Two Weeks with Upper Jaw Ulcers: When to Seek Medical Attention? - Otolaryngology

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The hole in the upper jaw has not healed for two weeks?


Hello, Doctor.
I previously visited an ENT specialist for a cold, and the doctor mentioned that I have an ulcer on the right side of my hard palate.
I later discovered that there is also a hole on the left side of my hard palate, but it hasn't been painful.
It has been two weeks, and it hasn't healed.
Should I be particularly concerned since it doesn't hurt much? Thank you.

JJJ, 20~29 year old female. Ask Date: 2018/01/09

Dr. Zheng Jueyi reply Otolaryngology


Hello: If you have an ulcer that has not improved for more than two weeks, it is recommended to seek medical evaluation to determine if a biopsy is necessary.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2018/01/09

More Info


When it comes to oral ulcers, particularly those located on the upper jaw, it's essential to monitor their characteristics and any accompanying symptoms. Based on your description, you have noticed ulcers on both sides of your upper jaw that have persisted for two weeks without significant pain. While the absence of pain might seem reassuring, there are several factors to consider regarding when to seek medical attention.

First, it's important to understand that oral ulcers can arise from various causes, including viral infections (such as herpes simplex), trauma, autoimmune conditions, or even systemic diseases. The fact that you have a history of a recent upper respiratory infection may suggest that the ulcers could be related to a viral etiology. However, if these ulcers are not healing after two weeks, it raises some concerns.

Here are some key points to consider:
1. Duration of Symptoms: Generally, most oral ulcers will heal within 1-2 weeks. Since yours have persisted for two weeks without improvement, it is advisable to seek medical attention. Persistent ulcers can sometimes indicate an underlying condition that requires further evaluation.

2. Changes in Symptoms: While you mentioned that the ulcers are not painful, you should be vigilant for any changes. If you start to experience increased pain, swelling, difficulty swallowing, or any other new symptoms, it would be prudent to consult a healthcare professional promptly.

3. Appearance of the Ulcers: If the ulcers appear to be enlarging, changing color, or developing a foul odor, these could be signs of infection or other complications that warrant medical evaluation.

4. Associated Symptoms: Pay attention to any systemic symptoms such as fever, weight loss, or fatigue. These could indicate a more serious underlying condition that needs to be addressed.

5. Underlying Health Conditions: If you have any pre-existing health conditions, particularly autoimmune disorders or immunocompromised states, it is essential to consult a healthcare provider sooner rather than later.

6. Oral Hygiene and Care: In the meantime, maintain good oral hygiene to prevent secondary infections. Rinse your mouth with a saline solution or an antiseptic mouthwash to keep the area clean. Avoid irritants such as spicy or acidic foods that may exacerbate the condition.

In summary, while the lack of pain might suggest that the ulcers are not immediately concerning, the fact that they have persisted for two weeks without improvement is a reason to seek medical attention. A healthcare provider can perform a thorough examination, possibly including a biopsy if necessary, to determine the cause of the ulcers and recommend appropriate treatment. Early intervention can help prevent complications and promote healing.

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