Treatment of stomatitis in children – symptoms, types,reasons medication | Medical Online Journal

Update: November 2018

If a small child begins to be naughty, refuses
eating, body temperature rises to high numbers, older children
complain of pain in the mouth, and when viewed, Mommy discovers
redness or sores on the cheeks, palate, tongue or inside
The side of the lip is stomatitis.

In children, the treatment of this disease depends on the causes of
because there are several types of pathogens,
provoking the development of inflammation in the mouth – banal
bacteria, herpes virus, fungi of the genus Candida albicans, and
стоматит can быть токсико- аллергическим. So, than to treat
child’s stomatitis? How to get rid of stomatitis in children as much as possible
quickly? We will tell about it in this article.

Children’s stomatitis – its classification and causes
occurrence

An interesting fact is that a certain type of stomatitis is characteristic
for a particular age of the child, however, of course there are
exceptions:

Для малышей от рождения до 3 лет наибольшее распространение имеет
кандидозный стоматит.
For kids от года до 3 лет — герпетический
stomatitis as well as aphthous stomatitis poor when the child is not given
pacifier, and he sucks a dirty finger, injures the sky and on him
gets its own microflora.
School children are more likely to suffer from
аллергического или афтозного
stomatitis
For children of any age is typical
бактериальный стоматит, возникающий вследствие
thermal, mechanical injury to the oral cavity
rules of personal hygiene, eating unwashed fruits, eating
dirty hands, babies occur during teething,
when “the whole world is in their mouth”, etc.

Withчины появления любого вида стоматита заключаются в том, что у
babies the oral mucosa is so tender and
thin, the injury of which is very easy, and the immune
the system is not yet able to cope with a mass of infectious
agents that get into the mouth of “omnipresent” babies. Saliva
human is an excellent oral protection against mass
invasions of microbes, bacteria and viruses, but in small children there
not enough enzymes are produced with
antiseptic properties. Therefore, there is stomatitis –
inflammation of the mucous membranes in the mouth, manifested either slightly –
single ulcers, or creating extensive foci of inflammation.

Candida, fungal stomatitis in children

Любой стоматит can протекать в острой форме, легкой степени
severity or be chronic, recurrent, fungal stomatitis
is no exception. Distinctive features of the fungal,
candidal stomatitis or oral thrush:

It usually proceeds without temperature.

Fungal stomatitis in a child
With осмотре налет на пораженных участках can быть и белого, и
gray, similar to cottage cheese.
The child becomes moody, eats poorly, sleeps restlessly,
since the foci of inflammation are painful enough, the baby also
experiencing a burning sensation, itching, dry mouth.
Peripheral lymph nodes do not increase, and plaque at
this form is easily removed, under which there is redness,
or bleeding.
Localized thrush of the oral cavity in children more often on the inside
the surface of the lips, gums, cheeks or tongue. First formed foci
white bloom, turning into a continuous film.

Treatment of fungal stomatitis

Local procedures are to create a more alkaline environment in
oral cavity because the acidic environment has a very beneficial effect on
progression of the process and promotes the multiplication of disease-causing
bacteria, and fungus as well. Topical fungal treatment
Stomatitis in children is as follows:

Treatment of oral cavity 3-6 times a day with soda solution – by 1
a glass of water 2 tsp of soda, as well as special aniline
dyes – “Blue”, 2% solution of boric acid. For kids
older these solutions can be used for rinsing the mouth.
Treatment of affected areas with Clotrimazole, Nystatinovaya,
cream Pimafutsin. The bulk of fungal agents accumulate in
teeth area, so during processing, special attention should be paid
gum and cheek areas.
There is a special solution, gel, cream “Candid”, in the composition
which includes Clotrimazole, which has a powerful antifungal
action. Treatment with this agent should be prescribed by a doctor.
which can not be interrupted, or stop ahead of time,
поскольку у грибков can сформироваться лекарственная устойчивость
to this drug.
For older children and adolescents, doctor appointment is possible
antifungal agents in pills or suspensions, such as
Diflucan, Fluconazole.
To strengthen the immune system during and after suffering
stomatitis is prescribed vitamin therapy can be prescribed
Imudon resorbable tablets, which are shown only for older children
3 years.
During any stomatitis, a diet is required, with
candidal stomatitis excludes sour fruits and drinks, tough,
roughage, too hot or cold, reduced in the diet
the amount of carbohydrate food spices, confectionery,
sweet
At high temperatures above 38 ° C, of course, you should take
antipyretic drugs for children.

Herpetic stomatitis in children

This is one of the most common forms of stomatitis in both children and children.
adults. This is explained by the fact that 95% of the population sooner or later
there is a herpes virus infection, but will there be
develop a herpetic infection in a particular child or
An adult depends on the human immune system.

The danger of the virus is that it does not disappear from
organism, and is either latent or with weak
immune response in a child, acquires a chronic course with
periods of remission and relapses.

Most often, herpetic stomatitis occurs in children from 1 year to
3 years since the obtained antibodies from the mother are already weak and are withdrawn
from the body, and their own have not yet developed.

Therefore, the first time faced with a herpes virus in a child
often a violent reaction develops, the body is actively struggling
with a virus that is manifested by high fever, symptoms
intoxication.

Again, again, it all depends on the state of the protective forces
child, in some children, infection and the development of herpetic
stomatitis is acute, while others do not cause high
temperature and passes quite easily. How to treat stomatitis
baby if it is caused by herpes virus?

