If you're suddenly experiencing a painful outbreak of mouth ulcers, you're not alone. Mouth ulcers, also known as canker sores, are common and can affect people of all ages. While they're usually harmless, they can be uncomfortable and interfere with eating, drinking, and speaking. In this article, we'll explore the possible causes of sudden mouth ulcers and provide tips on how to manage them.

Why Am I Suddenly Getting So Many Mouth Ulcers?

The sudden onset of mouth ulcers, also known as aphthous ulcers or canker sores, can be frustrating and painful. While they're usually harmless and resolve on their own within a week or two, frequent or severe outbreaks warrant a visit to a doctor or dentist to rule out underlying medical conditions. Several factors can contribute to this sudden increase, and pinpointing the cause is key to effective management. It's important to note that this information is for general knowledge and should not be considered medical advice. Always consult a healthcare professional for diagnosis and treatment.

Stress and Anxiety

Stress and anxiety are common triggers for mouth ulcers. When you're stressed, your body's immune system can be weakened, making you more susceptible to infections, including the viruses or bacteria that can lead to ulcers. Managing stress through techniques like exercise, yoga, meditation, or even simply getting enough sleep can significantly reduce the frequency and severity of outbreaks. Seeking professional help for managing chronic stress or anxiety is also recommended if it's a significant factor in your life.

Dietary Factors

Certain foods and dietary deficiencies can play a role. A deficiency in vitamin B12, folic acid, or iron can increase your risk of developing mouth ulcers. Also, some foods, such as acidic foods like citrus fruits, spicy foods, or even certain nuts, can irritate the mouth lining and trigger an ulcer. Maintaining a balanced diet rich in essential vitamins and minerals is crucial. Consider keeping a food diary to identify potential triggers.

Underlying Medical Conditions

Sometimes, mouth ulcers are a symptom of a more significant underlying health issue. Conditions like inflammatory bowel disease (IBD), celiac disease, Behçet's disease, and Crohn's disease can manifest as recurrent mouth ulcers. Autoimmune diseases also sometimes exhibit this symptom. If you experience frequent or unusually severe ulcers, consulting a doctor to rule out these conditions is essential.

Medication Side Effects

Certain medications, including some chemotherapy drugs and nonsteroidal anti-inflammatory drugs (NSAIDs), list mouth ulcers as a potential side effect. If you've recently started a new medication and have developed mouth ulcers, it's important to discuss this with your doctor or pharmacist. They may be able to adjust your medication or suggest alternative options.

Trauma to the Mouth

Even a minor injury to the mouth, such as biting your cheek, accidentally scratching your gum with your toothbrush, or having dental work done, can cause an ulcer to form. These injuries can disrupt the protective lining of the mouth, making it vulnerable to infection. Practicing good oral hygiene and being mindful of what goes in your mouth can help reduce the risk of such injuries.

Possible Cause	Symptoms	Treatment/Prevention
Stress	Recurrent ulcers, often painful	Stress management techniques, relaxation exercises
Dietary deficiencies	Frequent, small ulcers; fatigue	Balanced diet, vitamin supplements (under doctor's supervision)
Underlying medical conditions	Severe or persistent ulcers; other systemic symptoms	Medical evaluation, specialist consultation
Medication side effects	Ulcers developing after starting a new medication	Consult doctor for alternative medication
Trauma to the mouth	Single ulcer at site of injury	Gentle oral hygiene, avoiding irritants

Why Am I Suddenly Getting So Many Mouth Ulcers?

The sudden onset of mouth ulcers, also known as aphthous ulcers or canker sores, can be frustrating and painful. While they're usually harmless and resolve on their own within a week or two, frequent or severe outbreaks warrant a visit to a doctor or dentist to rule out underlying medical conditions. Several factors can contribute to this sudden increase, and pinpointing the cause is key to effective management. It's important to note that this information is for general knowledge and should not be considered medical advice. Always consult a healthcare professional for diagnosis and treatment.

Stress and Anxiety

Stress and anxiety are common triggers for mouth ulcers. When you're stressed, your body's immune system can be weakened, making you more susceptible to infections, including the viruses or bacteria that can lead to ulcers. Managing stress through techniques like exercise, yoga, meditation, or even simply getting enough sleep can significantly reduce the frequency and severity of outbreaks. Seeking professional help for managing chronic stress or anxiety is also recommended if it's a significant factor in your life.

