Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

133 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

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

Answered by
Dr.
Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 9812 Questions

default
Posted on Mon, 7 Jan 2013 in Dental Health
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!
doctor
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 : Dr. Mohammed Kappan
doctor
default
Follow up: Dr. P. T. Patil 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
doctor
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 : Dr. Shanthi.E
doctor
default
Follow up: Dr. P. T. Patil 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.
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 : Dr. Aparna Kohli
doctor
default
Follow up: Dr. P. T. Patil 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
doctor
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 : Dr. Shanthi.E
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,  

Recent questions on  HIV

doctor1 MD

hi, im 17 and ive had sex before about 3 months ago i had unprotected sex about 2 months later to now i started feeling like pee was stuck in my shaft no matter how many times i pee, it doesnt burn when i pee and i think tthere was white/cream on the top of my penis and both sides of my penis hole get stuck together too, im not sure if i have an std please help?

doctor1 MD

Hello,
Im after some advise really
Im 24 I have been having chemotherapy for hodgkins lymphoma for the last 3 years and last september i had a bone marrow transplant from donor cells, all through the treatment i was still having my periods but last year they put me on a tablet which stopped me from bleeding as it was too dangerous. when i stopped this tablet at christmas time i bleed but havent since. the doctors are still hopeful my periods will return and have said i can start taking my contraceptive pill as soon as they do but me and my boyfriend of 4 years both hate using condoms and get no enjoyment out of them and therefore we havent been having a love life really and i dont want to wait up to the year the hospital is saying what are my options?

doctor1 MD

Im having constant head aces. Lower Back aces. No ministration. 2weeks late. Used condoms with my husband could I be pregnant or something else. Been having pain sinve last Friday. Im 2months postpardum with possible thyroid issues. Now incontanance

doctor1 MD

before 8 months i had a sexual contact with prostitute girl without condam, and after 15 days i had pain in my panis and headche to till today.but i did HIV and other sexually transmitted diseases of blood test 2 times nothing can be found,so here iam wondering for good suggestion,can you help me?

doctor1 MD

I just had a mutual masturbation session with a sex worker However she removed her hand from inside her vagina and used it roughly on my penis in a hand job Can I get HIV from this means which I was not able to stop after it occurred to me ?

doctor1 MD

i bought food the food was in a container with a plastic at the top covering the container how ever i notice the plastic on 1 container was slightly open on a container with food inside any RISK for hiv hep b,c

doctor1 MD

Dear doctor thanks for your valuable reply however my further query is for last two weeks I have a mild rash under my eye which is persistent and is not going away...I had read somewhere in the webmd website that facial rashes are the first sign...