Showing posts from November, 2007

Some thoughts on HIV

PALLIATIVE MANAGEMENT OF OTHER SYMPTOMS IN HIV PATIENTS Page 6 ORAL PROBLEMS Oral Candida Oral Ulcers: Herpes simplex and Aphthous ulcers Oral Malignancies: Kaposi’s sarcoma and lymphoma Xerostomia (Dry mouth) Page 7 ORAL KAPOSI’S SARCOMA AND LYMPHOMA Management: • Surgery • Radiotherapy • Chemotherapy • Analgesia • Oral hygiene Page 8 XEROSTOMIA Management Attend to any reversible causes: drug side effects dehydration mouth breathing • Good oral hygiene improves comfort • Chewing stimulates production of saliva • Increase fluid intake where possible • Frequent sips of water and sucking ice chips • Saliva substitutes Page 9 OESOPHAGEAL SYMPTOMS Oesophageal candida Ulcers: Aphthous, herpes simplex and cytomegalovirus Malignancies: Kaposi’s sarcoma and lymphoma Management Treat specific infections (If painful swallowing + oral candida, treat empirically for oesophageal candidia) Antacids (used after meals) mucosal coating agents such as sucralfate Page 10 Often result of opioid medi