FY2 in GP
8 years - soreness of the mouth
Asthma on blue and orange inhalers
Blue inhaler: salbutamol
Orange inhaler: long acting and steroids
What happened?
Can the child go to the school?
Hx:
Soreness of the mouth ODPARA
Any rash or ulcers in the mouth?
Any swallowing difficulties?
Is he able to eat and drink?
Does he pass urine?
Is he lethargic?
Examination:
Diagnosis:
This is a condition called oral thrush or candidiasis. The cause is the orange inhaler containing steroids. It’s important to rinse the mouth with water after using the inhaler, as particles can remain in the mouth, leading to a fungal infection known as oral thrush.
Management:
Refer to the pediatrician to review the medication
Topical miconazole oral gel (if unsuitable we can offer nystatin suspension)
Advice:
- Rinse the mouth after using the inhaler
- Good dental and oral hygiene
- Use spacer to avoid particle to stay on the mouth cavity
- Good inhaler technique
Offer leaflet