Can frequent oral ulcers turn cancerous?

Written by Wang Ji Zhong
Internal Medicine
Updated on September 20, 2024
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There are many causes of oral ulcers, they recur easily, and heal slowly. Frequent ulcers make many people worry about the possibility of cancerous changes. If an oral ulcer does not heal over a long period, there indeed is a tendency for it to turn cancerous. Chronic ulcers are also a cause of cancer, so it is essential to pay attention to one's oral health. For instance, oral ulcers must be treated promptly to eliminate the cause and provide symptomatic treatment. Treatment methods should combine systemic and local treatments. It is especially important to pay attention to those oral ulcers that do not heal over an extended period, as they are precancerous lesions and are very likely to turn cancerous. A biopsy may be necessary to make a definitive diagnosis to facilitate timely treatment.

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Written by Huang Kun Mei
Pediatrics
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Causes of Baby's Oral Ulcers

Baby's oral ulcers generally are considered under the following circumstances: The first type is caused by infections, such as viral infections, herpes, etc.; the second type might be due to a deficiency in vitamins or trace elements, such as when children are picky eaters, which can lead to poor nutrition and vitamin deficiencies. The third type is traumatic oral ulcers which might occur if the child does not often chew hard objects; these are the general scenarios. We should always encourage children to eat fresh vegetables and fruits to prevent the occurrence of oral ulcers. Since vitamin deficiency is the most common cause of oral ulcers, it is important to consume fresh vegetables and fruits and avoid habits like children biting their fingers or eating random items, which might cause infection-induced ulcers. If the child uses medicine spray like "Kaikoujian", and it works well, that's adequate for home observation. If after using the medication and increasing the intake of vegetables and fruits, the results are not ideal, then it is necessary to visit the hospital promptly. (The use of medications should be under the guidance of a physician.)

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Written by Li Cui
Dentistry
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How to manage oral ulcers in summer

When patients experience oral ulcers, it may be due to hot weather in the summer or poor diet, leading to loss of appetite and lack of certain nutrients. It is recommended that patients adjust their diets accordingly, consuming light foods and staying hydrated. If patients lack appetite, they can eat some fresh vegetables and fruits to adjust their diet. Additionally, it is crucial for patients to avoid spicy and irritating foods, as these can worsen the ulcers and cause symptoms of heatiness. Therefore, during summer when experiencing oral ulcers, local treatment is also necessary. Topical medications for oral ulcers can be used to help heal the ulcerative lesions.

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Written by Li Cui
Dentistry
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Can I eat donkey-hide gelatin if I often have oral ulcers?

Patients who frequently suffer from oral ulcers are advised to consume less donkey-hide gelatin and avoid consuming it in large quantities. This is because excessive consumption of donkey-hide gelatin may lead to "internal heat" in some patients, which can exacerbate the condition of oral ulcers. If the donkey-hide gelatin is part of some traditional Chinese medicine formulas, it is generally safe to consume, and patients need not worry too much. However, patients who often suffer from oral ulcers must seek timely medical consultation to diagnose what causes their ulcers, as other systemic diseases can also cause ulcers. Therefore, it is advisable for patients to identify the cause early and formulate a specific treatment plan. If the occurrence of oral ulcers is occasional and mild, patients need not be overly concerned; topical anti-ulcer medication can be used and can be very effective in treatment.

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Written by Li Cui
Dentistry
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What are the signs before the onset of oral ulcers?

Oral ulcers are a type of erosion of the oral mucosa that generally do not show any particular signs before they develop. They may occur when a person’s immune resistance is low, possibly associated with symptoms of "getting heated" (a traditional Chinese medicine concept often referring to inflammation or infection). When oral ulcers occur, the affected area of the mucous membrane becomes eroded and painful, creating a sensation of a foreign object in the mouth that can disrupt the eating and drinking habits of the patient. Eating can become painful, and in severe cases, the patient might be unable to eat at all. Therefore, it is advised that patients seek timely treatment for oral erosion to avoid affecting their intake of food. During this time, nutritional supplementation is necessary for healing. If nutrition is not adequately maintained, it might impede the healing of the eroded oral tissue.

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Written by Quan Xiang Mei
Pediatrics
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What should a child with oral ulcers eat?

When children have oral ulcers, their oral intake of vegetables should primarily consist of green vegetables, while maintaining a balanced and reasonable diet that includes a variety of fruits and sources of protein such as fish, shrimp, and meat. For treating pediatric oral ulcers, topical medications can be applied, or oral ulcer patches can be used to promote healing at the ulcer site. Additionally, during the illness, it is crucial to drink plenty of water, rinse the mouth frequently, and remain hydrated to facilitate the healing of oral ulcers. During the illness, it is advisable to avoid consuming foods that might irritate the ulcers and cause pain, such as persimmons or granulated sugar, to prevent discomfort in children.