Two New Facts about Oral Ulcers

So, once again I have another ulcer. It’s been almost a week now and I’ve drank gallons of water to help it heal. But apparently, it’s not doing any better. And fyi, it’s terribly painful. So I started to consult with the know-it-all Mr. Google, and I got two interesting facts about oral ulcers. 

  • I searched for healing alternatives and I’ve got a surprising entry listed on It’s title “Eating Pani Puri”, which is some sort of Indian Food. It scored 83% of succession, even won over Kennalog which scores 44%. Have I ever ate PaniPuri? No, I haven’t and because of this pain, I’m now damn curious.
  • The second fact is what is more intriguing for me, I just found out that there are such thing as aphthous ulcers. You don’t know what it is? Never heard of it? Don’t worry, you’re not alone. But the interesting fact is :

"their appearances are related to mental stress of a person. They tend to last a couple of week and will disappear when the person is free from all mental stress.”

Now that I know Mental Stress and Pressure can causes Ulcer which is terribly painful for me, truly I will try my best to be free from all that. Interesting Facts in the middle of the night, oh shit, it’s 2.30am now. I better get some sleep. Nite folks

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Oral Ulcers - General Classification

In this Article, We will start with a basic Comparison between common types of  Oral Ulcers. The comparison will in the Etiology and another comparison on the preceding lesion before the ulcers occurs

But first we must understand what is an Ulcer .


Table of Contents

Ulcers: Is the complete loss of epithelium. Always Heals with a scar
Erosion: is a superficial damage leading to partial loss of epithelium. No Scar Formation
In The Comparison  and previous image the difference between an ulcer and erosion is quite easy to understand.


By Etiology

Easy Download Image of Ulcer Etiology

By Precursor Lesion Primary Ulcers 

  • Definition: an ulcer that  isn’t preceded by a vesiculo-bullous lesion 
  • Examples:
    • Traumatic
    • Infective
    • NeoplasticSystemic “GIT or blood disorders”
    • Aphthous
    • Behcet’s syndrome
    • Reiter’s Syndrome

Secondary Ulcers

  • Definition: an Ulcer that  is preceded by a vesiculo-bullous lesion.
  • Types: These vesicles may be sub-epithelial or intraepithelial (Acantholytic or Non- acantholytic)

Sub Epithelial

  • Bullous Pemphigoid
  • Mucous Membrane Pemphigoid
  • Erythema Multiforme
  • Bullous Lichen Planus
  • Epidermolysis Bullosa
  • Drug Eruption


  • Non – Acantholytic: Death and rupture of groups of epithelial cells.
    • Examples:
      • Herpes Simplex
      • Herpes Zoster
      • Herpangina
      • Hand, foot and mouth disease
  • Acantholytic: Destruction of intercellular attachments.
    • Eamples:
      • Pemphigus Vulgaris
      • Darier’s Disease

Easy Download Image of Ulcer Precursor

anonymous said:

Yo I was just diagnosed with PFAPA, do you know anything about it?

Yikes, have fun with that? At least it’s not contagious, unlike most forms of aphthous stomatis (like cold sores).

I assume to be diagnosed with this condition, you’ve already been tested for Epstein-Barr and cytomegalovirus, but as you’ve seen, it can mimic those two viruses (which many people know from having mono) combined with cold sores (painful little mouth ulcers that hurt much more than their size would suggest they should).

PFAPA, to those who don’t know, is Periodic Fever, Aphthous Stomatitis, Pharyngitis and Adenopathy, and generally presents as, well, exactly what its name implies - periodic fever, “cold sores”, sore throat, and swollen lymph nodes (most often in the throat, just like in mono). It usually lasts a few days at a time, several (3+) times a year.

Generally, it seems to be an autoimmune reaction to a previous infection, and what it isn’t, and how it responds to symptomatic treatment tend to be the defining factors for diagnosis. Once the viruses and genetic or autoimmune conditions that cause similar symptoms are excluded, the patient is generally given a prednisone injection when the fever flares again - if the fever decreases immediately, the patient is diagnosed with PFAPA.

While most patients are diagnosed between 3 weeks and 7 years of age, and the condition almost always resolves on its own by 10 years old, teens and adults are occasionally diagnosed. Teenagers often overcome the condition on their own, though it may take up to two decades. Adults sometimes never overcome it, though their ability to self-treat with prednisone injections and anti-inflammatory medications can minimize the impact to their professional and personal lives.

more on PFAPA:

Periodic Fevers at Cleavland Clinic

PFAPA: What is it? What isn’t it?

Merck Manuals: PFAPA

Mouth Cancer: The Lowdown On Symptoms, Treatments And Risk Factors

Mouth Cancer: The Lowdown On Symptoms, Treatments And Who Is At Risk

Mouth cancer, although uncommon (the NHS says it accounts for one in 50 of all cancer cases) is still a potentially fatal disease, due to the late stage at which it is usually diagnosed.

As the survival rate for stage 1 of mouth cancer (in its earliest form) is 90%, it’s worth finding out the warning signs to catch it early.


Mouth Cancer: People Suffer Symptoms For Too Long Before Seeking Help

Mr Jean-Pierre Jeannon, Consultant Ear, Nose and Throat Surgeon at London Bridge Hospital comments: “Mouth cancer usually presents itself as a persistent ulcer or lump in the mouth.

“It is different from an aphthous or stress ulcer which comes and goes and affects different parts of the mouth. A cancerous ulcer is often painless and stays in the same place.

“A neck lump due to a swollen lymph node can also be the first sign of mouth cancer. A persistent red or white patch in the mouth can also be a sign of an early or pre-cancer,” he added.

How can you reduce your chance of developing the disease?

Mr Jeannon recommends that “prevention is by far the best policy in avoiding cancer, and mouth cancer is no exception.” Preventative measures, which are most effective, include:

:: Stopping smoking.

:: Avoiding excess alcohol consumption.

:: Maintain healthy teeth - a regular dental check up.

:: HPV virus which also causes cervical cancer is a risk for mouth cancer so safe sex (including oral sex) reduces ones risk of developing mouth cancer.

On that last note Hormone Specialist, Jen Landa, comments on The Huffington Post that “the percentage of mouth and throat cancers caused by HPV is rising sharply, from only 16 percent in the 1980s to approximately 73 percent of the mouth and throat cancers in the year 2000.

“The incidence of mouth and throat cancers is rising as well. From 1988 to 2004, there was a 28 percent increase in the risk of mouth and throat cancers, primarily in men ages 50 to 59.”

Story continues below…

How is the disease normally treated?

There are two treatment types, as suggested by Mr Jannon. The main treatment type requires surgery in order to remove the tumour. This may also result in reconstructive surgery.

Additionally, depending on the severity of the cancer, radiotherapy (x-ray treatment) may also be needed.

The NHS also states chemotherapy as an option.

Are there different types of mouth cancer?

Mr Jeannon tells us that “most cancers are the same type and arise from the skin lining the inside of the mouth which are termed squamous cells carcinoma.

“It can affect any party of the mouth lip, tongue or floor of mouth and tends to be an aggressive form of cancer so the earlier the cancer is detected the better the outcome.

“The survival for stage 1 (earliest form) is 90% whereas for stage 4 (most advanced) less than 20% of patients survive.”

Who is most at risk of developing mouth cancer?

Men are three times more likely to get mouth cancers compared to women. It tends to affect older people so the disease is rare under the age of 40.

Heavy alcohol drinkers and smokers are most at risk.

Women who have not received HPV vaccine are also more at risk.


HPV Cervical Cancer Jab Could Prevent Almost 90 Deaths Every Year See More at :