How much stomatitis is treated in adults? The nature and duration of treatment depends on the cause of the disease.
Causes of stomatitis
Stomatitis occurs when pathogenic bacteria, viruses and fungi enter the body. However, an increase in the number of these microorganisms occurs only under certain conditions.
Normally, they are in the body of any healthy person and do not lead to the development of pathological processes. Stomatitis can occur due to an unhealthy diet, a lack of vitamins and minerals. Contribute to the appearance of mouth ulcers and microtrauma, thermal and chemical burns.
Many people recall that the appearance of stomatitis was preceded by a bite of the cheek, damage to the cheek or tongue on the edge of the tooth crown or prosthesis, the use of solid food, burns with acid or boiling water.
The use of unwashed vegetables and fruits also contributes to the violation of the microflora of the oral cavity. Do not abuse hygiene by using toothpastes with sodium lauryl sulfate, which reduces salivation.
As a result, the mucous membrane of the mouth is overdried and loses resistance to various irritating factors.
Very often, erosion in the mouth occurs with smoking and alcohol abuse. In some cases, stomatitis accompanies other diseases that contribute to a decrease in immunity.
With a full examination of the patient, malignant tumors of the throat, neck and nose can be detected. Stomatitis also occurs during radiation and chemotherapy for malignant neoplasms.
Helminthic infestations, intestinal infections, massive blood loss, hormonal disorders, diabetes mellitus, and HIV infection also contribute to its development.
The use of hormonal agents in the form of inhalers for asthma leads to the development of candidal stomatitis.
Depending on the pathogen, there are the following types of disease:
- Bacterial. It is caused by staphylococci and streptococci and has the appearance of pustules.
- Viral (herpetic) stomatitis is caused by herpes simplex or Epstein-Barr viruses. With this disease, bubble rashes arise in the oral cavity, after opening which ulcers form.
- The fungal form of the disease usually occurs when antibiotics are taken, leading to increased reproduction of Candida fungi. It has the appearance of a cheesy plaque, when removed, erosion is formed.
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Signs of stomatitis
Stomatitis in adults very rarely causes fever and symptoms of intoxication.
Usually, the disease begins with redness of the affected area of the mucosa, then there is swelling and a burning sensation.
With the bacterial form, the next day a small ulcer with red edges appears, covered with a white film. In addition to the ulcer, the patient has an increased production of saliva, bleeding gums and bad breath.
Soreness with stomatitis can interfere with food intake, tongue movements. In the acute form of the disease, an increase in lymph nodes and a high temperature are noted. Most often, sores occur on the inner surface of the cheeks, palate, and tongue.
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How is stomatitis treated in adults?
Mild forms of the disease associated with a violation of hygiene rules can be cured within a few days at home. At the same time, it is recommended that mucous membranes be treated with antiseptic solutions and a diet that implies rejection of solid, spicy and acidic foods. In severe forms of the disease, consult a doctor. Treatment includes drugs that relieve pain and eliminate the cause of the disease.
So that the pain does not interfere with food intake, the doctor may recommend the use of local anesthetics, for example, Anestezin – powder for the affected areas of the mucous membranes. Hexoral tabs – an antibacterial and analgesic that has chlorhexidine in its composition; It is often used in the treatment of stomatitis. To treat ulcers in the aphthous form of the disease, Lidocaine Asept is used, Lidochlor gel – painkillers and antibacterial drugs, the effect of which begins after a few minutes.
In the treatment of stomatitis in adults, antiseptic ointments, gels, solutions, tablets and lozenges are used. Antifungal and antihistamines are used depending on the type of disease. Solcoseryl paste promotes rapid tissue repair. Carotolin, a source of vitamin A, helps repair damaged tissue. Rosehip oil or sea buckthorn oil promotes rapid healing of ulcers. Vinylinine cleanses wounds and helps them heal.
Allergic stomatitis occurs when in contact with dentures, the use of toothpastes and rinses. This disease is not considered separate, it is one of the signs of allergic reactions. In his therapy, standard antihistamines are used: Tavegil, Suprastin.
Herpetic stomatitis is the most common form of the disease. Most adults carry herpes virus, which is inactive in the body. With a decrease in immunity, hypothermia, pathological processes and stresses, the virus activates, causing damage to the cheeks, tongue and palate. Viral stomatitis rarely proceeds in an acute form, however, with this type of disease, a large number of vesicle rashes form, causing severe pain. Treatment of viral stomatitis includes taking local painkillers, anti-inflammatory and wound healing drugs. In some cases, the doctor may prescribe antiviral drugs: Acyclovir, Oxolin, Zovirax. Vitamins and immunomodulators are prescribed to strengthen immunity.
Aphthous stomatitis can be caused by both bacteria and viruses. Many doctors consider it one of the manifestations of herpes infection. In the chronic type of disease, single or multiple rashes periodically appear on the cheeks and lips of a white color with a reddish rim. Exacerbations can happen quite often, the disease can occur for several years. If the wound does not heal within 7-14 days, stomatitis can go into an ulcerative-necrotic form. This is a severe form of the disease that occurs against the background of severe immunodeficiency, radiation, leukemia and heavy metal poisoning.
Treatment of aphthous stomatitis begins with the treatment of ulcers with chamomile broth and boric acid. Hydrogen peroxide diluted with water and a weak solution of potassium permanganate are used to rinse the mouth. The rapid healing of wounds is facilitated by the treatment of the affected areas with sea buckthorn oil or Kalanchoe juice. Sodium thiosulfate prevents intoxication of the body, it is prescribed orally or intravenously. Treatment includes taking antihistamines and vitamins.
If stomatitis occurs often enough, the doctor may order an analysis for the eggs of the worms. Antihelminthic drugs will be recommended depending on the result. During treatment, a special diet should be followed. It is necessary to refuse sweet, spicy and rough food, alcoholic drinks.
Aphthous stomatitis often occurs against a background of gastrointestinal diseases, endocrine disorders, so the patient must undergo a comprehensive examination.
Candidiasis stomatitis is observed in people with a weakened body: with diabetes mellitus, treatment with hormonal drugs, HIV infection, tuberculosis. A characteristic feature of this form of stomatitis is the presence of white films, upon removal of which an inflammatory focus is formed. With fungal stomatitis, dry mouth, pain and burning sensation when eating, jam in the corners of the lips.
Treatment includes the use of antifungal agents in the form of tablets, ointments and solutions: Pimafucin, Fluconazole, Clotrimazole. Mucous membranes of the mouth and dentures should be treated with a solution of Lugol or borax, Iodinol. Diet involves the rejection of sweet and flour foods. Further advice from a gastroenterologist and endocrinologist is recommended.