Dietary Factors

Certain foods and dietary deficiencies can play a role. A deficiency in vitamin B12, folic acid, or iron can increase your risk of developing mouth ulcers. Also, some foods, such as acidic foods like citrus fruits, spicy foods, or even certain nuts, can irritate the mouth lining and trigger an ulcer. Maintaining a balanced diet rich in essential vitamins and minerals is crucial. Consider keeping a food diary to identify potential triggers.

Underlying Medical Conditions

Sometimes, mouth ulcers are a symptom of a more significant underlying health issue. Conditions like inflammatory bowel disease (IBD), celiac disease, Behçet's disease, and Crohn's disease can manifest as recurrent mouth ulcers. Autoimmune diseases also sometimes exhibit this symptom. If you experience frequent or unusually severe ulcers, consulting a doctor to rule out these conditions is essential.

Medication Side Effects

Certain medications, including some chemotherapy drugs and nonsteroidal anti-inflammatory drugs (NSAIDs), list mouth ulcers as a potential side effect. If you've recently started a new medication and have developed mouth ulcers, it's important to discuss this with your doctor or pharmacist. They may be able to adjust your medication or suggest alternative options.

Trauma to the Mouth

Even a minor injury to the mouth, such as biting your cheek, accidentally scratching your gum with your toothbrush, or having dental work done, can cause an ulcer to form. These injuries can disrupt the protective lining of the mouth, making it vulnerable to infection. Practicing good oral hygiene and being mindful of what goes in your mouth can help reduce the risk of such injuries.

Possible Cause	Symptoms	Treatment/Prevention
Stress	Recurrent ulcers, often painful	Stress management techniques, relaxation exercises
Dietary deficiencies	Frequent, small ulcers; fatigue	Balanced diet, vitamin supplements (under doctor's supervision)
Underlying medical conditions	Severe or persistent ulcers; other systemic symptoms	Medical evaluation, specialist consultation
Medication side effects	Ulcers developing after starting a new medication	Consult doctor for alternative medication
Trauma to the mouth	Single ulcer at site of injury	Gentle oral hygiene, avoiding irritants

Why do I suddenly have ulcers in my mouth?

The sudden appearance of mouth ulcers, also known as aphthous ulcers or canker sores, can be frustrating and painful. There isn't one single cause, and often it's a combination of factors that trigger them. While many minor ulcers heal on their own within a week or two, persistent or recurring ulcers warrant a visit to a doctor or dentist to rule out underlying conditions. Possible causes include minor injuries to the mouth's lining, stress, hormonal changes, nutritional deficiencies, and certain medical conditions.

Stress and Anxiety

Stress and anxiety are frequently cited triggers for mouth ulcers. When under significant psychological pressure, the body's immune response may be altered, making it more susceptible to inflammation and ulcer formation. This isn't a direct causal link, but rather a correlation observed in many individuals. Managing stress through techniques like exercise, meditation, or therapy can potentially reduce the frequency of mouth ulcers.

1. Stress management techniques: Regular exercise, yoga, mindfulness meditation, deep breathing exercises.
2. Professional help: Consider therapy or counseling if stress is significantly impacting your life.
3. Lifestyle changes: Prioritize sleep, maintain a healthy diet, and engage in relaxing activities.

Minor Injuries and Irritation

Minor trauma to the inner lining of the mouth is a common cause. This could include accidentally biting your cheek, accidentally scraping your mouth with a toothbrush, or irritation from braces, dentures, or ill-fitting dental appliances. Even acidic foods or drinks can cause irritation leading to ulcer formation. Careful attention to oral hygiene and avoiding harsh substances can help prevent these injuries.

1. Gentle brushing technique: Use a soft-bristled toothbrush and avoid aggressive scrubbing.
2. Properly fitted dental appliances: Ensure dentures or braces are comfortable and properly adjusted by a dentist.
3. Dietary adjustments: Avoid extremely hot or acidic foods and drinks that may irritate the mouth's lining.

Nutritional Deficiencies

Certain nutritional deficiencies, particularly in iron, vitamin B12, and folic acid, can increase the likelihood of developing mouth ulcers. A well-balanced diet rich in fruits, vegetables, and whole grains is essential for maintaining good oral health. If you suspect a deficiency, a blood test can help determine if supplementation is necessary. However, it's crucial to consult a doctor before starting any supplements.

