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Mouth ulcers Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Mouth ulcers. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had the mouth ulcers?

    Why: to determine if acute or chronic.

  2. Where are the mouth ulcers?

    Why: e.g. if on the lip may suggest herpes simplex labialis (cold sore), syphilis or lip cancer.

  3. Have you had mouth ulcers in the past, if yes how frequently and when was the last time you had mouth ulcers?

    Why: Aphthous ulcers in the mouth are extremely common and the majority of adults will experience aphthous ulcers at some time during their lives however some medical conditions may cause recurrent mouth ulceration such as Crohn's disease, pernicious anemia, Behcet's disease and HIV infection.

  4. Recent local trauma to the mouth?

    Why: minor mouth injury is the most common cause of mouth ulceration e.g. injury from a toothbrush whilst brushing teeth, biting of the cheek.

  5. Dental health?

    Why: when last saw a dentist?, dental care routine? Known dental caries? - Poor oral hygiene may be associated with Vincent's infection and oral cancer which may both cause mouth ulceration.

  6. Do you have dentures?

    Why: Poorly fitting dentures may cause oral ulcers.

  7. Past history of cold sores (Herpes simples type 1 lesions) on the lips?
  8. Risk factors for oral cancer?

    Why: e.g. cigarette smoking, poor dental hygiene, spirits, recurrent mouth infections or syphilis.

  9. Medical history?

    Why: e.g. recurrent mouth ulcers may occur in people with leukemia, immunocompromise, malnutrition and diabetes mellitus; aphthous mouth ulcers may be associated with Behcet's disease, Crohn's disease, celiac disease, HIV disease; angular cheilitis may occur due to Candida infection in people with HIV disease, general debilitation or diabetes mellitus.

  10. Medications?

    Why: some medications may cause aphthous ulceration such as gold and steroids; some medications are associated with erythema multiforme including barbiturates, penicillin, sulphonamides, phenothiazines and phenytoin.

  11. Dietary history?

    Why: malnutrition can increase the risk of Acute ulcerative gingivitis (Vincent's infection); may indicate risk of dietary deficiencies (such as Vitamin B6, B12, folate and iron) that may cause angular stomatitis or glossitis.

  12. Cigarette smoking?

    Why: increases risk of gingivitis, lip and oral cavity cancers.

  13. Sexual history

    Why: may indicate the risk of HIV which may be associated with angular cheilitis (due to Candida infection), aphthous mouth ulceration, tongue ulceration and an increased risk of oral cancer; Primary syphilis may also feature chancres (ulcer) in the mouth.

  14. Family history?

    Why: aphthous mouth ulcers seem to run in families.

  15. Gum ulceration?

    Why: may suggest acute ulcerative gingivitis (Vincent's disease).

  16. Lip ulceration?

    Why: would suggest herpes simplex labialis, syphilis and carcinoma.

  17. Genital ulceration?

    Why: must consider Behcet's syndrome, Herpes simplex or Reiter's syndrome.

  18. Diarrhea?

    Why: may suggest Crohn's disease, Ulcerative colitis and Celiac disease.

  19. Rash on face?

    Why: may suggest Herpes zoster (shingles) or Chicken pox.

  20. Joint pain?

    Why: may suggest Behcet's syndrome, Reiter's syndrome, Ulcerative colitis or Crohn's disease.

  21. Tiredness, weight loss, fever, night sweats?

    Why: may suggest malignancy such as leukemia which may also be associated with swollen and bleeding gums and also recurrent mouth infections.

  22. Symptoms of glossitis (inflammation of the tongue)?

    Why: e.g. smooth appearance of the tongue, tongue may be red. In later stages there may be shallow ulceration. May be due to nutritional deficiency in iron, folate, Vitamin B12.

  23. Symptoms of aphthous mouth ulcers (cancer sores)?

    Why: e.g. lesions occurring on the inside of the lips or mouth which begin as a small painful vesicle which later breaks down to form a painful shallow ulcer. The ulcers heal without scarring. Cause is unknown, but may occur in Crohn's disease, Celiac disease, AIDS, Behcet's disease and cyclic neutropenia.

  24. Symptoms of Vincent's disease (acute ulcerative gingivitis)?

    Why: e.g. tender, red, swollen, bleeding and ulcerated gums - occurs in the malnourished person with poor dentition and also in the immunocompromised person.

  25. Symptoms of hand, foot and mouth disease?

    Why: e.g. fever, headache, sore mouth, shallow ulcers on the lining of the mouth, gums and tongue, blisters on hands, palms and soles.

  26. Symptoms of herpes simplex labialis (cold sores)?

    Why: e.g. prodrome of tingling, itching or burning sensation on the lips which usually precede any visible skin changes by 24 hrs. Prodrome is followed by development of fluid filled vesicles which erode to become ulcers on the lips.

  27. Symptoms of angular stomatitis?

    Why: e.g. cracks at the corners of the mouth. Possible causes may include Vitamin B6, B12, folate and iron deficiency.

  28. Symptoms of Behcet's syndrome?

    Why: e.g. recurrent and persistent oral aphthous ulcers, recurrent genital aphthous ulcers, features of posterior uveitis (blurred vision and floaters), erythema nodosum (painful nodules on the arms and legs).

  29. Symptoms of erythema multiforme?

    Why: e.g. acute eruption involving the skin and mouth mainly in children, adolescents and young adults. Lesions are raised patches of concentric rings (iris or target lesions). The mouth lesions are tender and painful erosions. It may be associated with herpes simplex type 1, systemic lupus erythematosus, Hodgkin's disease, myeloma, tuberculosis and some medications.

  30. Symptoms of riboflavin (Vitamin B2) deficiency?

    Why: e.g. fissuring at the corners of the mouth, red inflamed tongue, seborrheic dermatitis on face, scrotum or vagina.

  31. Symptoms of Reiter's syndrome?

    Why: e.g. urethritis (painful urination with penile discharge), conjunctivitis (red painful eyes) and painful peripheral joints. Lesions on palms, soles, penis and mouth. 90% of those affected are male.

Conditions listing medical symptoms: Mouth ulcers:

The following list of conditions have 'Mouth ulcers' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Mouth ulcers or choose View All.

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Conditions listing medical complications: Mouth ulcers:

The following list of medical conditions have 'Mouth ulcers' or similar listed as a medical complication in our database.

 

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