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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sore Cheeks While Using Inhaler For Cough?

Hi. my 4 year old has had a severe cough for almost 4 weeks. As a result his doctor has prescribed him a Flovent inhaler. He has been on the inhaler for almost 3 days and we are careful to rinse his mouth out after each use. Tonight he woke up out of his sleep complaining of sore cheeks. He doesn t look to have any sores in his mouth, but his cheeks are very red. Could this be a side effect?
Tue, 25 Jul 2017
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Pediatrician 's  Response
Thanks for consulting at Healthcare Magic.
One of the complications that may be associated with use of steroid inhalers (Fluvent) is the occurrence of nasopharyngeal or oropharyngeal candidiasis which can cause sore mouth.
Repeated contact of steroid inhalant on the oral mucosa can result in fungal overgrowth in an area of localized immunosuppression.
Proper inhaler training, gargling mouth with water immediately after taking inhalers​ may prevent fungal overgrowth.
Consult your doctor to confirm diagnosis. Your doctor may advice Clotrimazole oral paint to prevent fungal overgrowth.
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Pediatrician Dr. Omaira's  Response
Hello and welcome to healthcare magic.
The most common cause of sore cheeks is sinusitis(Inflammation of air spaces inside face bones).Many children with severe cough exhibit findings of sinusitis
Steam inhalation and hot liquids intake will keep sinuses humidified.Normal saline nebs Ibuprufen and citrizine can be used to treat sinusitus.
Hope you find this answer satisfactory
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What Causes Sore Cheeks While Using Inhaler For Cough?

Thanks for consulting at Healthcare Magic. One of the complications that may be associated with use of steroid inhalers (Fluvent) is the occurrence of nasopharyngeal or oropharyngeal candidiasis which can cause sore mouth. Repeated contact of steroid inhalant on the oral mucosa can result in fungal overgrowth in an area of localized immunosuppression. Proper inhaler training, gargling mouth with water immediately after taking inhalers​ may prevent fungal overgrowth. Consult your doctor to confirm diagnosis. Your doctor may advice Clotrimazole oral paint to prevent fungal overgrowth.