What are canker sores?
Canker sores(aphthous ulcers) are small open ulcers that show up in your mouth, typically inside the lip or cheek. They’re white or yellow in color and are often surrounded by red, inflamed tissue.
These painful sores are among the most common oral conditions, and they affect almost half of all people. There are actually three main types ofcanker sore:
- Minor aphthous stomatitis, which is the most common type, are small ulcers that heal within a week.
- Major aphthous stomatitis, which is a more severe type, are larger and more painful. They heal within two weeks and often leavescars.
- Herpetiform aphthous stomatitis, which occurs in less than 5% of people who havecanker sores, is a cluster of tiny sores.
In many cases, canker sores heal on their own and don’t require any treatment. In some instances, however, they can point toward an underlying issue that may require medical treatment.
Signs and symptoms of canker sores
One of the most obvious signs of acanker soreis a small, painful yellow or white ulcer inside of your lip or cheek. For some, the sore appears on the gums. These sometimes get confused withcold sores. There are a few things that can help you to tell the difference.
One of the biggest differences betweencold soresand canker sores is thatcold soresappear on the outside of the mouth, usually around the lips. In some instances, they may show up on the roof of your mouth or tongue. Canker sores always appear inside the lips or cheeks. Another major difference between the two is that canker sores aren’tcontagious, whilecoldsores are.
Other signs and symptoms of canker sores include:
Tingling or burning inside your mouth
You may notice a tingling or burning feeling inside of your mouth before the canker sore appears.
Fever
While it’s not always the case, some people develop afeverwhen they get a canker sore. A highfevercan point toward a more serious issue.
Fatigue
Some people with canker sores may feel tired.
Swollen lymph nodes
While not as common as some of the other symptoms,swollen lymph nodesmay come along with a canker sore. The swelling may mean that there’s another issue going on, and you should schedule an appointment with your doctor.
Causes of canker sores
Several different things can lead to a canker sore. Some of the most common include:
Stress
The connection betweenstressand canker sores isn’t well-understood, but studies do suggest that increased levels ofstresscan cause the ulcers to develop .
Hormonal changes
Fluctuations in hormones may cause canker sores. Women who are prone to them may notice that the ulcers appear a few days before their period and go away after it’s done.
Nutritional deficiencies
You might develop canker sores if your body is lacking certain nutrients. Some studies show that low levels of Bvitaminscan increase the risk of these painful ulcers. Other studies show that low iron levels may contribute to canker sores.
Certain types of foods
Acidic foods, such as lemons, limes, oranges, tomatoes, strawberries, and more, can sometimes cause a canker sore to develop. You may also develop canker sores if you are sensitive to certain types of foods, such aschocolate, coffee, eggs, or anything spicy.
Certain ingredients in toothpaste
Sodium lauryl sulfate, a common ingredient intoothpasteand mouthwash, can cause canker sores. Studies show people who use oral care products with this ingredient are more likely to have them.
Mouth injuries
Injuries to the soft tissues inside of your mouth — such as brushing too hard, biting your cheek, rubbing frombraces, or ill-fittingdentures— can sometimes cause a canker sore to form.
Autoimmune diseases
Canker sores may develop as a side effect of an autoimmune disease. The ulcers are linked to many conditions, such as:
- Celiac disease
- Lupus
- Inflammatory bowel disease
- Behcet’s syndrome
- HIV/AIDS
Diagnosing canker sores
You don’t need to undergo any tests to diagnose a canker sore. Your doctor or dentist can identify them by looking at them. If your doctor believes that the ulcers are occurring as a result of an underlying condition, however, you may undergo other tests to determine what that issue is.
Treatments for canker sores
In many cases, canker sores go away on their own without treatment. Large or painful canker sores that last longer than two weeks, however, may need medical care. Some common treatment options for these ulcers include:
- Over-the-counteror prescription topical medications, such as benzocaine or fluocinonide
- Prescription mouthwashes
- Oral medications
- Nutritionalsupplements
- Cauterization of the sore
If your canker sores are the result of an underlying health condition, your doctor will provide recommendations to treat that issue.
QUESTION
See AnswerAre cold sores and canker sores the same thing?
Although cold sores and canker sores have similarities, they are entirely different conditions.
Canker sores are not contagious, but cold sores are. Canker sores show up inside the mouth, while cold sores are often seen on the lips.
Cold sores
- Cold sores are infectious.
- It is also known as a feverblisteror recurrentherpes labialis.
- Cold sores are caused by a virus called HSV-1.
- They are contagious and extremely painful for the first few days. First-time outbreaks may usually involve other symptoms, such asheadache,swollen lymph nodes, muscle aches and asore throat.
- These sores are typically seen as a cluster of smallblistersthat quickly rupture to form small ulcers. The ulcerations may later extend to the skin around the mouth and become covered with a crust or scab.
- 通常,唇疱疹出现在嘴外, under the nose, around the lips or under the chin.
- Lesions are commonly preceded byitching, burning and/or tingling sensations.
- 唇疱疹通常由发烧引起的,情感al or physical stress, hormonal changes and/or decreased functioning of the immune system. They can be passed on to another person through kissing and sharing things that go in or near your mouth (like spoons or lipstick).
- They generally heal within 7 to 10 days with or without treatment.
- Applying petroleum jelly or aloe vera extracts or ice on the sores may numb thepainand speed up the healing process. In recurrent cases, doctors may prescribe antiviraldrugs,如霜Valacyclovir.
- To prevent a recurrence, individuals may need to maintain a hygienic lifestyle. Eating foods enriched withvitamin Eand C may help in boosting the immune system.
Canker sores
- These sores are not usually infectious and are rarely contagious.
- Canker sores are small round ulcers that appear inside the mouth usually on the inside of the cheek or near the gums. Canker sores are an autoimmune response of the body that damages the skin inside the mouth after a local injury.
- They might be triggered by poordiet, local injury,food allergies, spicy food and vitamin deficiencies. Rarely, a virus may cause canker sores.
- They often have a gray punched-out center and a white or yellow edge surrounded by redness. The sores bleed easily, usually when brushing theteeth.
- They usually last for several days. Occasionally, they may last for 1 to 2 weeks before disappearing.
- Canker sores are usually healed within 14 days. They may be treated with over-the-counter medications, such asTylenolandIbuprofen. Anesthetic ointment or gel may be applied for a short period to numb thepain. Dabbing a bit of cortisone or milk of magnesia on the affected area to coat the ulcer may reduce the pain.
- 用温盐水漱口或拍的一个解决方案ing soda and water can shorten the healing time and reduce pain as well. A high-quality antimicrobial oral rinse may also help in the healing process.
- 避免高酸性的or spicy foods and eating adietrich invitaminsand nutrients may prevent recurrence. A toothpaste devoid of Sodium Lauryl Sulfate is known to prevent the recurrence of canker sores.
Should I be worried about cold sores and canker sores?
To summarize, canker and cold sores have characteristics that distinguish them from one another. Both sores are nuisances more than anything and they are not a major threat to health, but they are quite bothersome. Finding out whether you have a canker sore or acold soreis the first step towards finding an effective treatment. Some people also deal with recurrent cold sores and canker sores. For a recurrent cold sore, the doctor may give suppression therapy with a daily antiviral to reduce the frequency of outbreaks. You should also see a doctor for repeated canker sores. This can be a sign of an autoimmune disease or a vitamin deficiency. Both canker sores and cold sores are two different conditions that signalweaknessin the immune system. Fortunately, the immune system can be boosted with a healthy diet and a hygienic lifestyle.
Penn Medicine: "Cold Sores Vs. Canker Sores: What Are They and How Do I Get Rid of 'Em?"
Clinics: "Psychological Stress and Recurrent Aphthous Stomatitis."
Mouth Healthy: "Hormones and Dental Health: What Every Woman Needs to Know."
Journal of Oral Pathology & Medicine: "Recurrent Aphthous Ulceration: Vitamin B1, B2, and B6 Status and Response to Replacement Therapy."
Oral Surgery, Oral Medicine, and Oral Pathology: "Hematological Status in Recurrent Aphthous Stomatitis Compared with Other Oral Disease."
Cleveland Clinic:"Canker Sores."
Acta Odontologia Scandinavica: "Sodium Lauryl Sulfate and Recurrent Aphthous Ulcers. A Preliminary Study."
Medscape Medical Reference
WRVO Public Media
Top Why Do I Keep Getting Canker Sores in My Mouth Related Articles
Are Canker Sores Contagious?
Canker sores or aphthous ulcers are one of the most common causes of painful sores in the mouth. The actual cause of canker sores is unknown; however, some triggers that may precipitate outbreaks in some people include stress, anxiety, oral trauma, hormonal changes, drugs, food allergies, toothpastes, and vitamin deficiencies.artificial saliva
Artificial saliva is used as a saliva substitute to relieve the symptoms of dry mouth (xerostomia) when natural saliva production is deficient or absent due to certain conditions. Artificial saliva is also used to alleviate oral inflammation (mucositis) from chemotherapy or radiotherapy treatments for cancer. Common side effects of artificial saliva include taste perversion (dysgeusia), swallowing difficulties (dysphagia), minor gastrointestinal problems, and speech disturbance. Artificial saliva has no listed drug interactions. Consult your doctor if pregnant or breastfeeding.benzyl alcohol
Benzyl alcohol is a component of creams and ointments applied topically to relieve pain from cold (canker) sores or blisters in the mouth and gum irritations, and to treat head lice infestation (pediculosis). Common side effects of benzyl alcohol include itching (pruritus), redness (erythema), application site reactions, pain, irritation, reduced sensation (hypoesthesia), loss of sensation (anesthesia), eye irritation, dry skin (xeroderma), skin rash, skin peeling (desquamation), skin picking (excoriation), tingling and numbness (paresthesia), dermatitis, seborrheic dermatitis of scalp, and burn (thermal) injury.Canker Sores
Canker sores are a common complaint, and are small ulcers on the inside of the mouth. Canker sores aren't contagious (as opposed to cold sores), and typically last for 10-14 days usually healing without scarring. A variety of things cause canker sores, for example, medications (aspirin, beta-blockers, NSAIDs, high blood pressure medication, and antibiotics); injury to the mouth from dental work, braces, or sports accidents; acidic foods; allergies; and diseases or conditions like celiac disease, Crohn's disease, and lupus. Canker sores can be cure with home remedies, and prescription and OTC topical and oral medication.How Long Do Canker Sores Last and How Do You Get Rid of Them Fast?
Canker sores are small lesions in your mouth. Canker sores usually last between 1 and 2 weeks and you get rid of them fast by using over-the-counter medications to treat them.carbamide peroxide oral
Carbamide peroxide is an oral rinse that is used for temporary cleansing of canker sores or gum inflammation due to minor dental procedures, dentures or other oral irritations. Common side effects of carbamide peroxide oral include local irritation, redness, tooth sensitivity, and gum irritation. Superinfection with prolonged use. Consult your doctor if pregnant.glycerin oropharyngeal
Glycerin oropharyngeal is an oral gel available over-the-counter and is used for temporary relief from dry mouth (xerostomia) in adults and children. Glycerin is used for relief of pain and irritation from sore throat and minor dental procedures, and dry or sore mouth caused by conditions such as canker sores, diabetes, Sjogren’s syndrome, Alzheimer’s disease, certain medications, and vitamin deficiencies. There are no reports of adverse effects from glycerin oropharyngeal. Oral ingestion of excessive amounts may cause nausea, vomiting, headache, confusion, rash, and swelling.How Do I Get Rid of a Cold Sore Overnight?
You cannot get rid of cold sores overnight. There is no cure for cold sores. However, to speed up the healing time of a cold sore, you can consult with your doctor and take prescription medications such as antiviral tablets and creams. A cold sore may go away without treatment within a week or two.How to Cure Mouth Ulcers Fast Naturally
Learn what medical treatments can help ease your mouth ulcer and blister symptoms and speed up your recovery. What to know about canker sores and treatments for canker sore pain relief.phenol oropharyngeal
Phenol oropharyngeal is a medication used to relieve pain from sore throat and mouth, canker sores, and teething, and as a local antiseptic to protect minor cuts, scrapes, or burns in the skin from infection. Phenol oropharyngeal relieves sore throat by numbing the mouth and throat. Common side effects of phenol oropharyngeal include inflammation of epiglottis (epiglottitis), swelling of epiglottis and the voice box (larynx), and skin irritation. Consult your doctor if pregnant or breastfeeding.Toothache
A toothache is pain on or around a tooth. It may have a variety of causes, including a cavity, abscess, or even sinusitis. Toothache symptoms include pain, headache, earache, bad taste in the mouth, and gum swelling. Dental X-rays and other tests performed by a dentist are used to diagnose the cause of a toothache. Toothache treatment depends on the underlying cause. Taking proper care of the teeth and gums can help prevent toothache.Mouth Problems: TMJ, Canker Sores, Painful Gums and More
Sores, painful gums, bad breath -- what's going on in your mouth? Find out with our slideshow of the most common mouth problems. Learn about canker sores, cold sores, oral thrush, TMJ, and oral cancer. See what treatments for bad breath and other dental problems are available from your dentist.triamcinolone acetonide 0.1% dental paste (Kenalog Orabase, Oralone)
Triamcinolone acetonide 0.1% dental paste (Kenalog Orabase, Oralone in the U.S.) is a dental paste prescribed to treat painful lesions in the mouth. Side effects, drug interactions, dosage, storage, and pregnancy and breastfeeding information should be reviewed prior to taking this drug.What Are Causes of Blisters in the Mouth?
What causes blisters inside the mouth? Learn why they appear and what to do if you have mouth blisters.What Is Stomatitis Caused By?
Stomatitis is a general medical term used for an inflamed or sore mouth. The condition can cause pain and discomfort. Stomatitis can be caused by factors including nutritional deficiency, poor dental hygiene, infections, smoking, dehydration, weakened immunity, stress and other factors.