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Preparing for your appointment

By Mayo Clinic staff

Living with cancer newsletter

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Make an appointment with your doctor or dentist if you have signs or symptoms that worry you. If your doctor or dentist feels you may have mouth cancer, you may be referred to a dentist who specializes in diseases of the gums and related tissue in the mouth (periodontist) or to a doctor who specializes in diseases that affect the ears, nose and throat (otolaryngologist).

Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be well prepared for your appointment. Here's some information to help you get ready, and what to expect from your doctor.

What you can do

  • Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet.
  • Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
  • Write down key personal information, including any major stresses or recent life changes.
  • Make a list of all medications, as well as any vitamins or supplements, that you're taking.
  • Take a family member or friend along. Sometimes it can be difficult to absorb all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
  • Write down questions to ask your doctor.

Your time with your doctor is limited, so preparing a list of questions in advance can help you make the most of your appointment. List your questions from most important to least important in case time runs out. For mouth cancer, some basic questions to ask include:

  • What is likely causing my symptoms or condition?
  • What are other possible causes for my symptoms or condition?
  • What kinds of tests do I need?
  • Is my condition likely temporary or chronic?
  • What is the best course of action?
  • What are the alternatives to the primary approach that you're suggesting?
  • I have these other health conditions. How can I best manage them together?
  • Are there any restrictions that I need to follow?
  • Should I see a specialist? What will that cost, and will my insurance cover it?
  • Is there a generic alternative to the medicine you're prescribing me?
  • What are the approximate costs of the medicines, and do most insurance plans cover these?
  • Are there any brochures or other printed material that I can take with me? What websites do you recommend?
  • What will determine whether I should plan for a follow-up visit?

In addition to the questions that you've prepared, don't hesitate to ask questions during your appointment at any time that you don't understand something.

What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may allow more time later to cover points you want to address. Your doctor may ask:

  • When did you first begin experiencing symptoms?
  • Have your symptoms been continuous, or occasional?
  • How severe are your symptoms?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?
  • Do you now or have you ever used tobacco?
  • Do you drink alcohol?
  • Have you ever received radiation therapy to your head or neck area?

What you can do in the meantime
Avoid doing things that worsen your signs and symptoms. If you have pain in your mouth, avoid spicy foods or hard foods that may cause further irritation. If you're having trouble eating because of pain, consider drinking nutritional supplement beverages. These can give you the nutrition you need until you can meet with your doctor or your dentist.

References
  1. Wein RO, et al. Malignant neoplasms of the oral cavity. In: Flint PW, et al. Cummings Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/book/player/book.do?method=display&type=aboutPage&decorator=header&eid=4-u1.0-B978-0-323-05283-2..X0001-8--TOP&isbn=978-0-323-05283-2&uniq=203948673#lpState=open&lpTab=contentsTab&content=4-u1.0-B978-0-323-05283-2..X0001-8--TOP%3Bfrom%3Dcontent%3Bisbn%3D978-0-323-05283-2%3Btype%3DbookHome. Accessed June 28, 2010.
  2. Head and neck cancers. Fort Washington, Pa.: National Comprehensive Cancer Network. http://www.nccn.org/professionals/physician_gls/PDF/head-and-neck.pdf. Accessed June 28, 2010.
  3. What you need to know about oral cancer. National Cancer Institute. http://www.cancer.gov/cancertopics/wyntk/oral/allpages. Accessed June 28, 2010.
  4. Lip and oral cavity cancer treatment (PDQ). National Cancer Institute. http://www.cancer.gov/cancertopics/pdq/treatment/lip-and-oral-cavity/patient/allpages. Accessed June 28, 2010.
  5. Cancer, oral. American Dental Association. http://www.ada.org/2607.aspx?currentTab=2. Accessed July 6, 2010.
  6. Cancer-related fatigue. Fort Washington, Pa.: National Comprehensive Cancer Network. http://www.nccn.org/professionals/physician_gls/PDF/fatigue.pdf. Accessed July 6, 2010.
DS01089 Aug. 12, 2010

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