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I have mouth ulcers despite medications. How to manage?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had mouth ulcers for a few days on the inner lining of the cheeks. They are prominent on the lips. My main problem is tingling or burning sensations and difficulty swallowing. I do not have any reason for my mouth ulcers.

I used the Orasore tube three to four times a day, and I took Orasore and Becosules tablets for two days.

Please help.

Answered by Dr. Ashraf ghani

Education:

MD

Professional Bio:

Dr. Ashraf Ghani Niazai is a GMC-certified General Medicine Specialist, recognized by the prestigious General Medical Council (UK). With extensive experience in diagnosing and managing a wide range of acute and chronic health conditions, he combines advanced medical knowledge with genuine compassion for his patients. He is skilled in internal medicine, obstetrics and gynecology, dermatology, preventive healthcare, and lifestyle management, always focusing on personalized, evidence based care to achieve the best possible outcomes. As an inspiring medical educator, he has taught thousands of medical students and contributed multiple research publications to the field of medicine, reflecting his commitment not only to treating patients but also to advancing medical science. Patients value his warm approach, clear communication, and dedication to their long term health and well being.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

Mouth ulcers on the inner cheeks and lips, especially when associated with burning sensations and difficulty swallowing, are often painful but usually not dangerous.

So the common causes include stress, minor trauma (such as accidental cheek biting), nutritional deficiencies (like vitamin B12, folate, or iron), hormonal changes, or sometimes viral infections.

Since you are already using Orasore (Choline salicylate and Lidocaine hydrochloride) gel and taking Becosules (a vitamin B complex with B12), you are addressing the pain relief and nutritional aspect, which can help with healing.

To speed up recovery, I suggest you to rinse your mouth with a mild saline or baking soda solution, avoiding spicy, acidic, or very hot foods that worsen irritation, and maintaining good oral hygiene with a soft-bristle toothbrush.

If the ulcers are large, recurrent, associated with fever, persistent for more than two weeks, or if you develop other symptoms like skin rashes, genital ulcers, or joint pain, you should see a doctor to rule out underlying conditions such as autoimmune or gastrointestinal disorders.

For now, continue the current treatment, focus on a balanced diet rich in vitamins and minerals, and keep yourself hydrated, which is important.

I hope this helps. Kindly follow up if you have more doubts.

Thank you and take care.

Medically reviewed by iCliniq medical review team
Published At November 13, 2025
Reviewed At November 13, 2025

Education:

MD

Professional Bio:

Dr. Ashraf Ghani Niazai is a GMC-certified General Medicine Specialist, recognized by the prestigious General Medical Council (UK). With extensive experience in diagnosing and managing a wide range of acute and chronic health conditions, he combines advanced medical knowledge with genuine compassion for his patients. He is skilled in internal medicine, obstetrics and gynecology, dermatology, preventive healthcare, and lifestyle management, always focusing on personalized, evidence based care to achieve the best possible outcomes. As an inspiring medical educator, he has taught thousands of medical students and contributed multiple research publications to the field of medicine, reflecting his commitment not only to treating patients but also to advancing medical science. Patients value his warm approach, clear communication, and dedication to their long term health and well being.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Ashraf Ghani Niazai is a GMC-certified General Medicine Specialist, recognized by the prestigious General Medical Council (UK). With extensive experience in diagnosing and managing a wide range of acute and chronic health conditions, he combines advanced medical knowledge with genuine compassion for his patients. He is skilled in internal medicine, obstetrics and gynecology, dermatology, preventive healthcare, and lifestyle management, always focusing on personalized, evidence based care to achieve the best possible outcomes. As an inspiring medical educator, he has taught thousands of medical students and contributed multiple research publications to the field of medicine, reflecting his commitment not only to treating patients but also to advancing medical science. Patients value his warm approach, clear communication, and dedication to their long term health and well being.

This doctor is not available for online consultations on the platform anymore.

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