Thanks for your query.
I can understand your concern. However, if you could send me a clearer picture, I would be able to provide better advice. The picture that you have sent is a little blurred and its taken very up close.
Patient replied :
Hi hopefully this is clearer and I drew arrows pointing to the bumps I am referring to.
Thanks for getting back.
Your condition from the description and the history and the image provided, indicates that you have chronic apthae since it has been going on for so many years. This condition needs to be treated high dose Vitamin B 12 and short course of Folic acid . Valtrex like antivirals do not work in this condition . Deficiency in Vitamins tend to cause this problem. I would suggest you to get your basic blood test checked which include Complete Blood count ,ESR ,Blood Sugar,& CRP levels.
This will give a hint to the origin of these ulcers .
Thanks and Take care. Please feel free to ask any queries.