1. Iron-rich foods: Lean red meat, spinach, lentils, beans.
2. Vitamin B12 sources: Meat, poultry, fish, eggs, dairy products.
3. Folic acid-rich foods: Leafy green vegetables, citrus fruits, legumes.

Hormonal Changes

Fluctuations in hormone levels, particularly in women, are often associated with the onset of mouth ulcers. These fluctuations can occur during menstruation, pregnancy, or menopause. While the exact mechanism isn't fully understood, hormonal changes can impact the immune system, making individuals more prone to developing ulcers. This is often linked to increased inflammation.

1. Tracking menstrual cycles: Note any correlation between ulcer appearance and menstrual periods.
2. Consult a doctor: Discuss any concerns about hormonal changes and their impact on oral health.
3. Lifestyle adjustments: Maintain a healthy diet and manage stress to support overall well-being.

Underlying Medical Conditions

In some cases, recurrent or severe mouth ulcers can be a symptom of underlying medical conditions such as inflammatory bowel disease (IBD), Crohn's disease, celiac disease, or Behçet's disease. These conditions affect the immune system and can cause widespread inflammation. If ulcers are persistent, severe, or accompanied by other symptoms, a doctor should be consulted to rule out such conditions through appropriate testing and examination.

1. Consult a doctor for persistent ulcers: Seek medical attention if ulcers are frequent, severe, or don't heal within a reasonable time.
2. Comprehensive medical evaluation: A doctor can perform necessary tests to identify any underlying health issues.
3. Accurate diagnosis is crucial: Early diagnosis and treatment of underlying medical conditions are essential for effective management.

What is my body lacking if I keep getting mouth ulcers?

Recurring mouth ulcers, also known as aphthous ulcers, can indicate several underlying deficiencies or imbalances in your body. Pinpointing the exact cause requires a consultation with a doctor or dentist, as self-diagnosis can be inaccurate and potentially harmful. However, some common contributing factors linked to recurring mouth ulcers include:

Nutritional Deficiencies

A lack of certain essential vitamins and minerals can significantly increase your susceptibility to mouth ulcers. Iron, vitamin B12, folate, and zinc are particularly important for maintaining healthy oral mucosa. A deficiency in any of these can weaken your immune system and make you more vulnerable to ulcer formation. Addressing these deficiencies through diet or supplementation, under medical supervision, may help reduce the frequency and severity of your ulcers.

1. Iron deficiency: Can lead to anemia, reducing the body's ability to repair tissues, including those in the mouth.
2. Vitamin B12 deficiency: Crucial for cell growth and red blood cell production, impacting overall oral health.
3. Folate deficiency: Important for cell growth and DNA synthesis, essential for tissue repair.
4. Zinc deficiency: Plays a vital role in immune function and wound healing.

Immune System Issues

Weakened immunity can make you more prone to various infections, including those that might manifest as mouth ulcers. Conditions that compromise your immune system, such as stress, autoimmune diseases, and HIV/AIDS, can increase the likelihood of recurring mouth ulcers. Managing stress levels and addressing underlying immune disorders through appropriate medical care is crucial.

1. Stress: Chronic stress weakens the immune system making you more susceptible to infections.
2. Autoimmune diseases: Conditions like Behçet's disease and Crohn's disease are often associated with mouth ulcers.
3. HIV/AIDS: A weakened immune system increases vulnerability to opportunistic infections, including oral ulcers.

Gastrointestinal Problems

Issues within your digestive system can sometimes manifest as mouth ulcers. Conditions such as inflammatory bowel disease (IBD), celiac disease, and irritable bowel syndrome (IBS) have been linked to recurring mouth ulcers. Diagnosing and managing underlying gastrointestinal problems is key to reducing mouth ulcer recurrence.

1. Inflammatory Bowel Disease (IBD): Chronic inflammation in the digestive tract can cause systemic inflammation, affecting oral mucosa.
2. Celiac Disease: An autoimmune reaction to gluten can trigger inflammation throughout the body, potentially including the mouth.
3. Irritable Bowel Syndrome (IBS): Although the exact link isn't fully understood, some individuals with IBS experience recurrent mouth ulcers.

