Causes of Ulcers
What Causes Mouth Ulcers?
Mouth ulcers can develop for many different reasons. In many cases, a single ulcer results from minor irritation, while recurring ulcers may have several contributing factors.
Understanding what causes mouth ulcers can help you identify possible triggers and better support your oral health.
Treat the cause of the ulcer
The best way to manage a mouth ulcer is to address its underlying cause. Whether it’s due to injury, stress, braces, or nutritional deficiencies, treating the trigger can help support healing and reduce the risk of future ulcers.
Minor Injury
One of the most common causes is accidental injury inside the mouth.
Examples include:
- Biting your cheek or tongue
- Brushing too aggressively
- Dental treatment
- Sharp edges on teeth
- Braces or orthodontic appliances
- Poorly fitting dentures
Even small injuries may trigger an ulcer in sensitive individuals.
Stress
Many people notice mouth ulcers appearing during stressful periods.
Although the exact relationship isn’t fully understood, emotional stress and fatigue are recognised as common triggers for recurrent ulcers.
Vitamin and Mineral Deficiencies
Some recurring ulcers may be associated with deficiencies in nutrients such as:
- Vitamin B12
- Iron
- Folate
- Zinc
A balanced diet supports overall oral health. If deficiencies are suspected, a healthcare professional may recommend testing.
Hormonal Changes
Hormonal fluctuations may contribute to mouth ulcers in some individuals.
Some people notice ulcers occurring:
- Before menstruation
- During pregnancy
- During periods of hormonal change
Food Sensitivities
Certain foods may irritate sensitive areas inside the mouth.
Possible triggers include:
- Citrus fruits
- Tomatoes
- Pineapple
- Spicy foods
- Salty foods
- Very hot foods and drinks
Triggers vary between individuals.
Certain Medications
Some medicines may contribute to mouth ulcers as a side effect.
If ulcers appear after starting a new medication, discuss this with your doctor or pharmacist rather than stopping medication on your own.
Medical Conditions
Occasionally, recurring or persistent mouth ulcers may be associated with underlying health conditions.
These can include:
- Coeliac disease
- Inflammatory bowel disease
- Behçet’s disease
- Immune-related conditions
Most ulcers are not caused by serious illness, but persistent symptoms should always be assessed professionally.
Family History
Some people appear to be genetically more prone to developing recurrent mouth ulcers.
Having close family members who experience ulcers may increase your likelihood of developing them.
Everyday Tips to Reduce Triggers
You may be able to reduce irritation by:
- Using a soft toothbrush
- Maintaining good oral hygiene
- Eating a balanced diet
- Managing stress where possible
- Avoiding foods that trigger irritation
- Protecting sensitive areas from repeated friction
Supporting Oral Comfort
While identifying the cause is important, protecting the ulcer from everyday irritation may also help improve comfort.
UlcerEze mouth ulcer patches create a protective barrier over sensitive areas, supporting your oral care routine throughout the day.
Frequently Asked Questions
Why do I keep getting mouth ulcers?
Recurring ulcers may result from several factors including stress, nutritional deficiencies, minor trauma, or genetic predisposition. If ulcers occur frequently, consult a healthcare professional.
Can stress really cause mouth ulcers?
Stress is widely recognised as a common trigger for recurrent mouth ulcers in many people.
Can food cause mouth ulcers?
Certain foods may trigger or worsen irritation in sensitive individuals, although triggers vary from person to person.