Mouth Care

Mouth Care
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MOUTH CARE

Good mouth care (oral hygiene) is important for several reasons. The person with a progressive illness may have inadequate defenses against harmful invasion of the skin and mucous membranes. Chemotherapy and radiation may have irritating effects on the mucous membranes. Vomiting leaves gastric acid residue in the mouth and difficulty swallowing may occur due to mouth soreness, throat soreness, or excessive dryness in the mouth. The following mouth care guidelines should be considered applicable to all persons, regardless of the type of illness.

Rinse the mouth with BAKING SODA, ( 1 teaspoon per glass of water), to help neutralize acidity.

Brush teeth with a soft toothbrush, or swab teeth with a sponge-tipped tooth cleaner.

Clean teeth and rinse mouth after every meal and after every episode of vomiting.

Do not use mouthwashes that contain alcohol.

Gargle with baking soda/water solution for sore throat.

	Sip lemon water or rehydration drinks for dry mouth. Medication may be prescribed.
	Observe for thick, white patches on the tongue or in the mouth that cannot be cleansed away. This may be due to overgrowth of yeast. Medication will be prescribed.
	Check for mouth sores or soreness in the corner of the lips. Medication may be prescribed.
	Keep lips protected from dryness and cracking. Use moisture barrier lip balm.

Complaints of soreness, burning, and/or tightening of the throat with difficulty swallowing are common. Causes may include medications or other treatments, or the progression of the disease process. The following suggestions are provided to help promote adequate nutritional intake during these occurrences:

Cold foods sometimes soothe the mouth and throat. Try sucking on a popsicle before a meal.

Try foods at room temperature if there is a sensitivity to hot or cold foods.

Prepare soft, moist foods. Extra sauce or gravy will help moisten food. Chop, grind, or puree foods as needed.

Avoid acidic foods that may cause burning sensation, such as oranges, grapefruit, lemons, limes, tomatoes, pineapple.

Salty foods often bum the mouth and throat and may need to be avoided at this time.

In severe cases of mouth and throat soreness, a liquid diet may be necessary. Your Dietician can provide you with guidelines for preparing nutritious liquid supplements, milkshakes, etc.