Discussions By Condition: I cannot get a diagnosis.

Exploding mouth ulcers - please help

Posted In: I cannot get a diagnosis. 6 Replies
  • Posted By: Paul Loseby
  • June 19, 2008
  • 02:55 PM

I am a 60 year old male. From time to time, during the night, I am awoken by a searing and increasing pain behind my lower lip and in front of my lower teeth. This takes about 10 seconds only but in that time, it feels as though my mouth is going to explode. The pain is in the 11 out of 10 range. I press the outside of my lips in the hope that this will ease the pain but it still gets worse. Suddenly it erupts into a large ulcer on the inside of my mouth. The one last night was about 1" long and 1/4" wide. Once it has exploded there is no pain but I can just feel a roughness where the ulcer or eruption is.

I have asked my doctor who has no idea and searched the internet with no luck. Does anyone have any idea as I really would like to know what is causing it.

Many thanks in the hope that someone might know

Paul Loseby

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6 Replies:

  • Paul,You need to see an oral surgeon, preferably the day right after the “explosion”. The doctors don’t have good knowledge about the diseases of the mouth. Could it be a severe case of aphtha? Are you a smoker?
    Felsen 510 Replies Flag this Response
  • Many thanks Felson. Sadly here in the UK it is impossible to see any kind of surgeon quickly and you have to wait a couple of days to see your own doctor.I'm not quite sure what aptha is but I will look it up. As regards smoking, I have never had a cigarette in my life.Thank you again for getting back to me - I do appreciate itRegardsPaul
    Paul Loseby 6 Replies Flag this Response
  • Paul,Sorry to hear it’s difficult to get an appointment in UK, I assure you that it’s even worse where I am (Sweden). Could you have somebody taking a photo of the lesion? You can even post it here, if you use a digital camera.As far as I know the ethiology of aphta is still unknown. But for some peculiar reason smokers rarely have it. I know of a smoker who stopped smoking, got big problems with aphta and to everybody’s despair eventually started smoking again. Do you have a toothpaste in UK called Zendium? Some patients can benefit from using it.But as I said, I’m not sure that it is aphta, I need to see it to be sure.Good luck with everything!
    Felsen 510 Replies Flag this Response
  • Hi and many thanks again. I have tried to take a reasonable photograph but this is the best I could come up with. From this there doesn't seem to be anything there other than some soreness but rubbing my tongue over it feels like it is passing over the top of a soft cauliflower floret. There is no pain now but when it is happening, the pain really is excruciating. It lasts for about 10 seconds before bursting.Many thanks againPaul
    Paul Loseby 6 Replies Flag this Response
  • Paul,It’s a good photo, but there is not much of a lesion left, so it’s difficult to say what it is. I’ve read all your posts again and if this always happens in the same spot, then it’s probably not aphta. Aphta varies in location.My advice is to take a photo right before the “explosion” and take it with you to an oral surgeon. I can keep an eye on your thread, in case it happens again and you paste in the shot.Best of luck!
    Felsen 510 Replies Flag this Response
  • Many thanks for your help and advice Felson. Unfortunately I don't know beforehand when I am likely to have the problem.If you would keep an eye on the thread, I would be really grateful.Kindest regardsPaulpal@loseby.co.uk
    Paul Loseby 6 Replies Flag this Response
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