Treatments for Thrush
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Oral Lesions:
Treatment
(In a Page: Signs and Symptoms)
-
Orabase® compounded with high-potency topical steroids (e.g., clobetasol) may offer symptomatic relief and increase speed of healing
-
“Magic mouthwash” may be used to swish and spit as necessary for relief (these may contain lidocaine, diphenhydramine, antacids, and even liquid tetracycline)
-
Aphthous stomatitis: Intralesional triamcinalone injections
are painful but very helpful
–Lesions spontaneously resolve within 2 weeks
- Recurrent herpes stomatitis: Episodic treatment with 1–7 day courses of oral antivirals (e.g., acyclovir) can shorten the duration of the episode and speed healing
–These are efficacious only if started within 24 hours of the onset of the prodrome (often tingling or pain at the site of eruption occurs hours before onset)
–Chronic suppressive therapy with oral antivirals may be indicated if recurrences are frequent
- Bullous diseases: Corticosteroids (topical or oral), cyclosporine, and even thalidomide
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Candidiasis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment first aims to improve the underlying condition that predisposes the patient to candidiasis, such as controlling diabetes or discontinuing antibiotic therapy and catheterization, if possible.
Nystatin is an effective antifungal for superficial candidiasis. Clotrimazole, fluconazole, ketoconazole, and miconazole are effective in mucous-membrane and vaginal candidal infections. Ketoconazole or fluconazole is the treatment of choice for chronic candidiasis of the mucous membranes. Treatment for systemic infection consists of I.V. amphotericin B or fluconazole.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Chronic mucocutaneous candidiasis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment aims to control infection but isn’t always successful. Topical antifungal agents, such as clotrimazole, miconazole, and nystatin, are useful. They may be prescribed as mouthwashes or troches (lozenges) for 5 to 10 days.
Systemic infections may not be fatal, but they’re serious enough to warrant vigorous treatment. Ketoconazole and fluconazole have had some positive effect. Oral or I.M. iron replacement may also be necessary. Treatment may also include plastic surgery of the lesions, when possible, and counseling to help patients cope with their disfigurement.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Mouth lesions:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Instruct the patient to avoid irritants, such as highly seasoned foods, citrus fruits, foods that contain salt or vinegar, alcohol, and tobacco. For mouth care, warn against using lemon-glycerin swabs because these can dry and irritate the lesions.
As appropriate, teach the patient proper oral hygiene. If toothbrushing is contraindicated, instruct him to use a mouth rinse, such as normal saline solution or half-strength hydrogen peroxide, and to avoid commercial mouthwashes that contain alcohol. Stress the importance of frequently changing to a new toothbrush. If the patient uses an inhaled steroid, instruct him to rinse his mouth after each use. Also, tell him to report mouth lesions that don’t heal within 2 weeks.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Candidiasis:
Treatment
(Handbook of Diseases)
The first aim of treatment is to improve the underlying condition that predisposes the patient to candidiasis, such as controlling diabetes or discontinuing antibiotic therapy or catheterization, if possible.
Nystatin is an effective antifungal for superficial candidiasis. Clotrimazole, fluconazole, ketoconazole, and miconazole are effective for mucous membrane and vaginal Candida infections. Ketoconazole or fluconazole is the treatment of choice for chronic candidiasis of the mucous membranes. Treatment for systemic infection consists of I.V. amphotericin B with or without 5-fluorocytosine.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Mouth lesions:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Instruct the patient to avoid irritants, such as highly seasoned foods, citrus fruits, alcohol, tobacco, and foods that contain salt or vinegar. For mouth care, warn against using lemon-glycerin swabs because these can dry and irritate the lesions.
As appropriate, teach the patient proper oral hygiene. If toothbrushing is contraindicated, instruct him to use a mouth rinse, such as normal saline solution or half-strength hydrogen peroxide, and to avoid commercial mouthwashes that contain alcohol. Stress the importance of frequently changing to a new toothbrush. If the patient uses an inhaled steroid, instruct him to rinse his mouth after each use. Also tell him to report any mouth lesions that don’t heal within 2 weeks.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Mouth lesions:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ If the patient's mouth ulcers are painful, provide a topical anesthetic such as lidocaine.
▪ Encourage or provide regular oral hygiene.
Patient teaching
▪ Tell the patient which irritants he should avoid.
▪ Teach proper mouth care and oral hygiene.
▪ Review any prescribed medications.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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