OTC

Question 2

mouth ulcer treatment

Answer 2

local analgesics -> difflam sore troat spray
chlorhexidine mouthwash >12 yrs for multiple ulcers
local anaesthetics -> anbesol (lidocaine)> 4 months

Question 3

oral trush causes

Answer 3

candida infection
steroid inhaler technique
dentures dont fit well
receiving antibiotic or cancer trreatment

Question 4

oral thrush red flags

Answer 4

diabetic
pregnant or breastfeeding
recurrent episodes

Question 5

symptoms

Answer 5

white patches on tongue
sore throat
crack in mouth
if you wipe away it might bleed
babies could refuse feed

Question 6

oral thrush treatment

Answer 6

miconazole 20mg/g (daktarin) >4 months
continue for 7 days after symptoms have clear apply QDS

Question 7

Doses of miconazole

Answer 7

4 months - 2years: 1.25ml QDS after meal
2yrs -adults: 2.5ml QDS after meal

Question 8

Indigestion symptoms

Answer 8

Pain or discomfort in upper or lower abdomen
Burning sensation behind the sternum, feeling full nausea and vomiting

Question 9

Red flags

Answer 9

> 45ys and 1st time
Severe pain
Persistent vomitig
Weight loss
Failed treatment >2 weeks
Jaundice

Question 10

Treatment

Answer 10

Gaviscon >6 years
6yrs-12 yrs: 5-10ml after meals and at bedtime
Adults: 10-20ml after meals and at bedtime

Question 11

Factors to consider

Answer 11

Pregnancy safe
If there is no improvement after 7 days patient should be reviewed and situation reassesed

Question 12

Other treatments

Answer 12

PPIs
Omeprazole 10mg
2 tablets OD, then TDS and QDS
Symptoms improve=reduce dose