Why Do I Keep Getting Mouth Ulcers?
May 31, 2022
Source: Cainiu Health
Dr. Zhang Lei
Introduction
Immune dysfunction: This may involve either hyperactive autoimmune responses or, more commonly, severe autoimmune deficiency. Infections caused by certain microorganisms—such as bacteria and viruses—have been reported as likely primary causes of recurrent oral ulcers. Patients with systemic diseases are prone to developing oral ulcers, primarily due to immune system impairment. Oral ulcers versus gastric ulcers.
Aphthous ulcers (canker sores) are a very common oral condition. Some patients experience spontaneous resolution within a few days; however, others suffer from recurrent episodes—ulcers heal only to reappear shortly thereafter. This recurrence leaves many patients puzzled: Why do aphthous ulcers keep recurring?
Why Do Aphthous Ulcers Keep Recurring?
Immune dysfunction: This may involve either hyperactive autoimmune responses or, more commonly, significant immune deficiency. Emerging evidence suggests that infection with certain bacteria or viruses may be a primary trigger for recurrent aphthous ulcers. Patients with systemic diseases are also at increased risk of developing aphthous ulcers, largely due to associated immune system impairment. Aphthous ulcers have been linked to gastric ulcers, duodenal ulcers, ulcerative colitis, Crohn’s disease, and hepatitis. Studies indicate that 30%–48% of patients with recurrent aphthous ulcers also suffer from gastrointestinal symptoms such as bloating, diarrhea, or constipation; over 9% have documented peptic ulcer disease. Environmental and lifestyle factors: Chronic sleep deprivation, poor sleep quality, or suboptimal sleeping conditions can predispose individuals to aphthous ulcers. Nutritional deficiencies: Deficiencies in trace elements—including zinc and iron—as well as folate and vitamin B12, are frequently implicated.
Although aphthous ulcers may appear minor—akin to simple stomatitis—they can cause considerable discomfort and distress. At such times, maintaining a balanced lifestyle and adequate nutrition becomes critically important. Vitamin deficiency is one potential underlying cause of stomatitis.
Patients with aphthous ulcers are advised to consume ample vegetables and foods rich in vitamins. Additionally, establishing regular bowel habits is recommended. We hope this information proves helpful!
