dentist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor