Search Encyclopedia:    
List of Topics Print This Page
 

Mouth ulcers


Definition:

Mouth ulcers are sores or open lesions in the mouth.

Alternative Names:

Oral ulcer; Stomatitis - ulcerative; Ulcer - mouth

Causes:

Mouth ulcers are caused by many disorders. These include:

A skin sore caused by histoplasmosis may also appear as a mouth ulcer.

Symptoms:

Symptoms will vary, based on the cause of the mouth ulcer. Symptoms may include:

  • Open sores in the mouth
  • Pain or discomfort in the mouth
Exams and Tests:

Most of the time, a health care provider or dentist will look the ulcer and where it is in the mouth to make the diagnosis. You may need blood tests or a biopsy of the ulcer may be needed to confirm the cause.

Treatment:

The goal of treatment is to relieve symptoms.

  • The underlying cause of the ulcer should be treated if it is known.
  • Gently cleaning your mouth and teeth may help relieve your symptoms.
  • Medicines that you rub directly on the ulcer such as antihistamines, antacids, and corticosteroids may help soothe discomfort.
  • Avoid hot or spicy foods until the ulcer is healed.
Outlook (Prognosis):

The outcome varies depending on the cause of the ulcer. Many mouth ulcers are harmless and heal without treatment.

Some types of cancer that may first appear as a mouth ulcer that does not heal.

Possible Complications:
  • Cellulitis of the mouth, from secondary bacterial infection of ulcers
  • Dental infections (tooth abscesses)
  • Oral cancer
  • Spread of contagious disorders to other people
When to Contact a Medical Professional:

Call your health care provider if:

  • A mouth ulcer does not go away after 3 weeks
  • You have mouth ulcers return often, or if new symptoms develop
Prevention:

To help prevent mouth ulcers and complications from them:

  • Brush your teeth at least twice a day and floss once a day.
  • Get regular dental cleanings and checkups.
References:

Daniels TE. Diseases of the mouth and salivary glands. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 433.

Mirowski GW, Mark LA. Oral disease and oral-cutaneous manifestations of gastrointestinal and liver disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, PA: Elsevier Saunders; 2010:chap 22.


Review Date: 1/21/2013
Reviewed By: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2002 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

   View History
  Mouth ulcers

   
   

 

About UPHS   Contact Us   Site Map   Privacy Statement   Legal Disclaimer   Terms of Use

The University of Pennsylvania Health System, Philadelphia, PA 1-800-789-PENN © 2014, The Trustees of the University of Pennsylvania