WHAT ARE CANKER SORES?
Mouth ulcers are an extremely common condition, estimated to affect 20 percent of the population. These single or clustered, shallow, painful ulcers are found anywhere in the oral cavity (mouth). Lesions are from 1 mm to 15 mm in diameter, have fairly even borders, and are surrounded by a reddened border and are often covered by a white membrane. They usually resolve in 7 to 21 days
CAUSES
The cause of recurrent canker sores appears to be related to food sensitivities, stress and/or nutrient deficiency. No single factor is known to be responsible for the initiation of mouth ulcers, therefore, addressing all the possible causes is highly recommended.
• Food sensitivity - The oral cavity is the first site of contact for ingested and many inhaled allergens. A diet eliminating allergens has been shown to have good therapeutic results.
• Gluten - Another possible factor with recurrent mouth ulcers is sensitivity to wheat gluten found in wheat family grains. Withdrawing gluten from the diet has shown positive effects in some patients.
• Stress - is a precipitating factor in recurrent mouth ulcers, suggesting a breakdown in normal host protective factors, and therefore increased development of allergies. There is also evidence that some patients with recurrent mouth ulcers are deficient in iron, folate, vitamin B12 and zinc or a combination of these nutrients.
DIETARY AND SUPPLEMENTAL RECOMMENDATIONS FOR PREVENTION OF RECURRENT MOUTH ULCERS
The diet should be low in animal products and high in complex carbohydrates as well as free of known allergens and all gluten sources.
• Vitamin C
• Zinc picolinate
• B vitamins
• Mixed bioflavonoids: Flavonoid compounds which are largely responsible for the color of fruits and flowers in plant life have been shown to be effective in the treatment of canker sores by inhibition of allergens and by strengthening connective tissues.
• Folic acid
• Multiple vitamin and mineral product
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Dr. Nicole Sundene is the editor-in-chief of Kitchen Table Medicine. A graduate of Western Washington University for her undergraduate degree, and Bastyr University for her Naturopathic Physician degree, she also spent eight years working as a Medical Assistant for the world renowned leading institute Virginia Mason Medical Center. Throughout her education she had the invaluable opportunity to work side by side with many talented physicians specializing in Family Practice, Internal Medicine, Pediatrics, Otolaryngology, Cardiology, Dermatology, Urology, and Urgent Care. Her alternative medicine education along with training at Virginia Mason combined with the many years spent talking to patients as a telephone triage “nurse” have given her a diverse perspective on health care in America.
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