Causes of Tongue Ulcers

Tongue ulcers are a common problem that affects many people. They can have various causes and appear in different forms. Here are the main causes and types:

Causes of Tongue Ulcers:

  1. Stress and psychological pressure:
    Mental stress and anxiety are known to contribute to the development of tongue ulcers.
  2. Injury or burns:
    Accidental bites or burns from hot food or drinks can lead to painful tongue ulcers.
  3. Nutritional deficiencies:
    A lack of certain nutrients, especially vitamin B12, iron, and folic acid, can cause ulcers on the tongue.
  4. Food allergies and sensitivities:
    Some people develop tongue ulcers as a reaction to certain foods or ingredients.
  5. Infections:
    Viral infections such as herpes simplex virus (HSV) can cause ulcers in the mouth and on the tongue.

Types of Tongue Ulcers (by appearance):

  1. Basal ulcers:
    Usually appear on the sides of the tongue, larger and more painful.
  2. Surface ulcers:
    Small, shallow, and painful—commonly found on the top surface of the tongue.
  3. Localized ulcers:
    Confined to a specific area of the tongue.
  4. Large ulcers:
    More severe in size and discomfort, often requiring medical attention.

Classifications of Tongue Ulcers (by cause):

  1. Viral ulcers:
    Caused by viruses, such as the herpes virus.
  2. Traumatic ulcers:
    Result from injury or burns to the tongue.
  3. Bilateral ulcers:
    Appear on both sides of the tongue (can be symmetrical).
  4. Painful ulcers:
    Characterized by sharp or burning pain, especially when eating or speaking.
  5. Mild ulcers:
    Less severe and tend to heal on their own within a few days.

If a tongue ulcer lasts for a long time or is accompanied by other symptoms like fever, swollen glands, or weight loss, it’s important to consult a healthcare professional. Maintaining good oral hygiene and avoiding known triggers can help prevent recurrence.

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