Asthma UK community forum

Oral thrush/hoarse voice

Hi everyone,

I have kept my daughter on 3 or 4 puffs morning & night of her flixotide preventer since the week before Christmas. Compared to her usual bouts (which were every other week and horrendous!), she sailed through a cold mid Jan, and *touch wood* has been quite even-keeled since Christmas.

However, she's been really hoarse sounding for about a month now and has just finished a course of Nystatin to treat oral thrush. I know the hoarseness and thrush can be side effects of inhalers. What can I do to help get rid of it? She finished her Nystatin yesterday, and today is hoarse again. I'm now wondering if the 2 go hand in hand? Is the thrush perhaps not quite cleared up?

She uses aerochamber and has a drink of water to swish around her mouth right after taking her inhaler - she does swallow the water - should I try to teach her to spit it out? Would it make a difference?

7 Replies
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Hi Fiona

I am on two steroid inhalers, so despite rinsing my mouth out, my voice used to take a real battering, I sounded like Rod Stewart LOL (Im female!). I was told quite firmly by the consultant and nurse specialist that a drink does nothing - in fact it makes it worse, as you are swallowing all that deposited steroid from the oral cavity. Rinsing and spitting out is better - but what is best, is that she gargles with water and spits. This clears it from the throat, and not just the mouth.

Hope that helps

Lynda :)

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I cant gargle - what i do is rinse, then drink, then brush my teeth

is the drinking part wrong???

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Soph - don't drink - as Lynda says - if you rinse and drink you'll end up giving yourself an extra dose of oral steroids - a certain amount of the steroid in the inhaler is deposited in the mouth rather than the lungs. If you rinse and *swallow* it all goes down into the gut where it gets absorbed as systemic oral steroids.

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awww! that is soooo annoying! now im gonna have to get out of bed to do my morning meds - this is bound to affect compliance - i had JUST got my sytem sorted so i was being really good :-( i HATE asthma!!!

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Why? all you need is an empty cup so you can gargle and spit into it..

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because i would definately end up drinking my spat out water if i did that - and that would be gross! and i dont have water by my bed, i drink lemonade so would have to get up i know its a silly thing to complain about - i was just happy with my old sytem and disapointed that i cant stick with it!

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Sorry for not having come back to this in so long. Thanks for the replies, I'll try to encourage her to start spitting.

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