Mouth Problems, Non-Injury

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

• Your age. Babies and older adults tend to get sicker quicker.
• Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
• Medicines you take. Certain medicines and natural health products can cause symptoms or make them worse.
• Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
• Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

You can get dehydrated when you lose a lot of fluids because of problems like vomiting or fever.

Symptoms of dehydration can range from mild to severe. For example:

• You may feel tired and edgy (mild dehydration), or you may feel weak, not alert, and not able to think clearly (severe dehydration).
• You may pass less urine than usual (mild dehydration), or you may not be passing urine at all (severe dehydration).

Severe dehydration means:

• Your mouth and eyes may be extremely dry.
• You may pass little or no urine for 12 or more hours.
• You may not feel alert or be able to think clearly.
• You may be too weak or dizzy to stand.
• You may pass out.

Moderate dehydration means:

• You may be a lot more thirsty than usual.
• Your mouth and eyes may be drier than usual.
• You may pass little or no urine for 8 or more hours.
• You may feel dizzy when you stand or sit up.

Mild dehydration means:

• You may be more thirsty than usual.
• You may pass less urine than usual.

Severe dehydration means:

• The baby may be very sleepy and hard to wake up.
• The baby may have a very dry mouth and very dry eyes (no tears).
• The baby may have no wet diapers in 12 or more hours.

Moderate dehydration means:

• The baby may have no wet diapers in 6 hours.
• The baby may have a dry mouth and dry eyes (fewer tears than usual).

Mild dehydration means:

• The baby may pass a little less urine than usual.

Many prescription and non-prescription medicines can cause mouth problems. A few examples are:

• Antibiotics.
• Some seizure medicines.
• Medicines used to treat cancer (chemotherapy).
• Steroid medicines.
• Medicines used after organ transplant.

Symptoms of difficulty breathing can range from mild to severe. For example:

• You may feel a little out of breath but still be able to talk (mild difficulty breathing), or you may be so out of breath that you cannot talk at all (severe difficulty breathing).
• It may be getting hard to breathe with activity (mild difficulty breathing), or you may have to work very hard to breathe even when you're at rest (severe difficulty breathing).

Severe trouble breathing means:

• You cannot talk at all.
• You have to work very hard to breathe.
• You feel like you can't get enough air.
• You do not feel alert or cannot think clearly.

Moderate trouble breathing means:

• It's hard to talk in full sentences.
• It's hard to breathe with activity.

Mild trouble breathing means:

• You feel a little out of breath but can still talk.
• It's becoming hard to breathe with activity.

Severe trouble breathing means:

• The child cannot eat or talk because he or she is breathing so hard.
• The child's nostrils are flaring and the belly is moving in and out with every breath.
• The child seems to be tiring out.
• The child seems very sleepy or confused.

Moderate trouble breathing means:

• The child is breathing a lot faster than usual.
• The child has to take breaks from eating or talking to breathe.
• The nostrils flare or the belly moves in and out at times when the child breathes.

Mild trouble breathing means:

• The child is breathing a little faster than usual.
• The child seems a little out of breath but can still eat or talk.

Symptoms of a stroke may include:

• Sudden numbness, tingling, weakness, or paralysis in your face, arm, or leg, especially on only one side of your body.
• Sudden vision changes.
• Sudden trouble speaking.
• Sudden confusion or trouble understanding simple statements.
• Sudden problems with walking or balance.
• A sudden, severe headache that is different from past headaches.

Babies can quickly get dehydrated when they lose fluids because of problems like vomiting or fever.

Symptoms of dehydration can range from mild to severe. For example:

• The baby may be fussy or cranky (mild dehydration), or the baby may be very sleepy and hard to wake up (severe dehydration).
• The baby may have a little less urine than usual (mild dehydration), or the baby may not be urinating at all (severe dehydration).

Pain in adults and older children

• Severe pain (8 to 10): The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain.
• Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it's severe when it's there.
• Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.

