Mouth Lesions – Causes and Treatments
Various types of mouth lesions can affect a person’s health, and it is important to understand the causes and treatments. Some of the mouth lesions are dandruff, thrush, canker sores, stomatitis, and herpes simplex virus.
Herpes simplex virus
Approximately 70 percent of adults in the United States have been infected with herpes simplex virus (HSV-1). While it is usually a skin infection, it can also infect the mouth.
The most common symptoms of oral herpes include sores and blisters in the mouth. These blisters can cause intense pain and swelling. If you experience these symptoms, contact a doctor. You may also experience a painful throat, a sore neck, or swollen lymph nodes.
A herpes simplex virus outbreak is contagious and can be spread by touching an infected object or by sharing utensils or glasses. It can also be spread by sharing kisses and by touching an infected person.
The incubation period for herpes simplex is two to twelve days. The infection may also cause dehydration. Dehydration is a serious complication that requires medical treatment. If you have any signs of dehydration, you should call your GP or go to the hospital emergency department.
It is important to avoid kissing and sharing utensils. You can also use a moisturizing balm on your lips to avoid them drying out. It is also important to use sunblock to prevent herpes infection of the eye.
Most of the time, a herpes simplex outbreak will go away without any treatment. However, if the infection is severe, you may be prescribed antiviral medication to help you heal.
Idiopathic aphthous stomatitis
Among the most common diseases of the oral mucosa, recurrent aphthous stomatitis (RAS) is characterized by painful ulcers of the oral mucosa. The condition is classified into three subtypes based on the morphology and etiopathogenesis of the lesions.
The ulcers are characterized by a red halo, an erythematous pseudomembrane, gray fibrinous exudate, and a punched-out ulcer covered with a loosely attached membrane. The surrounding tissue is normally healthy and well-circumscribed. In some cases, papular swelling occurs as keratinocyte vacuolization occurs.
The disease may be triggered by a number of factors, including microbial infection, nutritional deficiencies, and hematologic disorders. In most cases, aphthous ulcers are self-limited and heal in 7-14 days. In more severe cases, aphthosis can be refractory and require systemic medications. For patients with recalcitrant aphthous stomatitis, topical corticosteroids, immunomodulators, or local steroid injections may be used.
The oral mucosa is normally colonized by normal numbers of bacteria and fungi. However, infection can be difficult to diagnose in aphthous stomatitis because the mucosa is usually not damaged. Nevertheless, infection can be suspected if the person’s immune system reacts to the aphthous lesions by producing antibodies.
There are three subtypes of RAS: herpetiform (unrelated to herpesviruses), minor (less than 1 cm in diameter), and major (more than 1 cm in diameter). All three forms of RAS have similar morphology, but they differ in their prognosis.
Lupus
Among the many symptoms of lupus, mouth lesions are one of the most common. These ulcers appear on the inside or outside of the lips, on the roof of the mouth, and inside the cheeks. The pain and discomfort caused by these sores can be very unpleasant. They are also a sign of an impending flare.
Mouth ulcers are caused by a wide range of factors. Some of the more common causes include eating utensils, taking certain medications, and eating foods that have an acidic or sharp texture. Other causes include infection, hormonal changes, and even UV light.
Lupus-related mouth ulcers can be painful and cause discomfort. They may appear anywhere in the mouth, but are more common on the roof of the mouth, inside the cheeks, and on the lips.
Mouth ulcers are not life-threatening, but they can cause discomfort and low self-esteem. They may also damage organs. If you have mouth ulcers, it is important to treat them promptly. Medications can help control the symptoms and prevent further damage to the organs.
Mouth sores may also be a sign of an impending lupus flare. They may occur in combination with other symptoms, such as joint pain, hair loss, or rashes.
Sjogren’s syndrome
Symptoms of Sjogren’s syndrome can look like dry mouth, mouth sores, dry eyes, tooth decay, and more. It is an autoimmune disease that can affect anyone. The condition is usually found in older adults, but it can affect younger people as well.
People with Sjogren’s are at increased risk for infections, lymphoma, and early death. Although there is no cure, treatments can help control symptoms. Besides medications, patients may use saliva substitutes or artificial tears. Some people are also prescribed medications to help with joint inflammation.
