Aphthous ulcer history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: José Eduardo Riceto Loyola Junior, M.D.[2]

Overview

Symptoms of aphthous ulcers include oral pain, dysphagia, and oral bumps that may have resolved spontaneously in the past.

History

  • The patient's most commonly complain is oral pain, especially while ingesting acidic, salty or hot foods and beverages.
  • Many patients complain of previous episodes of aphthous ulcers that resolved spontaneously.

Symptoms

Common Symptoms

The first symptom of an aphthous ulcer is usually a tingling or burning sensation that you feel before other symptoms develop. The following symptoms may then occur:

  • Painful, red spot or bump that develops into an open ulcer
    • Center is colored white or yellow
    • Usually small (under 1 cm) but occasionally larger
    • Single bump or group of bumps (crops)
  • Sore may turn gray just before starting to heal
  • Pain decreases in 7 to 10 days, with complete healing in 1 to 3 weeks.
  • Pain is usually worsened with the ingestion of acid, salty or hot foods and beverages.
  • Particularly large ulcers (greater than 1 cm in diameter) often take longer to heal (2 to 4 weeks). Occasionally, a severe occurrence may be accompanied by nonspecific symptoms of illness, such as fever.
  • Canker sores often return.[1][2]

Less Common Symptoms

Less common symptoms of Aphthous ulcers include:

References

  1. Edgar NR, Saleh D, Miller RA (2017). "Recurrent Aphthous Stomatitis: A Review". J Clin Aesthet Dermatol. 10 (3): 26–36. PMC 5367879. PMID 28360966.
  2. 2.0 2.1 Tarakji B, Gazal G, Al-Maweri SA, Azzeghaiby SN, Alaizari N (2015). "Guideline for the diagnosis and treatment of recurrent aphthous stomatitis for dental practitioners". J Int Oral Health. 7 (5): 74–80. PMC 4441245. PMID 26028911.

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