Dr. Ruth – Otolaryngology

Mouth Sores: When is it Cancer?

Mouth sores may be annoying occurrences in the mouth, or they may also be an early sign of oral cancer. In this blog, your ENT doctor in Palawan will discuss the causes, symptoms, home treatments, and indicators for consultation for mouth sores. Hopefully, reading this can offer clarity on distinguishing benign sores from those that warrant consideration for cancer, empowering readers to make informed decisions about their oral health.

Oral Ulcers: What are they?

Oral ulcers, commonly known as aphthous ulcers, are small, painful sores that can appear inside the mouth. These unwelcome visitors often cause discomfort while eating, speaking, or even during routine oral care activities. They typically present as round or oval-shaped lesions with a white or yellowish center and a red border.

Causes of Aphthous Ulcers

Various factors contribute to the development of mouth sores. Poor oral hygiene is a primary culprit, as neglecting proper dental care can lead to the accumulation of bacteria and irritation, which can be the start of these sores. Dehydration is another common cause, as inadequate fluid intake can result in a dry mouth, making it more prone to irritation and the formation of mouth ulcers. 

A deficiency in vitamin C can weaken the immune system, making individuals more susceptible to oral health issues. Underlying illnesses, especially autoimmune conditions or systemic diseases, as well as physical injury or trauma, such as accidentally biting the cheek, can create an environment conducive to mouth ulcer formation. Other lifestyle factors like tobacco use, as well as infections caused by bacteria or viruses, further add to the list of potential causes for these uncomfortable oral ulcers.

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Are Aphthous Ulcers Scary?

While aphthous ulcers can be uncomfortable and annoying, they are generally not a cause for alarm. Most of these oral sores are harmless and tend to resolve on their own within a week or two. Understanding that they are a common occurrence and often benign can help alleviate concerns about their potential severity. Focus on self care measures first.

Home Remedies for Mouth Sores

For immediate relief and first aid for mouth sores, consider the following:

  1. Gargle with a warm saltwater solution to help soothe the sore and promote healing.
  2. Apply an over-the-counter oral gel or paste containing ingredients like benzocaine to numb the area and provide relief.
  3. Consider using topical antiseptics to prevent infection and aid in the healing process.
  4. Steer clear of spicy, acidic, or hot foods that may aggravate the sore. Also, refrain from using tobacco products.
  5. Drink plenty of water to maintain oral moisture and support overall healing.
  6. Use a soft-bristled toothbrush and a mild toothpaste to gently clean your teeth without causing additional irritation.

If the mouth sores persist or worsen, it’s advisable to consult an ENT doctor near you for further evaluation and guidance.

Should I Worry If My Mouthsore is Actually Cancer?

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Distinguishing between a common mouth sore and a potentially serious condition like oral cancer involves paying attention to key differences in appearance and recognizing warning signs. Mouth sores, often benign, are typically small, round or oval-shaped lesions with a white or yellowish center and a red border. They tend to heal on their own within a week or two.

In contrast, oral cancer may present as persistent sores that don’t heal, irregularly shaped lesions, or white or red patches in the mouth. Warning signs for potential danger include prolonged discomfort, unexplained pain, difficulty swallowing, changes in the color or texture of the sore, and the presence of lumps or thickening in the oral tissues. For your peace of mind, it is best to consult with an ENT doctor near you, when these warning signs are observed.

When to Consult an ENT Doctor?

When faced with persistent or concerning oral ulcers, or if you have the warning signs above, it is advisable to consult with an Ear, Nose, and Throat (ENT) doctor near you. Your ENT doctor will conduct a thorough examination, provide accurate diagnoses, and give you treatment options. If your ENT doctor deems that your mouthsore might be cancer, your ENT doctor may do a biopsy to come up with a diagnosis.

Preventing Aphthous Ulcers: Simple Strategies for Oral Health

Prevention is key to minimizing the occurrence of aphthous ulcers. Staying well-hydrated, incorporating vitamin C-rich foods into the diet, and maintaining overall good health contribute to a robust defense against these pesky sores. Adopting these simple strategies can significantly reduce the likelihood of experiencing recurrent oral ulcers.

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Dr Ruth Estimar ENT doctor ENT surgeon Puerto Princesa Palawan

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