Check-up

Check-up this week looks at Mouth Ulcers.

Check-up this week looks at Mouth Ulcers.

I keep getting tiny blisters on my gums and on the edge of my tongue. What are they and why am I getting them?

If they are small yellow or grey blisters, surrounded by a bright red halo, then they are most probably aphthous ulcers.

A common complaint, it is estimated that about one in 10 people suffer with them. Why they occur is not clear but we do know that certain factors can trigger them. These include emotional or physical stress, injury from rough dental work and irritation from certain food.

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They can also be caused by a sensitivity to chemicals in toothpastes and mouthwashes. More common in women, they often occur in relation to the menstrual cycle. Many sufferers experience a burning or tingling sensation in the gums for several hours prior to the ulcers appearing. For the first two to three days eating or talking can result in great discomfort. Aphthous ulcers are very troublesome and may take up to 14 days to heal.

I never got these when I smoked but since quitting I've been plagued with them. Is there a connection?

Interesting you should mention smoking as research has shown that smokers do have a lower incidence of aphthous ulcers. Needless to say this is not a good excuse to go back on the fags!

Check out your dental work or dentures and if there is a problem, then a visit to your dentist would be advisable.

You should avoid spicy or acidy food, citric fruits and salty nuts. When you have the blisters drink plenty of fluids, sipping them through a straw to prevent discomfort.

Can I get anything to ease the pain?

A mild pain killer can be helpful in controlling the pain of aphthous ulcers, while a special anaesthetic gel applied to the ulcers and surrounding gums will help ease the burning and discomfort.

It's particularly helpful to apply it before meal times as it will minimise the pain associated with eating.

Rinsing the mouth out with a solution of salt and warm water will also promote healing and stronger solutions are available from the chemist. If, after all these measures, the ulcers continue to bother you, then a visit to your GP would be advisable.