Mouth Ulcers

Question 1

Mouth Ulcer symptom

Answer 1

• white/yellow centre with outer inflamed red ring
• on tongue, lips and cheeks
• occurs from 1 to 5 up to 5mm in size

Question 2

Mouth Ulcer referral

Answer 2

• > 10mm (can be sign of ulcerative colitis)
• associated recurrent diarrhoea

Question 3

Mouth Ulcer Referral (Cancerous symptoms)

Answer 3

• > 3 weeks (in smokers)
• painless
• associated weight loss

Question 4

What medications adverse drug reactions can cause mouth ulcers

Answer 4

• NSAIDs
• Sufasalazine
• Methotrexate

Question 5

Mouth Ulcers >5mm Referral (crop sizes)

Answer 5

if large up to 30mm and appearing on pharynx and palate it can be
— Major Apthous Ulcers

if small numerous (up to 100) and form together affecting mouth floor or gums it can be
— Herpetiform Ulcers

Question 6

OTC treatment: Chlorhexidine

Answer 6

Corsodyl Mouthwash (12+)

prevents bacterial infection

• causes reversible brown staining of teeth and tongue

Question 7

OTC treatment: Local Analgesia

Answer 7

Difflam Oral rinse (12+)
- Benzydamine

Bonjela Adult (16+)
- Chlorine Salicylate

Question 8

OTC Treatment: Local Anaesthetic

Answer 8

• Lidocaine (iglu gel)
• Benzocaine (orajel)

Question 9

OTC treatment: topical corticosteroids

Answer 9

anti-inflamamtory

• Hydrocortisone Buccal Pellets (12+)

Question 10

Mouth Ulcers Advice

Answer 10

• avoid spicy, salty or acidic or hot foods/drink
• brush teeth before chlorhexidine (helps reducing staining and rinse)

Question 11

What electrolyte deficiencies can cause mouth ulcers

Answer 11

Iron
Folate
Zinc
B12 Deficiency