Allergies and Sensitivities

Certain food allergies or sensitivities can trigger an inflammatory response in your mouth, resulting in ulcer formation. Common culprits include citrus fruits, nuts, dairy products, and certain food additives. Identifying and eliminating these triggers from your diet can help prevent future ulcers. Keeping a food diary can be helpful in tracking potential triggers.

1. Citrus fruits: The acidity can irritate the delicate lining of the mouth.
2. Nuts: Some individuals are allergic to specific nuts, causing an inflammatory reaction in the mouth.
3. Dairy products: Lactose intolerance or a milk protein allergy can cause oral irritation.
4. Food additives: Certain preservatives and artificial colorings can be irritating to some individuals.

Medications

Some medications can have oral mucosal irritation as a side effect, leading to mouth ulcers. Nonsteroidal anti-inflammatory drugs (NSAIDs), chemotherapy drugs, and certain antibiotics are among those potentially linked to mouth ulcers. If you suspect medication is a contributing factor, discuss it with your doctor or pharmacist.

1. NSAIDs (e.g., ibuprofen, naproxen): Can irritate the lining of the mouth and stomach.
2. Chemotherapy drugs: Often cause mucositis, a painful inflammation of the mucous membranes.
3. Certain antibiotics: Can disrupt the balance of bacteria in the mouth, increasing susceptibility to infections.

Do mouth ulcers mean you are run down?

Mouth ulcers, also known as aphthous ulcers or canker sores, are small, painful sores that develop inside the mouth. While they are a common occurrence, and often resolve on their own within a week or two, a link between their appearance and being "run down" – meaning experiencing general fatigue, stress, or low immunity – is often suggested, but not definitively proven. There's no direct causal relationship established in research, but a correlation is often observed. When your body is under stress, your immune system may be weakened, potentially making you more susceptible to various infections and ailments, including the development of mouth ulcers. However, many other factors can also trigger mouth ulcers, making it difficult to isolate stress or fatigue as the sole cause.

What Causes Mouth Ulcers?

The exact cause of mouth ulcers remains unknown, but several factors are thought to contribute. Stress and a weakened immune system are commonly cited as potential triggers, but other factors can play a role. This includes minor injuries to the mouth (e.g., biting your cheek), certain foods (e.g., acidic or spicy foods), hormonal changes, vitamin deficiencies (especially B vitamins and iron), and even certain medications.

1. Stress and low immunity: When under stress or experiencing illness, the immune system's ability to fight off infections, including minor oral infections, may be compromised.
2. Nutritional deficiencies: Deficiencies in certain vitamins and minerals, particularly B vitamins and iron, have been linked to an increased risk of mouth ulcer development.
3. Physical trauma: Accidental injury to the mouth lining, such as biting your cheek or tongue, can trigger the formation of a mouth ulcer.

Can Stress Directly Cause Mouth Ulcers?

While stress is frequently associated with mouth ulcers, a direct causal link hasn't been conclusively established. However, chronic stress can weaken the immune system, making the body more vulnerable to various infections, including those that may contribute to mouth ulcer formation. It's more accurate to say that stress is a potential contributing factor rather than a direct cause.

1. Cortisol levels: High levels of the stress hormone cortisol can suppress immune function, potentially increasing susceptibility to mouth ulcers.
2. Indirect effects: Stress can lead to unhealthy lifestyle choices, like poor sleep or a less nutritious diet, which may indirectly increase the risk of mouth ulcers.
3. Immune dysregulation: Stress can disrupt the balance of the immune system, making it less efficient at fighting off minor infections and inflammation.

Are Mouth Ulcers a Sign of a Larger Health Problem?

In most cases, mouth ulcers are a relatively minor inconvenience. However, persistent or recurrent mouth ulcers can sometimes indicate an underlying health issue. While often benign, it's important to consult a doctor or dentist if you experience unusually frequent, severe, or persistent mouth ulcers. They may be indicative of conditions like Crohn's disease, Behçet's disease, or certain autoimmune disorders.

1. Inflammatory bowel disease: Conditions like Crohn's disease can manifest with oral symptoms, including recurrent mouth ulcers.
2. Autoimmune disorders: Certain autoimmune conditions can increase susceptibility to mouth ulcers.
3. Vitamin deficiencies: Severe deficiencies in B vitamins or iron can be reflected in the increased occurrence of mouth ulcers.

