Mr. Wan, a reader of Guangdong University, asked: My father received chemotherapy for lung cancer. He recently developed severe oral ulcers. He couldn't eat enough and could not sleep. How could he treat?
Li Yuhua, chief physician of Department of Hematology, Zhujiang Hospital of Southern Medical University, and nurse Liu Yunxia answered: Chemotherapy can lead to decreased mature granulocytes in the blood, low immunity, myelosuppression, dysbacteriosis, mucosal infection, etc. Some chemotherapeutics such as methosulfuron Histamine, cytarabine is prone to ulceration of the oral mucosa. The patient eats, the water is reduced, the oral self-cleaning effect is weakened. The above factors may cause oral problems, including oropharyngeal pain or ulceration, tooth and gum pain, oral infection, Mucosal exfoliation ulcers, tongue swelling, changes in salivary secretions, dry mouth, etc. It is advisable for patients to undergo dental consultation before chemotherapy. Drink plenty of water, brush your teeth properly, and rinse your mouth before meals to allow your mouthwash to stay in your mouth for 1 to 2 minutes. .
For mouth ulcers that have already formed, hydrogen peroxide mouthwash can be antibacterial and deodorant, suitable for decay ulcers; normal saline can be cleansed and disinfected to prevent oral infections; sodium bicarbonate mouthwash is alkaline and can be anti-fungal; acetic acid solution can fight Pseudomonas aeruginosa. There are some functional mouthwashes, such as saline + vitamin C + vitamin B6, saline + vitamin B12 can protect the mucosa; salt + vitamin C + vitamin B6 + vitamin B1 can promote mucosal growth; salt + Yunnanbaiyao + Smecta can anti-inflammatory Stop bleeding.