Distinctive features of herpetic stomatitis:

On examination, redness first forms in the oral cavity, then
vesicles appear after the bubbles burst in the baby
erosion, ulcers, cracks in the mucous membrane of the mouth are formed. When
rashes heal, mucous has a marble pattern.
The child also becomes moody because of pain, burning,
itching in the mouth, his appetite decreases.
In an acute process of moderate severity, the child manifests all.
symptoms of ARVI, body temperature reaches 38C, increase
The lymph nodes. When начинаются высыпания, температура
jumps to 39C and does not always get confused with antipyretic
drugs, may be accompanied by vomiting, nausea, headaches.
pains, chills. Under this condition, the number of bubbles is usually
significant 15-20 pieces, they can also be on the lips outside, and
on the wings of the nose or around the mouth, and the gums and
dry mouth appears.
In the mild form of such stomatitis bubbles is no more than 4-6.
pieces, the temperature rarely reaches 38C, it easily gets off
antipyretic and inflammatory process enough
quickly calms down.

Treatment of herpetic stomatitis in children

In the acute process with severe symptoms of children
they are hospitalized where they receive symptomatic therapy. With
mild to moderate inflammatory process a child may
be treated on an outpatient basis. As with fungal stomatitis.
acidic foods are excluded from the diet, especially citrus fruits,
canned food, salty and spicy food. With герпесном стоматите у детей,
treatment includes both local procedures and the use of general
therapeutic agents:

Children have the best anti-inflammatory effect.
treat the affected areas with broths of medicinal herbs 3-4 times a
day – sage, chamomile, Kalanchoe juice, for this should
use cotton swabs or cotton pads dipped in broth.
Pharmacies have ready-made herbs, such as Ingafitol,
Evkar, which can also be used to treat ulcers or
mouthwash in older children.
Для обезболивания детям старше 4 лет можно
use the drug Stomatoidin – antiseptic for local
antimicrobial and mild pain reliever
action on the mucous membrane in the mouth, as well as Hexoral tabs –
lozenges with benzocaine and chlorhexidine, they
have a local anesthetic and antimicrobial action.
Treatment of sores with propolis is very effective, for example
Propolis spray, has a regenerating effect on any
skin lesions, ulcers, herpes.
Withменение противогерпетических мазей также показано при
local treatment, used ointment Zovirax, Acyclovir, Oxolinic
ointment, Viru-merz-serol (highly effective drug for herpetic
rash, used during initial clinical
manifestations, in the formation of bubbles, vesicles, use
should be discontinued), tebrofen ointment.
Bonafton ointment – antiviral may be recommended.
drug used to treat herpetic stomatitis.
Contribute to the healing of wounds Karotolin – oil solution with
vitamin A, sea buckthorn oil (only natural, which
It has an antiviral effect, and a cosmetic pharmacy
oil is sea buckthorn infusion in vegetable oil), and oil
rose hips.
Viniline with stomatitis, he is a balm from Shostakovsky, is capable of
clean the wounds, also has anti-inflammatory effects,
accelerates the process of healing, epithelization and regeneration
tissues.
As an antiseptic used -Lugol, Miramistin,
Rotokan.
With частых рецидивах герпетического стоматита врач can
prescribe antiviral drugs orally, that is, in
tablets, such as Valtrex, Acyclovir, etc.
Also shown is vitamin therapy, Imudon absorbable tablets,
which should be taken 6-8 pieces per day during the week.

Aphthous stomatitis in children

Until now, the causes of this type of stomatitis medicine is not
can утвердительно назвать, одни авторы считает его возникновение
due to impaired normal functioning
gastrointestinal tract (for example, gluten intolerance
-celiac disease), others see an allergic beginning in its occurrence
(chocolate, strawberries, tomatoes, eggs) indicate a possible cause
mucosal injury or penetration of the infection into the oral cavity, and
according to the clinical picture, it resembles herpetic stomatitis.

In children, the treatment of aphthous stomatitis is difficult
uncertainty of the causative agent of the disease. Most often they suffer
children of school age when they have the following symptoms
stomatitis:

Aphthous stomatitis in children

At first, the sores resemble those of herpetic
stomatitis, with the same characteristic redness, burning, itching,
possible temperature rise. However, then no
blisters, and aphthae are painful white ulcers with bright redness
around, they are round in shape with crisp smooth edges.
Then the aphthae are covered with a cloudy film, and in the case of
secondary infection after its breakthrough, inflammatory process
усугубляется, у ребенка can подняться температура, он становится
drowsy, refuses to eat.

Treatment of aphthous stomatitis in children

Treatment of this stomatitis due to the uncertainty of the cause
occurrence проводят несколько врачей, это can быть стоматолог,
allergist or gastroenterologist.

If the allergic nature of occurrence is established
aphthous stomatitis, contact with the allergen is excluded,
antihistamines are prescribed – Suprastin, Cetrin in syrup
(children over 2 years old), see all allergy medications.
For the processing of aft, solutions of soda, boric
acids, decoctions of herbs, bluing.
Selection of antiseptic, antimicrobial agents often
carried out by trial and error, because the flow of any
inflammatory process individually, someone help spray
Lugol, spray Hexoral, or rinsing with Yodinol, Miramistin,
Viniline or methylene blue dye helps a lot of people –
Blue. Rotokan – antiseptic with
healing action (for rinsing the mouth).
If violations of the gastrointestinal tract are detected, then
appropriate treatment for concomitant disease.
Vitamins C, B1, B2, B12 are prescribed.
Из противовирусных препаратов can быть назначен
Bonafton
With хроническом течении стоматита для коррекции иммунитета
иммунолог can назначить Декарис, Пирогенал.