Healthy Self

Canker Sores: A Small Sore with a Bigger Story

Nicole Mariano
Dr. Nicole Mariano
May 6, 2025

A message from Voyage to Vitality

It’s easy to dismiss a canker sore as a small annoyance—an ulcer that stings when you eat citrus or brush your teeth. But at Voyage to Vitality, we look at oral health differently.

We believe your mouth is a mirror of your whole body. So when something shows up - especially repeatedly—it’s not just a nuisance. It’s a message.  And canker sores? They’re often your body’s quiet way of saying: “I'm under stress. I need support.”

A. What Is a Canker Sore?

A canker sore (also called an aphthous ulcer) is a small, round or oval sore that appears inside the mouth—on the inner cheeks, tongue, lips, or soft palate. It usually has a white or yellow center with a red border and can be painful, especially when eating, drinking, or talking.

Canker sores are not contagious, and they’re not caused by bacteria or viruses like cold sores are. They’re inflammatory—and often rooted in your immune system.

B. The Deeper Cause: Why Do Canker Sores Happen?

Canker sores are often triggered when the body is under stress—especially when the immune system is depleted or dysregulated. Think of them as the mouth’s version of a warning light on your dashboard.

Common root causes include:

  • Nutritional deficiencies (especially B12, iron, folate, zinc)
  • High stress or emotional overwhelm
  • Hormonal changes
  • Sleep deprivation
  • Menstruation
  • Gastrointestinal conditions (like celiac or Crohn’s disease)
  • Immune suppression (illness, medication, chronic inflammation)
  • Food sensitivities (citrus, gluten, chocolate, spicy foods)

They are not random. They are a reflection of what’s happening in your internal environment.

C. The Connection to the Healthy Self

At Voyage to Vitality, one of the three pillars we focus on is the Healthy Self—your systemic health, lifestyle, stress response, and healing potential. Canker sores fall squarely in this category.

When your oral tissues are breaking down, or struggling to heal, it may mean your system is in survival mode. The cause might not be in your mouth—it might be in your diet, your gut, your hormones, or your immune response.

And while we can treat the symptom (with soothing rinses or gels), our goal is bigger: To help you understand why it’s happening—and how to prevent it.

D. What You Can Do

If you're struggling with frequent or stubborn canker sores, here are some questions to explore:

  • Am I under emotional or physical stress?
  • Am I eating a balanced, anti-inflammatory diet?
  • Could I be low in key vitamins or minerals?
  • Do I need to supplement with L-Lysine?
  • Have I noticed digestive symptoms or food sensitivities?
  • Am I getting enough quality sleep and hydration?
  • Am I brushing gently with a soft-bristled brush and avoiding SLS toothpaste?

Treating a sore is temporary. Understanding your system is transformative.

E. A New Way to See Your Symptoms

Canker sores are not just a surface-level problem. They’re an invitation to pause, reflect, and ask what your body might be trying to say.

At Voyage to Vitality, we want you to know: Every symptom tells a story.

And when we listen carefully, we find not just relief—but renewal. Your mouth is part of your body. And your body is full of wisdom. Let’s work together to understand it—and support it—so you can move forward in health.