OUCH! Chancre sores in the mouth...

Hi,

I am a second year nursing student and I am doing a management clinical in Long Term care. One of my residents has developed a chancre sore on the posterior part of his toungue. It looks really sore. Does anyone have any suggestions on how to help cure them without the use of meds? I appreciate your suggestions....

mmorrow:confused:

[researchrabbit]

They clear up fast with salt (you rub a little bit on the sore), but this is painful. Oragel (like you use for babies) can take the pain away when you use the salt, and it only takes a little.

If you can get a doc to order viscous xylocaine, a little dab will also really help with the pain, better than the oragel.

I am sure that there are other folk remedies, but my mom always used this one with very good results (she is a nurse, now retired).

[KC CHICK]

Yep, I agree with the salt.

My grandmother taught me to mix up saltwater...mix of warm tap water and table salt. Gargle and swish around in your mouth a few times.

Always works for me.

Anne

[RNonsense]

Gotta agree here...salt thing works the best :)

[Sarah, RNBScN]

If the above mentioned sol'n do not work. Try kenalog (oral) paste to apply to the chancre sore. First, dry the area with a gauze, apply paster which will feel like glue/cement but really works. It will decrease the redness, heal the ulcered area faster. I have had plenty of chancres and have had to watch my diet due to the pH in my mouth. You need a prescription for this in Canada. I am not sure about elsewhere.

[Darlene K.]

You have to be careful with the viscous xylocaine, if swallowed the patients throat can become numb and then they can become quite anxious because they think they can't breath. One mixture that we use for children with stomatitis is benadryl & maalox 50/50. It works great! A child that can not eat or drink, one dose and they will start to tolerate things orally again.

[P_RN, ADN, RN]

Good suggestions. But may I point out if you are referring to aphthous ulcers these are CANKER sores as opposed to CHANCRE sore a type of lesion that is associated with Syphillis and not related to aphthous sores.

http://www.animated-teeth.com/canker_sores/t3_canker_sore_remedies.htm#page.top

[Audreyfay]

On one of the units I worked on, they commonly used 50% Hydrogen Peroxide and 50% water for cleansing. It seemed to work well. But, the salt water sounds better to me.

[sunnygirl272]

Originally posted by P_RN

Good suggestions. But may I point out if you are referring to aphthous ulcers these are CANKER sores as opposed to CHANCRE sore a type of lesion that is associated with Syphillis and not related to aphthous sores.

http://www.animated-teeth.com/canker_sores/t3_canker_sore_remedies.htm#page.top

took th epost right outa my mouth,,,,lol..of course, mebbe the OP is talking chancre?lol....just a thought...heeheee

[caroladybelle, BSN, RN]

Originally posted by Sarah, RNBScN

If the above mentioned sol'n do not work. Try kenalog (oral) paste to apply to the chancre sore. First, dry the area with a gauze, apply paster which will feel like glue/cement but really works. It will decrease the redness, heal the ulcered area faster. I have had plenty of chancres and have had to watch my diet due to the pH in my mouth. You need a prescription for this in Canada. I am not sure about elsewhere.

Kenelog in orabase is by script here also, However, Colgate orabase B is a nice substitute and can be bought OTC.

A less painful treatment than saline rinses, magic mouthwash is available by script and used by chemo pts - less numbing than straight viscous xylocaine. Depending on your hospital pharmacy -MM consists of liquid decadron, nystatin, xylocaine and benedryl - ocasionally also carafate - available as a swish and spit but may be swallowed if throat also is sore.

[sunnygirl272]

i get recurrent apthous ulcers secondary to UC...my local pharmacist is working on the "perfect" form for my shtuff....lidocaine and hydrocortisone....the jar i've got now is a creamtype shtuff....but it tastes awful, for those few seconds before my mouth goes numb...lol..he's working on maybe a troche or something that can be better aimed...