#asktheexpert My son is suffering from mouth ulcers. Now it's like continuing problem with him. Every month we are facing same problem. please help and guide about mouth ulcers. Do we go for blood test? Thanks

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Mouth ulcers (aphthous stomatitis) can be quite painful and recurring issues can be concerning. Here are some steps you can take and considerations for further evaluation:

### **Home Care and Management:**

1. **Maintain Oral Hygiene:**
   - **Gentle Brushing:** Use a soft-bristled toothbrush and avoid toothpaste with sodium lauryl sulfate (SLS), which can irritate ulcers.

2. **Avoid Irritating Foods:**
   - **Foods to Avoid:** Spicy, acidic, or rough-textured foods may worsen the ulcers. Opt for bland, soft foods.

3. **Hydration:**
   - **Fluids:** Encourage drinking plenty of water to keep the mouth hydrated.

4. **Topical Treatments:**
   - **Over-the-Counter Gels:** Products containing benzocaine or other soothing agents can provide temporary relief.

5. **Saltwater Rinses:**
   - **How:** Rinse the mouth with a mixture of salt and warm water several times a day to reduce inflammation and promote healing.

6. **Avoid Stress:**
   - **Relaxation Techniques:** Stress can sometimes exacerbate mouth ulcers, so stress management techniques may help.

### **When to Consider Blood Tests:**

1. **Frequent Recurrence:**
   - **Underlying Conditions:** If ulcers are recurring every month, it could indicate an underlying health issue like a vitamin deficiency, autoimmune disorder, or gastrointestinal problem.

2. **Severe Symptoms:**
   - **Persistent or Severe:** If the ulcers are unusually severe, last for a long time, or are accompanied by other symptoms like weight loss or persistent pain, further evaluation may be needed.

3. **Blood Tests:**
   - **Common Tests:** A healthcare provider may suggest blood tests to check for nutritional deficiencies (like vitamin B12, folate, or iron), autoimmune conditions, or other potential causes.

### **Consult a Healthcare Provider:**

- **Evaluation:** Schedule a visit with a pediatrician or dentist to discuss your son’s symptoms and recurring problems.
- **Diagnosis:** They can assess if further tests are needed and recommend specific treatments or dietary changes based on the findings.

By following these management strategies and seeking professional advice, you can help address your son's mouth ulcers and determine if there is an underlying condition that needs treatment.