Download FREE Practo app
Get ₹200 HealthCash
Consistent mouth ulcers causes?
I suffer from chronic mouth ulcers from many years. If my b12, VitD3 tests are normal and there is not much stomach constipation then what could reason?? 3- 4 ulcers in mouth tongue, then new batch of ulcers come all year long...I'm tired of using ulcers gels...nothing works...what could be reason of vitamin profile is normal?
Answers (19)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Exact cause of recurrent mouth ulcers is not specific though it is commonly seen in vitamin b 12 insufficiency,gut disorders,etc
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+164
kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Occupation history?
You will drink alcohol and smoking ?
Don't eat late night food and soft drink also
Drink plenty of water and buttermilk also
Tab.Pan 40 MG OD BF
syp.Sucrafil O Gel 10ML -10 ML-10 ML BF
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
There are many reasons of oral ulcers
Not alone vitamin deficiency causes oral ulcers
Kindly counsult through personalised Counsultation for better opinion and further management
Next Steps
kindly share the previous treatment records with that.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Your mouth ulcers are chronic and recurrent. Causes of mouth ulcers are numerous. You may need to visit a general physician multiple times to know the exact cause of your problem. So have patience and visit a general physician near you. Give him/her time to investigate your problem.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
may be a chronic gastritis or nutrional deficiency . Any addiction of tobacco or other substances?
Next Steps
cosnult a ent to rule out Carcinoma bcoz of recurrent ulcers and chronic .
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Chronic recurrent mouth ulcers despite normal B12 and Vit D are often caused by causes that go unchecked. Most common missed reasons: Iron or folate deficiency (get serum ferritin and serum folate tested â B12 alone being normal doesn't rule this out), Celiac disease/gluten sensitivity (causes persistent oral ulcers through gut inflammation â test anti-TTG IgA antibody), Zinc deficiency (often overlooked), and Sodium Lauryl Sulphate (SLS) in toothpaste which is a known trigger â switching to an SLS-free toothpaste (like Sensodyne ProNamel or any SLS-free brand) alone reduces ulcers in many patients. Stress is also a major trigger. Less commonly, Behcet's disease (especially if you also get genital ulcers or eye problems) needs to be ruled out with a specialist. The key is identifying the underlying cause rather than just applying gel.
Next Steps
Get tested: serum ferritin, folate, zinc, anti-TTG IgA (celiac screen). Switch to SLS-free toothpaste immediately. Avoid trigger foods (spicy, citrus, chocolate). Manage stress. If ulcers are also in genitals or eyes, see a rheumatologist to rule out Behcet's. Consult me on Practo for a personalised plan.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Bechet disease, evaluation needed clinically .genetic involvement are HLA B51 .go for these genetic test.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Chronic recurrent mouth ulcers (recurrent aphthous stomatitis) can occur even when vitamin B12 and vitamin D levels are normal. Other possible causes include:
• Iron deficiency or folate deficiency
• Celiac disease or inflammatory bowel disease
• Autoimmune disorders (especially Behçet’s disease if associated with genital ulcers, eye symptoms, or skin lesions)
• Food hypersensitivity, stress, sleep deprivation, or local trauma
• Certain medications (NSAIDs, nicorandil, etc.)
Since your ulcers recur throughout the year despite topical gels, I recommend evaluation with CBC, peripheral smear, serum ferritin, folate, iron studies, and assessment for systemic symptoms. If ulcers persist for >2 weeks, are unusually large, or are associated with weight loss, fever, genital ulcers, or eye complaints, consult an oral medicine specialist/ENT physician for further evaluation and, if needed, biopsy.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Can also be due to infection, viruses or anaerobic bacteria, could be irritation due to keeping something in mouth for long time.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Gur issues
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Ulcer has huge number of causes among which nutritional and constipation are the one which are very common
Apart from this there are huge number of causes that can cause ulcer..
Among nutritional causes iron deficiency can also causes it
Any history of fever , joint pain , rashes , weight loss , sharp tooth or braces, genital ulcer , eye symptoms , diarrhoea , abdominal pain , diabetes , etc
Next Steps
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Hello. Experiencing persistent, year-long cycles of multiple mouth and tongue ulcers despite having completely normal Vitamin B12 and Vitamin D3 levels is a frustrating clinical challenge. When a standard vitamin profile and bowel habits are normal, the condition is often diagnosed as severe Recurrent Aphthous Stomatitis (RAS). Beyond B12, the recurring cycles can be triggered by other overlooked factors: localized micro-trauma, an underlying Zinc or Iron/Ferritin deficiency, chronic emotional or physiological stress, hypersensitivity to certain food proteins (like gluten), or a reaction to Sodium Lauryl Sulfate (SLS), a common foaming agent found in many commercial toothpastes.
Next Steps
Targeted Action Plan & Modifications:
Switch Your Toothpaste: Immediately change your toothpaste to an SLS-free (Sodium Lauryl Sulfate-free) or sensitive botanical toothpaste to avoid chemical irritation of the oral mucosa.
Complete the Micronutrient Screening: Get your Serum Zinc, Serum Ferritin (Iron stores), and Complete Blood Count (CBC) evaluated, as these specific deficiencies can trigger chronic ulcers even if your main vitamin panels are clear.
Dietary Log: Keep a close watch on potential dietary triggers. Avoid sharp, highly acidic, excessively spicy, or deeply fried foods that cause microscopic tears or chemical burns on the delicate surface of the tongue and inner cheeks.
Health Tips
Word of Caution: Relying indefinitely on topical pain-relief anesthetic gels or steroid pastes only masks the symptoms temporarily and can compromise oral tissue health over time without fixing the root physiological trigger. A systematic internal approach is necessary to break this painful cycle. To evaluate your complete clinical history, outline a specialized prescription protocol (such as immunomodulators or targeted mineral therapy), or map out your lab reports, you can book a consultation via my profile or message me directly on WhatsApp at: six three six nine four six zero five seven seven.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
Get dental check up.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Yogita
General Physician
5 yrs exp
Rohtak
Chronic mouth ulcers can have many possible causes, such as nutritional deficiencies, infections, immune-related conditions, or other medical problems. Since your ulcers have been persistent, I recommend that you consult an ENT specialist for a proper examination, diagnosis, and further management.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Kasina Abhishek
General Physician
2 yrs exp
Bhimavaram
As you have told that u suffer from chronic mouth ulcers this might happen due to intake of spicy foods which will cause apthous ulcers or due to viral and bacterial illness consultation needs to be done
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Vitamin b12 deficiency or absorption defect
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.