Oral Health: Healing Mouth Sores and Dietary Tips - Internal Medicine

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Regarding yesterday's issue?


Hello Dr.
Hong, thank you for your response and explanation.
I would like to ask you a few more questions.
In the morning, before brushing my teeth, I notice that when I spit, there may be some saliva mixed with a bit of blood, possibly from my tongue touching the wound, although it disappears after the second or third spit.
Is this because the wound hasn’t fully healed yet? Generally, how long does it take for small wounds on the inside of the mouth to heal and for the mucosal layer to shed or regenerate? Also, when I touch the area with my tongue, it feels slightly rougher; is this due to the protective mucosal layer being damaged? Is this normal? Lastly, would drinking more orange juice or eating kiwi be beneficial, or should I avoid acidic foods to prevent irritation?

Bo, 20~29 year old female. Ask Date: 2020/06/04

Dr. Hong Yuanbin reply Internal Medicine


Hello, 1.
The healing time varies for each individual, but generally, it takes about 3-5 days.
2.
It is normal to have many rough areas inside the mouth or around the teeth; this is a normal physiological phenomenon.
3.
Drinking fruit juice can help supplement vitamins and provide slight assistance for the wound, but it is best to avoid overly acidic or irritating substances.
Thank you for your question.

Reply Date: 2020/06/04

More Info


Hello! Thank you for your questions regarding oral health, particularly in the context of healing mouth sores and dietary considerations. It’s understandable to be concerned about the healing process and how to manage your diet during this time. Let’s break down your questions and provide some insights.

Firstly, experiencing a bit of blood in your saliva, especially after brushing your teeth, can be a sign that the mouth sores or ulcers you have are still healing. It’s common for oral mucosal injuries to bleed slightly, particularly if they are irritated by brushing or contact with food. Generally, small mouth sores can take anywhere from a few days to a couple of weeks to heal, depending on their severity and your overall health. The rough feeling you’re experiencing when you touch the area with your tongue is likely due to the damaged mucosa, which can feel different as it heals. This is a normal part of the healing process, and as the tissue regenerates, it should gradually feel smoother.

Regarding your question about dietary choices, it’s essential to be cautious with acidic foods like orange juice and kiwi. While these fruits are rich in vitamin C and can support overall health, they can also irritate open sores in the mouth. If you find that consuming acidic foods exacerbates your discomfort, it may be wise to limit them until your mouth has healed. Instead, consider incorporating softer, non-acidic foods that are easier to eat and less likely to irritate your mouth, such as yogurt, mashed potatoes, or smoothies made with non-citrus fruits.

In terms of general oral care during this healing phase, here are some recommendations:
1. Maintain Oral Hygiene: Continue to brush your teeth gently, avoiding the areas with sores. Use a soft-bristled toothbrush to minimize irritation. Rinse your mouth with a mild saltwater solution (1 teaspoon of salt in 8 ounces of warm water) to help keep the area clean and promote healing.

2. Stay Hydrated: Drink plenty of water to keep your mouth moist and aid in the healing process. Staying hydrated can also help alleviate dry mouth, which can worsen discomfort.

3. Avoid Irritants: Steer clear of spicy, salty, or crunchy foods that can further irritate your mouth. Alcohol and tobacco should also be avoided, as they can delay healing.

4. Consider Pain Relief: If the pain is significant, over-the-counter pain relievers like acetaminophen or ibuprofen can help manage discomfort. Additionally, topical anesthetics designed for oral use can provide temporary relief.

5. Monitor Healing: Keep an eye on the sores. If they do not improve within a week or if you notice increased pain, swelling, or signs of infection (such as pus or fever), it’s important to consult with a healthcare professional.

6. Nutritional Support: Focus on a balanced diet that includes plenty of vitamins and minerals to support your immune system and healing. Foods rich in vitamin A (like sweet potatoes and carrots) and zinc (found in meats, beans, and nuts) can be particularly beneficial for tissue repair.

In summary, while it’s crucial to support your healing with appropriate dietary choices, be mindful of how certain foods affect your comfort. If you have any concerns about your healing process or dietary needs, don’t hesitate to reach out to your healthcare provider for personalized advice. Wishing you a smooth recovery!

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