When Should You See a Doctor About Mouth Ulcers?

While many mouth ulcers heal on their own, seeking medical attention is advisable in certain circumstances. If your mouth ulcers are unusually large, painful, persistent (lasting longer than two weeks), frequently recur, or are accompanied by other symptoms (fever, swollen lymph nodes), it's crucial to consult a doctor or dentist. A proper diagnosis can rule out more serious underlying conditions and ensure appropriate treatment.

1. Persistent ulcers: Ulcers that don't heal within two weeks should be evaluated by a healthcare professional.
2. Severe pain: Intense or debilitating pain associated with mouth ulcers warrants medical attention.
3. Accompanying symptoms: Fever, fatigue, swollen glands, or other systemic symptoms along with mouth ulcers require a medical consultation.

How to Treat Mouth Ulcers?

Treatment for mouth ulcers often focuses on managing pain and promoting healing. Over-the-counter medications like oral analgesics (pain relievers) and topical treatments can provide relief. Good oral hygiene, a balanced diet, and stress management techniques may also help prevent recurrence. In some cases, prescription medications might be necessary for more severe or persistent ulcers.

1. Pain relief: Over-the-counter pain relievers (e.g., ibuprofen, acetaminophen) can help manage pain.
2. Topical treatments: Various topical creams and gels can be used to reduce pain and promote healing.
3. Prescription medications: In severe cases, a doctor might prescribe stronger medications to address the underlying cause or control symptoms.

What is causing recurrent mouth ulcers?

Recurrent mouth ulcers, also known as aphthous ulcers or canker sores, are a common problem affecting many people. The exact cause isn't fully understood, but several factors are believed to contribute to their development and recurrence. These ulcers are typically small, shallow lesions that develop on the soft tissues of the mouth, such as the inside of the cheeks, lips, gums, and tongue. They are usually painful and can interfere with eating, drinking, and talking. While they generally heal within a week or two without scarring, recurrent outbreaks can be significantly disruptive. The underlying mechanisms leading to recurring ulcers are complex and often involve a combination of factors rather than a single definitive cause.

Minor Trauma

Minor injuries to the mouth are a frequently cited trigger for mouth ulcers. This can include anything from accidentally biting your cheek or lip to irritation from ill-fitting dentures, braces, or even rough food particles. The trauma itself may not directly cause the ulcer, but it can trigger an inflammatory response that leads to ulcer formation. This is why some people notice a new ulcer after a particularly enthusiastic meal or a dental procedure.

1. Accidental biting: A common cause of trauma leading to ulcers.
2. Ill-fitting dental appliances: Braces, dentures, or retainers can cause constant friction.
3. Rough foods: Spicy, acidic, or crunchy foods can irritate the mouth lining.

Stress

Stress is strongly linked to the occurrence and severity of mouth ulcers for many individuals. The exact mechanism is unclear, but stress likely weakens the immune system, making individuals more susceptible to developing ulcers. Additionally, stress can exacerbate existing inflammation, leading to more frequent or severe outbreaks. Managing stress levels effectively, therefore, can be a crucial aspect of preventing recurrent ulcers.

1. Physical stress: Illness, lack of sleep, intense exercise.
2. Emotional stress: Anxiety, depression, major life changes.
3. Immune system response: Stress weakens the immune response, potentially increasing susceptibility.

Immune System Dysfunction

While not fully understood, immune system irregularities are implicated in the development of recurrent mouth ulcers. Some research suggests that an overactive or dysregulated immune response might play a role in triggering the inflammatory process that characterizes these lesions. This may explain why some individuals experience frequent outbreaks despite avoiding known triggers such as stress or trauma. More research is needed to fully elucidate the complex interplay between immunity and mouth ulcer formation.

1. Autoimmune diseases: Certain autoimmune conditions are linked to increased ulcer frequency.
2. Genetic predisposition: Family history can increase the likelihood of recurrent ulcers.
3. Immune response imbalances: Overactive or underactive immune responses could be implicated.

Nutritional Deficiencies

While not always a direct cause, nutritional deficiencies, particularly of certain vitamins and minerals, can contribute to the occurrence or severity of mouth ulcers. Vitamin B12, iron, and folic acid deficiencies have all been associated with increased susceptibility to mouth ulcers. Maintaining a balanced diet rich in these nutrients can therefore be a helpful preventive measure.

