Oral Ulcers: Causes, Warning Signs & When to See a Gastroenterologist

Oral ulcers—commonly called mouth ulcers or chhale—are painful sores inside the mouth that can make eating, drinking, and speaking uncomfortable. While many people in Agra and nearby regions consider them a minor issue, recurrent or non-healing oral ulcers often indicate an underlying health problem.

👉 “Doctor, muh ke chhale baar-baar kyun hote hain?”
👉 “Kya pet ya liver se bhi mouth ulcers ka connection hota hai?”

Yes—very often, there is.

What Are Oral Ulcers?

Oral ulcers are small breaks in the lining of the mouth, usually seen on:

  • Tongue

  • Inner cheeks

  • Lips

  • Gums

  • Soft palate

They may be:

  • Single or multiple

  • Painful or burning

  • Short-lasting or recurrent

Common Symptoms of Oral Ulcers

  • Pain or burning in mouth

  • Difficulty eating spicy or hot food

  • Red or white sores

  • Swelling around ulcer

  • Bad breath

  • Sometimes fever or weakness

⚠️ Ulcers lasting more than 2 weeks should never be ignored.

Common Causes of Oral Ulcers

🔹 1️⃣ Nutritional Deficiencies (Very Common)

  • Vitamin B12 deficiency

  • Iron deficiency

  • Folic acid deficiency

👉 Often linked with anemia, poor gut absorption, or chronic gastritis.

🔹 2️⃣ Digestive & Gastrointestinal Problems

  • Acid reflux

  • Chronic gastritis

  • IBS

  • Malabsorption syndromes

  • Liver disease

This is why recurrent oral ulcers are often treated best by a gastroenterologist.

🔹 3️⃣ Stress & Poor Sleep

Mental stress directly affects immunity and gut health, triggering ulcers.

🔹 4️⃣ Infections & Immunity Issues

  • Viral infections

  • Low immunity

  • Autoimmune conditions

🔹 5️⃣ Tobacco, Alcohol & Spicy Foods

These irritate the oral lining and delay healing.

🔹 6️⃣ Medicines

Painkillers, antibiotics, and some chronic medications can cause ulcers as a side effect.

When Oral Ulcers Become a Warning Sign 🚨

Consult a specialist immediately if you have:

  • Ulcers recurring every few weeks

  • Non-healing ulcers (>14 days)

  • Ulcers with weight loss

  • Ulcers with anemia or weakness

  • Ulcers with abdominal pain, acidity, or jaundice

  • Hard or bleeding ulcers (rule out serious disease)

How Are Oral Ulcers Evaluated?

Dr. Karan R. Rawat, an experienced Gastroenterologist and Liver Specialist, evaluates oral ulcers by looking beyond the mouth.

✔️ Blood tests for anemia & vitamin deficiency
✔️ Liver and gut-related investigations
✔️ Assessment of acid reflux & gastritis
✔️ Identifying systemic causes

👉 Treating the root cause, not just the ulcer, is the key.

Treatment of Oral Ulcers

✅ Symptomatic Relief

  • Local gels & mouthwashes

  • Pain-relieving medications

✅ Treating the Cause

  • Vitamin & mineral correction

  • Acid suppression therapy

  • Gut health optimization

  • Liver-related treatment when needed

  • Lifestyle and diet correction

⚠️ Repeated use of only gels gives temporary relief, not cure.

Why Consult Dr. Karan R. Rawat for Recurrent Oral Ulcers in Agra?

Dr. Karan R. Rawat is known for his integrated gastro-liver approach, ideal for patients with recurrent, unexplained oral ulcers.

✔️ Gastroenterologist & Hepatologist
✔️ Expert in nutritional & absorption disorders
✔️ Treats oral ulcers linked to gut & liver disease
✔️ Ethical, evidence-based care
✔️ Trusted across Agra, UP, Rajasthan & Haryana

📍 Safe Gastro & Surgery Center, Agra

Prevention Tips for Oral Ulcers

  • Maintain oral hygiene

  • Avoid tobacco & alcohol

  • Eat balanced, nutrient-rich diet

  • Manage stress

  • Do not ignore acidity or gut symptoms

  • Regular health checkups

Final Message from a Gastro Specialist

Oral ulcers are not always “just mouth ulcers.” When they repeat, persist, or worsen, they may reflect internal gut, liver, or nutritional problems.

👉 For complete evaluation and long-term relief, consult Dr. Karan R. Rawat, one of the most trusted gastroenterologists in Agra, who treats oral ulcers by addressing their true cause.

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