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What Causes Canker Sores on Tongue

Close-up of a canker sore on the side of a tongue

Canker sores on the tongue are small, painful ulcers with no clear cause, though they may result from minor injuries, acidic foods, or immune system reactions.

How Canker Sores Develop

Canker sores form when the thin tissue covering the tongue erodes, exposing underlying nerves. This process takes 1-2 days, and the sores heal within 1-2 weeks. Unlike cold sores, canker sores aren't contagious.

Main Types of Canker Sores

Type Size Duration Common Location
Minor Small (< 1 cm) 1-2 weeks Tongue, inside cheeks
Major Large (> 1 cm) 2+ weeks Back of throat, soft palate
Herpetiform Pinpoint clusters 1 week Under tongue

Common Triggers

While the exact cause is unknown, several factors contribute:

Misconceptions About Canker Sores

Many assume canker sores are caused by stress or allergies, but research doesn't confirm these as direct triggers. Stress may weaken immunity, indirectly increasing susceptibility. Similarly, while food sensitivities exist, no single allergen consistently causes sores.

Prevention Tips

To reduce recurrence, avoid known triggers. For example, switching to an SLS-free toothpaste helped me cut my canker sore frequency by half. Other strategies include:


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