Many people get mouth sores during chemo. So, don’t be discouraged if you do, even if you're following all your healthcare provider’s instructions. Do these things to help prevent mouth sores or to ease discomfort.

• Brush your teeth with a soft-bristle toothbrush after every meal and at bedtime.

• If your platelet count is low or if your gums are inflamed, flossing may cause gum bleeding. You may need to limit flossing. 

• Use an oral swab or special soft toothbrush if your gums bleed during regular brushing.

• Use any mouthwashes given to you as directed. Don't use mouthwash that contains alcohol.

• Keep your mouth moist. Use salt and baking soda to clean your mouth. Mix  1 teaspoon (s) of salt and  1 teaspoon (s) of baking soda into an  8-ounce glass of warm water. Swish and spit.

• Watch your mouth and tongue for white patches. This can be a sign of fungal or yeast infection, common side effects of chemo. Be sure to tell your healthcare provider about these patches. You may need medicine to help you fight the fungal infection.

• If you have dentures, keep them clean and limit the time you wear them.

Here are some tips to help you manage other side effects:

• Try to exercise. Exercise keeps you strong and keeps your heart and lungs active. It helps you feel less tired. Walk as much as you can comfortably.

• Let your healthcare provider know if your throat is sore. You may have an infection that needs treatment.

• Remember, many patients feel sick and lose their appetite during treatment. Eat small meals several times a day to keep your strength up.

  • Choose bland foods with little taste or smell.

  • Cook all food thoroughly. This kills bacteria and helps you avoid infection.

  • Eat soft foods. They are less likely to cause irritation.

  • Talk to your healthcare provider if you're having trouble getting enough foods or liquids.

• Use antinausea medicines as needed. Don't wait until you start vomiting.

• Keep clean. During treatment your body can't fight germs very well.

  • Take short baths or showers with warm water. Don't use very hot or cold water.

  • Use moisturizing soap. Treatment can make your skin dry.

  • Use lotion several times a day to help relieve dry skin.

Do's and don'ts include:

• Don’t scrub the treated area.

• Do ask your therapy team which lotion to use.

• Don't get sun on the treated area. Ask your therapy team about using a sunscreen.

• Don’t remove ink marks unless your radiation therapist says it’s OK.

• Do protect your skin from heat or cold. Don't use hot tubs, saunas, heating pads, or ice packs.

• Do wear soft, loose clothing to keep your skin from rubbing.

• Don’t be surprised if your treatment causes slight burns to your skin. Some medicines used in high doses can cause this to happen. Ask for a special cream to help relieve the burn and protect your skin.

Tips include:

• Stock up on easy-to-prepare foods.

• Eat foods high in protein and calories.

• Drink plenty of water and other fluids, unless you are told otherwise.

• Ask your healthcare provider before taking any vitamins or supplements.

• Be prepared for hair loss and sunburn-like skin irritation in the area being treated.

• If your mouth or throat becomes dry or sore, sip cool water. Ice chips may also help.