“…The lesions are very painful and may impair the ability to eat, drink, or speak (59,61). These aphthous-stomatitis-like lesions are treated with topical corticosteroids (e.g., clobetasol 0.05% cream) applied onto the lesions or dexamethasone solution swish and spit, taken three times daily with avoidance of eating or drinking for 30 minutes afterward (59,61). In addition, topical lidocaine 2-4% jelly applied onto the lesions, or one tablespoon or less of lidocaine viscous swished around in the mouth and spat out (taken no more than every 3 h), will help mitigate the pain so that patients can eat or drink (38).…”