Hi XXXXXXX

Thanks for the query

Canker sores also called as Aphthous ulcers in the oral cavity are sometimes very distressing. It is mainly due to stress. The other causes include lack of nutrition, consumption of excessive hot and spicy food, consumption of alcohol and caffeine, etc.

As you mentioned in your query that 'as long as you were taking naturally made products you did not have any ulcers' that means, your ulcers could be due to nutrition deficiency.

I would like to suggest you few things to get rid of these canker sores:
     Drink plenty of water
     Reduce stress if any
     Take plenty of fresh fruits and vegetables as they are good source of vitamins
     Avoid greasy food, excessive coffee/tea/alcohol
     Take B-Complex tablets for few days
     You can use local applicants like Bonjela Mouth Ulcer gel, Smyle Mouth Ulcer gel and if the ulcer persists you can use Kenalog in orabase (only after consulting your doctor)

     Do not use Nystatin cream or Hydrogen peroxide mouth wash (this will cause mucosal irritation)

Hope I have answered your query. If you have any more doubts, I will be available to answer them as well.

Regards
Dr. Naveen Kumar
ENT and Head & Neck Surgeon

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Hi XXXXXXX

Thanks for writing back

Sometimes, smoking can actually be beneficial in preventing these ulcers, but there are no documentations to validate this concept. As, you are going through lots of stress, it is indeed wise to consult a good psychiatrist and get counseling done as well as to perform de-stressing exercises. It is not good to resort to smoking even though it might give you temporary relief, but it will lead to dependency. In a long run, you might have to face health related problems because of the smoking.

Best advice for you is to do de-stressing exercises, eat healthy and wholesome food, drink plenty of water to keep yourself hydrated and avoid smoking.

Wish you Good Health

Regards

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