Stomatitis in children
What is stomatitis and how it manifests itself? What kind of types there are, what methods and drugs can be overcome this ailment
If a small child began to capricious, the body temperature rose, pain in the mouth appeared, and when inspected by mom, ulcers or redness in the sky, cheeks, language and the inner side of the lips were found – this is stomatitis.
Treatment of any type of stomatitis in children is mandatory and depends on the reason that caused it. Pathogens provoking the inflammation of the mucous membrane, many – genus mushrooms Candida Albikans, Herpes virus, bacteria, and toxic-allergic causes. Treatment of any kind of stomatitis, both in newborns and older children, should occur under the supervision of a doctor.
Classification and causes of appearance
Basically, each type of stomatitis is characterized by a specific age, but there are exceptions:
- Candidoid most often appears in newborns and in children under 3 years;
- herpesy arises aged 1 -3;
- At school age, children are susceptible to allergic or aftenne;
- But bacterial occurs at any age. The appearance of it provokes most often injury to the oral cavity (thermal or mechanical), as well as a violation of the rules of hygiene, the use of unwashed products, including meals with dirty hands, and kids have a risk of disease during teething, when they all try «tooth».
Children suffer from this disease for the reason that the oral sheath is gentle and thin, and immunity is not yet ready to cope with a large number of infectious agents.
In adult saliva struggles with infections, viruses and bacteria, but it still does not have enough enzymes with antiseptic properties. That is why there is inflammation of the mucous membrane, which can manifest itself in the form of single red specks or yasers, or extensive foci.
Candidose (fungal) view
Any kind of stomatitis can have three forms: light, sharp and chronic.
Fungal is no exception and has its own characteristics:
- In most cases, the disease occurs in acute form. In addition to high temperatures in 39-40 ° C, the increase in lymph nodes;
- The raid on the affected areas has white or gray, similar to cottage cheese;
- There is anxiety, whims, bad sleep, rejection of food. This is due to the fact that the foci of inflammation is painful and the baby appears a feeling of itching, burning and dry mouth;
- The easiest degree of candidal stomatitis flows at no high temperature, the liftos do not increase, the flare can be easily removed, and under it detect bleeding or redness;
- Most often localized on gums, cheeks, language, inner lip surface. Initially, a white flare appears, which subsequently goes into the film.
How to get rid of fungal infection
The treatment process is to create an alkaline medium and the destruction of acidic, since bacteria multiply in it:
- Treatment of stomatitis is accompanied by the treatment of soda of the oath of the oral cavity, and the older children have rinsing. Use a solution (on a glass of 2 hours.L. soda), as well as a special aniline dye – «Sink» and a solution of boric acid 2%;
- Affected places lubricated ointments Clotrimazole, Nystanova and cream Pimafucin, paying a lot of attention to the gums, since the large mass of the fungus accumulates;
- There is a special tool «Candid» (solution, gel, cream), is assigned by a doctor. The course of treatment in no case cannot be interrupted, otherwise fungi will become resistant to this drug;
- For senior, antifungal tablets or suspensions fluconazole, Diflucan, can be discharged.
- Treatment can be complemented by a vitamin course in children who suffer from a candidal type of stomatitis and have a weak immune system, for example, Imudon For children from 3 years old;
- Any stomatitis, including candidomic, require diet compliance. From the diet, they exclude acid, rigid, coarse, very hot, very cold food. Reduce the amount of spices, sweet, confectionery, carbohydrates;
- High temperatures are shot down by antipyretic children.
Herpety view
This kind Stomatitis – one of the most common. They suffer from not only children, but also adults. Infection with herpes virus sooner or later occurs in 95% of the population. However, the development of infection will depend on human immunity.
The virus is dangerous in that after entering the body does not disappear, but is in the latent state. If the immune system is weak, the virus becomes a chronic course, with relapses and remissions.
Most often amazes children from 1 to 3 years. Often infection is accompanied by a turbulent reaction of the body: high temperature, intoxication. However, the symptoms of infection depend on immunity, and the development of herpes stomatitis can occur in a light form.
Features of the disease
Initially, small redness appear, which are moving to vesicles. Then bubbles are bursting and ulcers, erosion, cracks on the mucous appear appear. Appetite falls, anxiety appears, capriciousness.
The disease can manifest itself in the form of an ARVI in the case of an acute mode of moderate gravity: high temperature, increase in lymph nodes. Sometimes the temperature fails to bring down the antipyretic drugs.
May appear chills, vomiting, nausea, headaches. The lesion of the mucosa becomes significant – 15-20 bubbles that may dispense with other areas: on the lips outside, on the wings of the nose, around the mouth. The gums become inflamed, dryness appears in the mouth.
Easy form is characterized by a small amount of rashes (4-6 bubbles), the temperature rarely appears above 38s, but it is easy to knock it down, the inflammatory process passes quite quickly.
How to treat herpetic infection
Treatment in children of the acute process of herpes stomatitis with severe symptoms occurs in the hospital. Easy and average severity of the inflammatory process can be treated outpatient. As in the case of a fungal view of the disease, the same diet sticks.
Treat herpesy stomatitis is needed with therapeutic agents and local procedures:
- The affected areas are treated with herbal irons 3-4 times a day (sage, chamomile). Use and finished herbs, such as, Eucar, Inhafitol. Processing conducted with cotton chopsticks or discs. Older children with them mouth;
- Children from 4 years prescribe antimicrobials with a weak painkillers, preparations, such as, Stomatidin, pills Hexoral TABS;
- Effectively with ulcers is fighting propolis;
- Prescribe anticherine ointments: Acyclovir, zovirakse, oxolin, tebrophen, bonafon;
- For wound healing, natural sea buckthorn oil, rosehip butter and drug Kotrojolin. For the same purpose use balsam Shostakovsky;
- With frequent recurrences, antiviral drugs in tablets may be assigned (Acyclovir, Valtrex);
- Does not do without vitamin therapy. For these purposes can designate Imudon 6-8 pieces per day for a week.
Aphtose view
Medicine still can’t call the exact causes of this type of stomatitis. Among the possible options are called disorders of the gastrointestinal tract, allergic principles (fruits, chocolate, eggs), injury to the mucous membrane, the penetration of infection into the mucous membrane.
Treatment is hampered by the determination of the causative agent of the disease, but the clinical picture resembles herpetic stomatitis. This kind of school children are most susceptible.
Symptoms:
- AFTs are formed – painful ulcers with redness around. They are round and smooth;
- AFTs are covered with film and, if a secondary infection is entered, breakdown, and the inflammatory process is aggravated. The temperature, drowsiness, disappears appetite.
How to treat a thoughth disease
The survey is carried out by several doctors: an allergist, dentist and a gastroenterologist. Doctors will say how to treat this stomatitis in children.
Options are possible:
- If the disease is caused by allergies, then allergen is excluded, antihistamines are prescribed (Zetrin in syrup children from 2 years, Supratin);
- AFTs are treated with blue, soda, influence or boric acid;
- antiseptics, antimicrobial drugs are selected individually. Can designate Spray hexoral, Lugol, rinsing Yodinol;
- When diseased diseases are detected, appropriate treatment is carried out;
- prescribe vitamins of group B and vitamin C;
- if a chronic disease form, immunologist can assign Pirogenal, decaris.
It is impossible to treat stomatitis yourself, it is necessary to visit a doctor and should adhere to his recommendations.