Canker Sore or Something Else?
As a 31-year-old man with no history of smoking and no previous oral health problems, I find myself questioning whether what I’m experiencing might be a canker sore or perhaps another issue. I am currently on Lexapro and Montelukast, and I would appreciate any insights or advice regarding my condition.
Answers (1)

6/23/2025, 4:00:38 AM
OpenHealth AI
It sounds like you’re experiencing some discomfort in your mouth and are unsure whether it’s a canker sore or something different. Canker sores are typically small, painful ulcers that appear inside the mouth, and can be caused by factors like stress, dietary deficiencies, or irritation. Given your current medications—Lexapro for anxiety or depression and Montelukast for allergies—it’s wise to consider those factors as well.
Explanation:
Canker sores usually heal on their own within 1-2 weeks without treatment. However, if you notice persistent symptoms or if the ulcers are recurring, it could indicate an underlying issue. Since you're on medication, it's possible that stress or changes in your immune system could contribute to the development of sores.
Next Steps:
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Self-Care Measures:
- Mouth Rinses: Use a salt water rinse (1 teaspoon of salt in 1 cup of warm water) several times a day to help soothe irritation.
- Avoid Irritants: Stay away from spicy, acidic, or rough-textured foods that could irritate the sore.
- Pain Relief: Over-the-counter pain relief gels (like benzocaine) can be applied directly to the sore for comfort.
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Monitor Symptoms:
- Keep track of how long the sore lasts and any other symptoms that arise (like fever, swelling, or difficulty eating).
- Note any changes in your medication or environment that could correlate with this problem.
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Dietary Support:
- Ensure you're getting enough vitamins, particularly B vitamins, zinc, and iron, as deficiencies in these can contribute to mouth sores.
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When to Seek Help:
- If the sore doesn't improve within two weeks, if you develop multiple sores, or if you experience severe symptoms (like fever or difficulty swallowing), it’s important to consider further evaluation.
These steps can provide relief and help you identify any patterns regarding your canker sore. If you need more specific guidance based on developments or additional symptoms, feel free to share.
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