1. Vitamin B12 deficiency: Can weaken the immune system and hinder wound healing.
2. Iron deficiency: Can lead to anemia and increased vulnerability to ulcers.
3. Folic acid deficiency: Important for cell growth and repair.

Certain Medical Conditions

Several underlying medical conditions are known to be associated with an increased risk of developing recurrent mouth ulcers. Inflammatory bowel disease (IBD), such as Crohn's disease and ulcerative colitis, is often linked to a higher incidence of mouth ulcers. Similarly, Behçet's disease, a rare autoimmune disorder, is characterized by recurrent mouth ulcers along with other symptoms. If mouth ulcers are accompanied by other symptoms, it is important to seek medical attention to rule out underlying conditions.

1. Inflammatory bowel disease (IBD): Crohn's disease and ulcerative colitis.
2. Behçet's disease: A rare autoimmune disorder.
3. Other autoimmune conditions: Certain autoimmune diseases can increase ulcer risk.

Why am I suddenly getting so many mouth ulcers?

The sudden onset of multiple mouth ulcers can be alarming, but several factors could be at play. It's crucial to understand that mouth ulcers, also known as aphthous ulcers or canker sores, are generally benign. However, a sudden increase in their frequency and number warrants investigation. Stress is a major culprit; significant life changes, work pressure, or emotional distress can trigger an outbreak. Similarly, a nutritional deficiency, particularly in iron, vitamin B12, or folic acid, can contribute to their formation. Changes in your oral hygiene routine, perhaps using a new toothpaste or mouthwash containing certain irritants, could also be the cause. Certain medications, including nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen, are known to increase the risk of mouth ulcers as a side effect. Finally, while less common, a weakened immune system due to illness or medication can make you more susceptible to these lesions. If the increase is persistent or accompanied by other symptoms, like fever or difficulty swallowing, consulting a dentist or doctor is essential to rule out any underlying medical condition.

Are mouth ulcers contagious?

No, aphthous ulcers are not contagious. Unlike cold sores (caused by the herpes simplex virus), canker sores are not caused by a virus and cannot be spread through kissing, sharing utensils, or other forms of contact. They are typically triggered by factors within the individual, such as those mentioned above. While the exact cause isn't always clear, it's important to remember that the presence of numerous mouth ulcers doesn't mean you're infecting others. However, if you have concerns about the cause of your mouth sores, it's always best to seek professional advice from a healthcare provider to eliminate any potential underlying condition and receive appropriate treatment or management strategies. This is particularly important if your ulcers are unusually painful, persistent, or accompanied by other symptoms.

How long will these mouth ulcers last?

The duration of a mouth ulcer varies depending on its size and the underlying cause. Minor ulcers, often those resulting from minor irritations, typically heal within 7 to 10 days. Larger or more severe ulcers might take 2 to 3 weeks to completely disappear. If your ulcers persist beyond this timeframe, or if you experience a recurring pattern of frequent and severe outbreaks, it's essential to consult a doctor or dentist. They can help determine if there's an underlying medical condition contributing to the problem, or if there's an issue with your oral hygiene practices or medications you're taking. They may also recommend treatments to alleviate pain and speed up the healing process, such as topical creams or rinses. Prompt attention to persistent or unusual ulcers is vital to ensure your oral health and prevent potential complications.

What can I do to treat sudden mouth ulcers?

While there's no single cure for mouth ulcers, various home remedies and over-the-counter treatments can provide relief and promote healing. Rinsing your mouth with warm salt water several times a day can help clean the area and reduce inflammation. Applying a topical anesthetic gel or cream containing benzocaine or lidocaine can temporarily numb the pain. Over-the-counter mouthwashes that contain ingredients like chlorhexidine can also help reduce inflammation and bacterial growth. However, avoid acidic or spicy foods and drinks, as these can irritate the ulcers further. Maintaining good oral hygiene, including gentle brushing and flossing, is crucial. If your ulcers are severe or persistent, consulting a dentist or doctor is recommended. They can offer more potent treatments, such as corticosteroids, and help identify any underlying issues causing the increased frequency of ulcers. Remember, self-treating persistent symptoms might delay proper diagnosis and treatment of more serious problems.