Mouth ulcers

Mouth ulcers are common and should clear up on their own within a week or 2.

But see a GP or dentist if you have a mouth ulcer that lasts longer than 3 weeks.

Mouth ulcers are rarely a sign of anything serious, but may be uncomfortable to live with.

They need time to heal and there's no quick fix.

Dos

• use a soft-bristled toothbrush

• drink cool drinks through a straw

• eat softer foods

• get regular dental check-ups

• eat a healthy, balanced diet

Don’t’s

• do not eat very spicy, salty or acidic food

• do not eat rough, crunchy food, such as toast or crisps

• do not drink very hot or acidic drinks, such as fruit juice

• do not use chewing gum

• do not use toothpaste containing sodium lauryl sulphate

See a dentist or GP if your mouth ulcer:

• lasts longer than 3 weeks

• keeps coming back

• grows bigger than usual or is near the back of your throat

• bleeds or becomes more painful and red – this may be a sign of an infection

Although most mouth ulcers are harmless, a long-lasting mouth ulcer is sometimes a sign of mouth cancer. It's best to get it checked.

Treatment from a dentist or GP

A GP or dentist may prescribe stronger medicine to treat severe, persistent or infected mouth ulcers.

Possible treatments include:

• steroid mouth spray or steroid tablets that dissolve in your mouth

• painkilling gels, ointments, sprays or tablets

• mouthwashes to kill or remove any germs in your mouth

You may have more than 1 ulcer at a time, and they can change in size.

Mouth ulcers are not contagious and should not be confused with cold sores.

Cold sores appear on the lips or around the mouth and often begin with a tingling, itching or burning sensation.

Causes of mouth ulcers

Most single mouth ulcers are caused by things you can try to avoid, such as:

• biting the inside of your cheek

• badly fitting dentures, braces, rough fillings or a sharp tooth

• cuts or burns while eating or drinking – for example, hard food or hot drinks

• a food intolerance or allergy

• damaging your gums with a toothbrush or irritating toothpaste

• feeling tired, stressed or anxious

Sometimes they're triggered by things you cannot always control, such as:

• hormonal changes – such as during pregnancy

• your genes – some families get mouth ulcers more often

• a vitamin B12 or iron deficiency

• medicines – including some NSAIDs, beta blockers or nicorandil

• stopping smoking – people may develop mouth ulcers when they first stop smoking

If you have several mouth ulcers, it can be a symptom of:

• hand, foot and mouth disease, which also causes a rash on the hands and feet

• oral lichen planus, which causes a white, lacy pattern inside the cheeks

• Crohn's disease and coeliac disease (conditions that affect the digestive system)

• a weakened immune system from having a condition like HIV or lupus