Table 7. Assessment of mucositis

Examine lips and all mucosal surfaces for number, size, and location of lesions. Pain intensity is usually related to the degree of tissue damage.
Include assessment of local edema and erythema as well as preexisting periodontal disease that may also be painful.
Ask patient to identify painful or burning areas; even if there is no apparent tissue damage, these may become involved later.
Culture suspicious lesions to rule out concomitant infection (bacterial, viral, fungal) that may intensify pain and delay healing.
Evaluate patient's ability to swallow (including oral analgesics), and restrict oral intake if necessary.
Repeat the assessment frequently because clinical signs and symptoms may change.