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(also image 461)

Consider excess stress, tobacco, marijuana and spicy foods (may aggravate).

  • Explanation and reassurance—a self-limiting condition

  • No treatment if asymptomatic

  • Cepacaine gargles, 10 mL tds, if tender

  • If persistent and troublesome, low-dose inhaled glucocorticoid (e.g. beclomethasone 50 mcg tds) (don’t rinse after use)

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