In a recent study, researchers examined the characteristics of oral lichenoid lesions in patients with Sjogren’s syndrome. They used data from a U.S.-wide survey, as well as the scientific literature. They found that the main symptoms of the disease are dry eyes and mouth. Interestingly, the patients were mainly female. The participants had an average age of 65.1 years.
Researchers used a systematic review to analyze the prevalence rates of oral lesions in Sjogren’s patients. The study also investigated the prevalence of oral lichen planus, as well as the characteristics of patients with the disease.
The authors of this study also found that patients who had oral lesions were more likely to have poorer quality of life. Their financial burden was also higher. Despite these findings, the study also found that treatment was effective in controlling symptoms.
Canker sores
Getting canker sores is a common problem for many people. These lesions appear in the mouth, and they are very painful. Fortunately, they are not contagious and can be easily treated. However, if you experience more than three canker sores in a year, you should get medical advice.
Canker sores may develop due to various factors, including allergies, physical trauma, or deficiencies. Fortunately, they will generally heal themselves within two to three weeks. If they are extremely painful, they may need to be treated with topical steroids or numbing agents.
Canker sores may develop in different parts of the mouth, including the inner cheeks, the roof of the mouth, and the back of the tongue. Some people also develop canker sores on their lips. These lesions may be white or red but usually appear as white, oval, or round bumps.
In the United States, about 90% of adults are affected by an infection with the herpes simplex virus. This virus can be the cause of recurring fever blisters. These blisters are normally fluid-filled. They are painful and appear on the lips, tongue, and gums.
Canker sores are most common in children, with about 20% of children developing them at some point in their lives. They usually occur on the inner cheeks and inner lips.
Cold sores
Among the most common types of mouth, lesions are the cold sore. They are small, red blisters that form in the mouth and are generally caused by the herpes simplex virus.
The virus is spread through close contact. This includes kissing and sharing eating utensils. Young adults are the most at risk for spreading the virus. It is also possible to pass on the virus without symptoms if your immune system is compromised. If you have a cold sore, it is best to visit your doctor.
The first step to treating your cold sore is to wash your hands frequently. Cold sores can be painful. You may also want to apply an antiviral cream to reduce the pain. You can find these at pharmacies.
Antiviral medicines, which are prescribed to you by your doctor, may help speed up the healing process. They can also reduce the number of outbreaks. You may take these pills, tablets, or ointments as an oral or topical treatment. Antiviral medications should be started before the blisters form.
You may also want to apply petroleum jelly to the sores. This can help prevent the crusts from forming. Petroleum jelly also helps reduce pain. You can also use an antiseptic mouthwash.
Thrush
Thrush is a type of fungal infection that occurs in the mouth and throat. It is usually a minor ailment for healthy people, but it can be very uncomfortable for people with weakened immune systems. It is important to diagnose and treat this condition if you suspect it, as it can spread to other parts of the body.
The cause of thrush is usually due to Candida. The yeast normally grows in small numbers, but it can multiply very quickly under the right conditions. In people with weakened immune systems, Candida can overgrow and cause infection.
Normally, the mouth and throat contain millions of microscopic bacteria and yeast. However, there are some medications and conditions that can make it harder for these microorganisms to keep Candida in check. For example, chemotherapy, organ transplants, and HIV/AIDS can all weaken the immune system.
If you suspect thrush, your healthcare provider will examine your mouth and throat to look for lesions. They may take a tissue sample for analysis, or they may use a tongue depressor to scrape a small bump.
If thrush is diagnosed, your provider may prescribe an antifungal mouthwash or ointment. If it is severe, they may recommend a treatment called endoscopy, which uses a thin tube with a light and camera attached. The provider inserts the tube through your mouth and then takes a tissue sample for analysis. Then, they can view your esophagus and other areas of the digestive tract.
Health Sources:
Health A to Z. (n.d.). HSE.ie. https://www2.hse.ie/az/
U.S. National Library of Medicine. (n.d.). https://www.ncbi.nlm.nih.gov/
Directory Health Topics. (n.d.). https://www.healthline.com/directory/topics
Health A-Z. (2022, April 26). Verywell Health. https://www.verywellhealth.com/health-a-z-4014770
Harvard Health. (2015, November 17). Health A to Z. https://www.health.harvard.edu/health-a-to-z
Health Conditions A-Z Sitemap. (n.d.). EverydayHealth.com. https://www.everydayhealth.com/conditions/