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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 as intravenous administration of aciclovir may be needed.
- Severe mucositis. It can be extremely painful and may limit future chemotherapy or radiotherapy.
- Suspected neutropenic ulcers and neutropenia. Seek urgent medical advice.
- 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.
In depth
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