Pain in children under 3 years

It can be hard to tell how much pain a baby or toddler is in.

• Severe pain (8 to 10): The pain is so bad that the baby cannot sleep, cannot get comfortable, and cries constantly no matter what you do. The baby may kick, make fists, or grimace.
• Moderate pain (5 to 7): The baby is very fussy, clings to you a lot, and may have trouble sleeping but responds when you try to comfort him or her.
• Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds when you try to comfort him or her.

Symptoms of infection may include:

• Increased pain, swelling, warmth, or redness in or around the area.
• Red streaks leading from the area.
• Pus draining from the area.
• A fever.

To do home treatment for a black or coated tongue:

• Brush your tongue daily with a soft-bristled toothbrush and toothpaste or a solution of 1 part hydrogen peroxide to 2 parts water.
• Scrape the tongue with the edge of a spoon to remove the furry coating.
• Do not use tobacco.

Bismuth products, such as Pepto-Bismol, can turn your tongue black. The black colour will go away after you stop taking the medicine.

Sudden drooling and trouble swallowing can be signs of a serious problem called epiglottitis. This problem can happen at any age.

The epiglottis is a flap of tissue at the back of the throat that you can't see when you look in the mouth. When you swallow, it closes to keep food and fluids out of the tube (trachea) that leads to the lungs. If the epiglottis becomes inflamed or infected, it can swell and quickly block the airway. This makes it very hard to breathe.

The symptoms start suddenly. A person with epiglottitis is likely to seem very sick, have a fever, drool, and have trouble breathing, swallowing, and making sounds. In the case of a child, you may notice the child trying to sit up and lean forward with his or her jaw forward, because it's easier to breathe in this position.

Symptoms of a severe allergic reaction can start within minutes of eating or being exposed to an allergen. While symptoms usually occur within 2 hours, in rare cases the time frame can vary up to several hours after exposure. Do not ignore early symptoms. When a reaction begins, it is important to respond right away.

• Skin: hives, swelling (face, lips, tongue), itching, warmth, redness
• Respiratory (breathing): coughing, wheezing, shortness of breath, chest pain or tightness, throat tightness, hoarse voice, nasal congestion or hay fever-like symptoms (runny, itchy nose and watery eyes, sneezing), trouble swallowing
• Gastrointestinal (stomach): nausea, pain or cramps, vomiting, diarrhea
• Cardiovascular (heart): paler than normal skin colour/blue colour, weak pulse, passing out, dizziness or lightheadedness, shock
• Other: anxiety, sense of doom (the feeling that something bad is about to happen), headache, uterine cramps, metallic taste

A severe reaction can take place without hives, so make sure to look out for all of the signs of an allergic reaction.

Symptoms of a heart attack may include:

• Chest pain or pressure, or a strange feeling in the chest.
• Sweating.
• Shortness of breath.
• Nausea or vomiting.
• Pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly, or in one or both shoulders or arms.
• Light-headedness or sudden weakness.
• A fast or irregular heartbeat.

The more of these symptoms you have, the more likely it is that you're having a heart attack. Chest pain or pressure is the most common symptom, but some people, especially women, may not notice it as much as other symptoms. You may not have chest pain at all but instead have shortness of breath, nausea, or a strange feeling in your chest or other areas.

Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in adults are:

• Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
• Long-term alcohol and drug problems.
• Steroid medicines, which may be used to treat a variety of conditions.
• Chemotherapy and radiation therapy for cancer.
• Other medicines used to treat autoimmune disease.
• Medicines taken after organ transplant.
• Not having a spleen.

Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in children are:

• Diseases such as diabetes, cystic fibrosis, sickle cell disease, and congenital heart disease.
• Steroid medicines, which are used to treat a variety of conditions.
• Medicines taken after organ transplant.
• Chemotherapy and radiation therapy for cancer.
• Not having a spleen.