While there is no one cause of canker sores (aphthous ulcers) and
there still is a lot to be understood about them, it seems for some
people their frequent mouth ulcers may be related to their diet. This is
two-fold: they may be eating foods that are triggering their sores
and/or they may not be eating enough of the right foods, thereby causing
a nutritional deficiency.
Foods that Might Trigger Mouth Sores
Let’s look at the “wrong” foods. Some people may be allergic to
certain foods or just have a sensitivity to something without having an
outright allergy. Foods that are high in acid may be particularly
problematic. It’s not just the typical acidic foods you think of like
tomatoes and pineapple or citrus fruits such as oranges, lemons, limes,
and grapefruit, but also berries such as strawberries, blackberries and
raspberries and, regrettably, chocolate and coffee, which are both high
on the acid scale. Did you know that cranberries and pomegranates are
also very acidic? While they are both high in antioxidants and other
goodies, they can in fact cause acid reflux for some people, so if you
get frequent canker sores you may want to avoid them as well.
Other foods that may cause mouth sore outbreaks in people who are
predisposed include nuts; walnuts in particular. Gluten, a protein found
in cereal grains is also a potential problem for people with
sensitivities. You will find gluten in just about every pasta, bread and
baked product from noodles and pizza crust to flour tortillas, muffins,
cookies, cakes, pies, doughnuts and all your other favorite baked
goods. Wheat, barley, rye, spelt (a species of wheat), and products
derived from them all contain gluten. Oats may or may not contain
gluten; you can buy gluten-free oats.
Keep a Food Journal
If you suspect that something you are eating is causing your mouth
ulcers, start logging every bite. While this may seem tedious, it is the
best way of pinpointing problematic foods.
Nutritional Deficiencies
It appears that being deficient in certain vitamins and nutrients can also cause mouth sores.
Recent research studies point to low levels of vitamin B12 as well as
iron, zinc, and folate. In addition to considering supplementing your
diet with these nutrients by taking a mult-vitamin or B12 supplement,
you may want to increase your intake of these nutrient-specific foods.
Foods high in Vitamin B12: Red meat, lamb,
shellfish including clams, oysters and mussels, fish like mackerel,
salmon, tuna and cod, liver, dairy products including eggs, cheese and
supplemented milk, as well as supplemented soy milks and soy yogurts.
To increase your intake of folate (folic acid), eat
more fruits and vegetables. Beans, peas and lentils, dark leafy greens
like spinach and collard greens, asparagus, as well as avocados,
broccoli, papaya, seeds and nuts are all high in folic acid.
To get more iron in your diet, consider iron-rich
foods such as red meat, liver, tuna, and egg yolks. If you shun steaks,
and want vegetarian sources, try plant sources including beans, lentils
and chickpeas, dark leafy greens like spinach and collards, dried fruits
including raisins and prunes, tomato juice, sunflower seeds, and
artichokes.
Foods high in zinc include oysters, sesames seeds
and tahini (sesame seed paste used in hummis and other Middle Eastern
dishes), low fat roast beef, pumpkin seeds, dark chocolate and cocoa
powder, lamb and peanuts.
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