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Palliative cancer care - oral problems - Management
When should I refer or seek specialist advice?
- Refer or seek specialist advice if in doubt about the diagnosis or management of any oral problem.
- Refer if any of the following are present:
- Oral problems that are causing a decrease in oral intake or concerns about nutrition.
- Severe oral herpes simplex infection. Intravenous administration of aciclovir may be needed if pain limits the person's ability to take oral medication.
- Severe mucositis. It can be extremely painful and may limit the person's ability to tolerate chemotherapy or radiotherapy.
- Suspected neutropenic ulcers and neutropenia. Urgent medical advice should be sought because recovery of the neutrophil count is needed for healing.
- Severe or persistent Candida infection.
- Oral ulcers that are bleeding.
- Taste disturbance that is likely to be prolonged. Refer to a dietitian where appropriate.
- Pain that is difficult to manage.
- Communication problems. Refer to a speech and language therapist where appropriate.
Basis for recommendation
- These recommendations are based on standard clinical practice.
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