Parents are interested in how the treatment of aphthous stomatitis in children is carried out, and what are the causes of this disease. After all, most often children get sick with this ailment, especially at the age of 2-3 years, when they actively know the environment.
Among all types of stomatitis, aphthous stomatitis in children is most common. This disease is an infectious inflammation, manifested in the form of yellow-white ulcers. These ulcers spread in the form of a rash in the oral cavity. Sometimes this ailment is epidemiological in nature, children can become infected with it in kindergarten. In such cases, diagnostic measures are required, on the basis of which doctors develop individual treatment regimens, especially if stomatitis is a concomitant illness with influenza, measles or diphtheria.
Quite often, children begin to get sick due to infectious diseases, impaired immunity, trauma and burns of the mucous membrane, the presence of diseases of the gastrointestinal tract, heredity, vitamin B and C hypovitaminosis, and a lack of iron, selenium, zinc, and other trace elements.
What are the symptoms of aphthous stomatitis
Almost always, you can see the ailment in a child yourself. In the affected areas (the inner side of the lip, cheeks, under the tongue and on it) most often there are few ulcers, but sometimes they appear in large numbers, sometimes they can even connect together, creating large foci.
The size of the ulcers can be both small and large. If there is any heterogeneity on the mucous membrane in the child or irritation, it is necessary to visit the office of the pediatric dentist or at least a pediatrician to determine the subject of the ailment.
Also, the presence of stomatitis in a child may be indicated by his behavior, expressed in increased irritability, tearfulness, insomnia and loss of appetite. This ailment can be aphthous and dental. In order to correctly distinguish between them, you need to know how they manifest.
Signs of herpetic stomatitis:
- irritation of the child;
- lack of appetite;
- the simultaneous appearance of ulcers, approximately equal in size;
- the appearance of aphthae in several places, accompanied by pain;
- increase in body temperature;
- swelling of the gums;
- the occurrence of halitosis.
Symptoms may subside for several days and then recur.
Aphthous stomatitis is manifested as follows:
- small bubbles arising in the tongue provoke burning sensations over time;
- a couple of days after the appearance of vesicles, ulcers occur, body temperature rises;
- salivation increases;
- often the ailment is accompanied by a white coating on the tongue.
The main difference between herpetic stomatitis and aphthous is the more multiple presence of ulcers. Aphthous is characterized by a small number. In the acute form of stomatitis, pain in the enlarged lymph nodes in the lower jaw is pronounced.
By types of aphthous stomatitis is acute and chronic relapsing.
In acute, sharp pain of ulcers develops, aggravated by contact or ingestion of hot or spicy food. The pain manifests itself during a conversation, as a result of which the patient cannot fully speak normally. The acute form is necessarily accompanied by a significant increase in body temperature, headache and soreness of enlarged lymph nodes, the appearance of halitosis.
A form of chronic recurrent aphthous stomatitis often manifests itself in children from 4 years of age, lasting about a couple of weeks and exacerbating more than once a year. Provoking factors are overwork, neurosis or a viral infection.
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Diagnosis and treatment at the initial stage of the disease
Leading diagnostics is carried out on the basis of the clinical picture and patient complaints. If necessary, laboratory diagnostics may be required, differentiated with herpetic or ulcerative necrotic stomatitis.
Usually, with stomatitis, the doctor prescribes physiotherapy, drug treatment and therapy with alternative methods. The treatment of aphthous stomatitis requires a balanced diet, proper hygiene of the child's oral cavity, plentiful drinking and wet cleaning.
For disinfection, the oral cavity is treated with cholisalum, chlorhexidine or miramistin.
At the initial stage of development of the disease, the use of such an antiseptic agent as miramistin, up to 4 times a day, is the most suitable solution. This tool has contraindications subject to individual intolerance.
Chlorhexidine also has antiseptic and anti-inflammatory properties. Compared with miramistin, it is less sparing for the mucous membrane of the oral cavity of the child. Affordable price and quick impact on the disease are the main advantages of this treatment tool.
Holisal gel treatment is appropriate for the initial stage of the disease. It has analgesic and anti-inflammatory properties. It is applied by applying to the mucous membrane up to 4 times a day. The advantage of this tool is the ability to treat the oral cavity even in children under the age of 1 year.
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Therapy of aphthous stomatitis is carried out using rinses, the use of gels, antiviral, antihistamines, and sometimes the use of steroids and antibiotics is required. In some cases, it is necessary to improve the functioning of the immune system and replenish vitamins with the help of vitamin therapy.
Since inflammation always complicates the treatment of aphthous stomatitis, first you need to eliminate it. Often, dental gels are prescribed in the likeness of Metrogil Dent, which allow you to relieve inflammation and get rid of toxins and pathogenic bacteria, which contributes to the maximum recovery of the loosened mucous membrane. The composition of such gels for antimicrobial and antiseptic actions may include metronidazole and chlorhexidine.
Assign these funds to people of any age (with the exception of children under 6 years) with a frequency of use up to 2 times a day by applying a thin layer on the affected surface. When using gels, you must refrain from eating and drinking for at least half an hour. If you qualitatively approach such therapy, aphthous stomatitis is eliminated in a week.
A significant effect of the treatment is given to physiotherapy. The doctor gives a direction, after which ulcers are irradiated in the physiological office.
If the pain causes a lot of suffering to the child, the disease is treated with homeopathic remedies. Burning pains are also eliminated. Sometimes complex therapy is required if the child has candidiasis of the oral cavity, herpes on the lips, bleeding of the lesions. In some cases, a child may develop thirst and a restless state when using homeopathic medicines. This is a normal occurrence. If in doubt about the correct installation of the factor that provoked aphthous stomatitis, universal homeopathic preparations are prescribed.
How is prevention done? The main preventive action is thorough oral hygiene and avoiding contact with patients with stomatitis. In the chronic form of the disease, it is necessary to determine the factors that triggered the occurrence of the disease and try to constantly prevent relapse of the disease. For this, dental features, the presence of chronic or infectious diseases are determined. You may need to consult a gastroenterologist, endocrinologist, or immunologist.