Managing Oral Ulcerations (Non-Viral) and Pain - 6
In cases of severe pain, such as that associated with mucositis, anesthetic agents may be mixed with OTC coating agents to provide lubrication and pain relief. Benadryl® elixir may be added in equal amounts to Maalox® e, Mylanta® m or Kaopectate® for symptomatic relief. Sucralfate (Carafate® bb), the prescription medication used to treat duodenal ulcers, may also be prepared as a 1 gm/15 ml suspension for use in this population. A pharmacist should be consulted to assist with the preparation of oral suspensions. Products used for pain control associated with oral ulcerations are listed in Table 7 and Table 8.
To replenish moisture to dry, cracked lips and to restore integrity of the epithelium, clients should be advised to use a topical water- based product, such as Oral BalanceÒ v or K-Y JellyÒ jj . These OTC products are widely available, inexpensive, and easy to use.Clients should be instructed to apply the product liberally throughout the day, and at bedtime. Clients should be carefully examined to detect the presence of a fungal infection which may contribute to dry, sore and cracked lips.
