Minor aphthous ulcer
- Small and round or oval.
- Affects cheeks, lips or gums.
- Pale centre surrounded by erythematous swollen mucosa.
- Lasts seven to 10 days; resolves without scarring.
- Women affected more than men.
- Family history of mouth ulcers.
- Usually first occur between the ages of 10 and 40.
- Not usually associated with systemic illness.
- When recurrent, can be associated with lack of iron and vitamins, hormonal changes, stress, or inflammatory bowel disease.
- Avoid spicy, acidic or salty foods.
- Use a soft toothbrush.
- Chlorhexidine mouthwash.
- Steroid lozenges or gel.
Hand, foot and mouth
- Usually caused by coxsackievirus A, can also be due to enterovirus 71.
- Very contagious.
- Affects children under the age of 10.
- Patient feels unwell.
- Affects both sexes but boys have more symptoms.
- Yellow-red ulcers affecting palate, tongue and cheek.
- Can be very sore.
- Hands and feet are affected a few days later.
- Lasts seven days.
- Advice about adequate analgesia and hydration.
- Reassure not related to the condition affecting cattle.
- Text contributed by Dr Vasa Gnanapragasam, GP in Sutton, Surrey