Mouth ulcers and rashes

Question 1

Mouth ulcers lifestyle advice

Answer 1

Use soft-bristled toothbrush
Drink cool drinks through a straw
Avoid spicy, salty, or acidic food.
Get regular dental check ups.
Stop smoking/vaping.
Eat soft foods/avoid crunch foods.
Mouth ulcers last 1-2 weeks.

Question 2

Mouth ulcer referral

Answer 2

> 3 weeks
Large or near back of throat
Bleeding
Increasingly red and painful
Ulcers elsewhere
Painful, red, swollen joints.

Question 3

Mouth ulcer OTC treatment

Answer 3

Antibacterial mouthwash
Antiseptic lozenges
Local anaesthetic gels, sprays, liquid
Hydrocortisone buccal tablets

Ask their preference and counsel appropriately

Question 4

Oral thrush symptoms

Answer 4

White spots and patches on the inside of gums and uvula
In babies, white coating on tongue.
Cracks at corner of mouth
Unpleasant taste
Sore tongue/gums

Question 5

Oral thrush referral

Answer 5

Baby <4 months
No improvement after 1 week of oral gel
Difficulty/pain swallowing

Question 6

Oral thrush lifestyle advice

Answer 6

Good dental hygeine
Sterilise dummies and bottles after use
Don’t wear dentures at night
Stop smoking
Rinse mouth out after using steroid inhalers

Question 7

Oral thrush OTC treatment

Answer 7

Daktarin sugar free gel - miconazole
>2 years: 2.5ml qds after food
4 months-2 years: 1.2ml qds after food.
Keep in mouth as long as possible.