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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 (29)
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal. Walk
Do connect and consult
Will help you
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This is due to some gastric issue start having
Tab Suprawell 1 tab daily
Syp Movicol 10 ml po bd
Apply Candid Mouth Paint on the ulcers 3-4 times a day
Use Mucobenz Mouthwash oral rinse 3-4 times a day
For Five days
You will get relief ..
Avoid spicy food and too hot food for a week
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Kindly connect for further assistance 79 zero one 8 four five 3 four seven
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Consult superspecialist like ent as the complaints r since long time.
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Hello. Recurrent mouth ulcers are not always due to vitamin deficiency. Since your Vitamin B12 and Vitamin D are normal, other possibilities include recurrent aphthous stomatitis (most common), iron or folate deficiency, stress, local trauma, food triggers or less commonly autoimmune/gastrointestinal conditions (such as celiac disease or inflammatory bowel disease).
Next Steps
I would advise checking CBC, serum ferritin, iron profile, and serum folate if not already done. If you also have weight loss, chronic diarrhea, genital ulcers, eye symptoms or joint pain, a detailed evaluation for systemic diseases is warranted.
Health Tips
As the ulcers recur throughout the year and are not responding to ulcer gels, please consult a physician/oral medicine specialist. Recurrent aphthous ulcers often require treatment directed at the underlying cause and in some cases, prescription topical anti-inflammatory medications rather than repeated ulcer gels alone.
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Stress
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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So many reasons for mouth ulcer but most common micronutrients deficiency and gut disorder
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Exact cause of recurrent mouth ulcers is not specific though it is commonly seen in vitamin b 12 insufficiency,gut disorders,etc
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Get dental check up.
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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
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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
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kindly share the previous treatment records with that.
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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.
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may be a chronic gastritis or nutrional deficiency . Any addiction of tobacco or other substances?
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cosnult a ent to rule out Carcinoma bcoz of recurrent ulcers and chronic .
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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.
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Do consult
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Bechet disease, evaluation needed clinically .genetic involvement are HLA B51 .go for these genetic test.
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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.
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Can also be due to infection, viruses or anaerobic bacteria, could be irritation due to keeping something in mouth for long time.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Gur issues
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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
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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.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Mr. Mohd Amaan Afaque
General Practitioner
1 yrs exp
Lucknow
With normal B12/D3, recurrent crops of ulcers can point to iron deficiency, stress, food triggers, or an underlying condition like Behcet's or celiac - gels only mask symptoms, not causes. Get iron studies and consider a gluten sensitivity check; note any food/stress patterns. Book a private consult so I can dig into your history and find the actual trigger.
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Dr. Zaheer Ahmad
General Physician
10 yrs exp
Bareilly
BY deficiency
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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.
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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
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Vitamin b12 deficiency or absorption defect
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