Question asked by: 
Mary
Date asked: 
Feb 2015

Can you suggest a more effective treatment of sore gums following chemotherapy? I have just completed a second cycle of chemotherapy - carboplatin, gemcitabine and Avastin. I am having trouble with sore gums which are being treated with a mouth wash (Difflam).

Can you suggest a more effective treatment of sore gums following chemotherapy?
Difflam is a good painkiller for sore gums but please make sure that you use it correctly.
Response by Lisa Young, Gynae-Oncology Clinical Nurse Specialist (CNS)

Difflam is a good painkiller for sore gums but please make sure that you use it correctly. Make sure that you use it at least 10 minutes before eating/drinking as it can affect your sense of how hot/cold food or drink is.

Also it is good practice to use a mouthwash regularly and I would recommend a salt mouthwash to ensure effective cleaning. This can be made with one teaspoon of salt in a pint of warm water, allow to dissolve and cool down and use within 24 hours. This can be used after every meal and in-between if needed.

If your gums remain sore then you could ask your medical team for some sucralfate liquid which is also quite effective at reducing soreness. If you do use all the above then please allow at least 10 minutes in-between each mouthwash to improve effectiveness. Please speak to your nurse specialist or medical team for further advice.