Doctor insights on:
Mucositis In Children
Mucositis is: A clinical diagnosis. There really is not a specific test for mucositis that would generally be utilized and instrumenting a patient to directly visualize mucosal breakdown in the setting of cancer therapy would be discouraged due to bleeding and infection risks. We make this diagnosis based upon symptoms (pain, drooling, loose stool, etc) and signs (erythema/erosion of mucosal surfaces, etc). ...Read more
A clinical diagnosis that refers to inflammation of mucosal surfaces. Can involve any such surface (gi tract, lungs, bladder, etc.). Instrumenting to confirm the diagnosis is discouraged due to bleeding and infection risks. We make this diagnosis based upon symptoms (pain, drooling, loose stool, etc) and signs (erythema/erosion of mucosal surfaces, etc) where we can ...Read more
Depends on the cause:
Mucositis or inflammation and irritation of the mucosal tissues can be due to a number of causes. Treatment is dependent upon the etiology of the mucositis.
For some patients, pain relief can be provided with a mouthrinse usually containing an anesthetic agent such as xylocaine (lidocaine) in combination with other ingredients. However, the cause still needs to be identified and treated accordingly. ...Read more
Mucositis is: A clinical diagnosis that refers to inflammation of mucosal surfaces. Can involve any such surface (gi tract, lungs, bladder, etc.). Instrumenting to confirm the diagnosis is discouraged due to bleeding and infection risks. We make this diagnosis based upon symptoms (pain, drooling, loose stool, etc) and signs (erythema/erosion of mucosal surfaces, etc) where we can see them. Supportive care! ...Read more
Mucositis is a. ...: Common side effect of many chemotherapy drugs, which cause mucosal inflammation. This can be painful and is exacerbated by hsv reactivation (which is all too common among cancer patients). Supportive care with bicarb rinses, magic mouthwash (mylanta/benadryl/viscous lidocaine), etc is helpful to keep mouth clean. Opiate pain relief and when appropriate, acyclovir. Count recovery is the most help. ...Read more
Yes.: A variety of treatments are available for mucositis. See - http://oralcancerfoundation. Org/treatment/mucositis. Html. Commercially available or "compounded" gel therapies may be available to help treat mucositis. Gels may act as a barrier protection while other therapies may work in other ways. ...Read more
Yes: It can. The best person to call and ask about this is your dentist. They might have an idea how to slow progression without having to make a doctor's visit and pay a bill. ...Read more
What is the best hydration (or other) protocol to prevent mucositis for pediatric Burkitt's lymphoma? Does it vary at different cycles?
Mucositis: Hydration is very important in pediatric oncology but fluid requirements (ml/kg) differs by the age of the child. Mucositis is caused by fungal overgrowth in the GI tract caused by the oncology drugs and is a side effect of therapy. Please discuss this with your pediatric oncologist. Thanks ...Read more
What's lichenoid mucositis consistent with lichen planus? & NO dysplasia or atypia seen? How's lichenoid mucositis different from lichenoid dysplasia?
Information.: Lichenoid mucositis is a noncommittal term referring to a wide range of mucosal lesions which closely mimic oral lichen planus both clinically and histologically, yet may represent a differentpathobiology altogether. In general, most oral lichenoid reactions represent a common end point in response to a myriad of extrinsic agents (drugs, allergens) or altered immunologically-mediated disorders ...Read more
What does oral lichenoid mucositis consistent with lichen planus in biopsy means? Is it dangerous? Anything related to luekoplakia?
No and yes: Not dangerous and it is leukoplakia. Inflammation of the mucosa and lichenoid in presentation. Leukoplakia simply means "white patch". Of course this can have many causes, some of which are cause for concern. This condition requires treatment, monitoring, and a good Oral Medicine or Oral Surgeon specialist to follow you. Good Luck. ...Read more
Had mouth biopsy. Diagnosis:lichenoid mucositis consistent with lichen planus. Plz explain. I'm scared
Don't be scared!: Think of lichen planus as a benign skin rash in your mouth. It can triggered by the immune system. There may be several contributing factors, and each case is different. Potential causes include: viral infections, allergens, stress, genetics, etc... Most people will have some form of lichen planus in their lifetime. If you case becomes painful or much worse, have a dentist take a look at you. ...Read more
I am married in 1 year no children en problem in my health would you eat that type of food can be eat him in my husband and me?
Chocolate: This is not scientific but neither is having babies! Try anything chocolate. Eat romantic foods. Avoid alcohol and stimulants. Relax. Enjoy being married without children. The more you relax and enjoy your spouse the better your marriage will be and the more prepared you we be to be a parent. You are learning patience and you will need it! OB doctors have solutions for you when wanted ...Read more
Vertigo?: Many children get very dizzy at times without definite cause. Some are due to ear infections or ear fluid pressure. Other times it may happen because of spinning around. Episodic vertigo is a very dramatic event in some children when they look terrified and have to hold on for a few moments, then return to normal. This is usually benign but needs a good evaluation. ...Read more
Vomiting: For a simple gastroenteritis, gut rest (nothing to eat or drink for 2-3 hrs) followed by small sips of clear fluids, frequently (goal depending on age of child 1-4 oz/hr). The presence of pain is more worrisome and I would recommend taking the child to their doctor for a hands-on examination to rule out anything more serious. ...Read more
Safe/locks: A good gun safe can double as a home for some family valuables. There are a number of trigger locks and quick entry safes on the market that provide quick access but eliminate child entry. As mentioned, kids taught gun handling and safety as early as age 4 are less likely to play with any gun they find anywhere. ...Read more
Ringworm is actually not caused by a worm at all, but is caused by a fungus that lives on the skin called tinea. People can get a tinea infection from skin to skin contact with an infected person or pet or by sharing personal items such as towels, clothing, and combs.
Clotrimazole is the generic name for the over the counter cream that treats ringworm. Apply 2-3 times a day for a few weeks until the lesion disappears completely and then some. Keep it covered for the first day of treatment (or longer if you want to) to prevent spread. Your child will need to see his doctor for a stronger medication if the ringworm is on his scalp, continues to spread after treatment at home or if it doesn't get better after 4 weeks of treatment at home. ...Read more
Inherited or steroid: The common cause is congenital, but it can also be caused by maternal steroids passed on through breast milk to the newborn. It is different from breast milk jaundice (breast-fed infants have higher bilirubin levels than formula-fed ones). If inherited it is a recessive gene. ...Read more
Structure: It is not necessarily that kids are "lazy". It may be as simple as a schedule and expectations problem. Some kids are in so many activities they are burned out and have little time for anything else. Most kids nowadays live to be on a wireless device and that takes a chunk of time. Have clear expectations of your child and let him know what they are. Unplug the tv, limit the phone gaming time. ...Read more
Speech/Language: Therapists often code for Developmental Apraxia when insurances won't pay for SLT for Receptive &/or Expressive Language Disorder. Full evaluation may also reveal Autistic Spectrum Disorder, Intellectual Disability, Social Communication Disorder or, at 5 or >, Specific Language Impairment. Mutant FOXP2 genes on Chr. 7 cause familial DA or SLI. The incidence of DA is 0.1-0.2 % of children. ...Read more
No single answer: Effects of incest vary widely and depend on many factors--age of child, gender of child and of abuser, level of coercion (psychological or physical force) involved, extent and duration of abuse, reaction of others if they learn of abuse, etc. One fairly clear finding is that those who were abused are both more likely to be abusers and to be unable to protect their chidlren from abuse. ...Read more