What causes recurrent tongue ulcers despite taking tablets?

Question

Hi doctor,

I have a recurrent tongue ulcer that has been returning for the last two years. I consulted an ENT, and they provided me with vitamin and bifoliate tablets, but it healed and came back in a few days. Even I visited the dentist, but they failed to find which tooth was sharp. What can I do now? Is there something to worry about?

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Common mouth ulcer has various causative factors. It could be because of vitamin deficiencies, hormonal changes, psychological stress, allergies, accidental trauma, and bacterial or viral infection. A clear clinical picture of the ulcer will help to determine what it is and what caused it depending on its position, size, and appearance. I need further details.

Any known allergies?
Any systemic diseases like diabetes or nutritional deficiencies?
Familial history of similar condition?
Under any long-term medicines?
Under any oral contraceptive pills?
Any history of surgeries, dental treatment, or hospitalization?

If the ulcer occurs on the same spot all these days, it could be a traumatic injury by a sharp tooth. If not, other reasons have to be suspected. A detailed history, clinical examination, and a complete blood report will help diagnose and treat the cause.

Meanwhile, I suggest,

Avoid hot and spicy foods.
Do warm saline mouth rinses thrice daily.
Rinse your mouth after every meal.
Drink lots of water and keep yourself hydrated at all times.
Eat healthy (increase fruits, veggies, and greens intake).
Practice stress relief (yoga, breathing exercises, and relaxation).

Visit another nearby dentist and get a complete evaluation done.

I hope you find it helpful.

Thank you.