Herpetic stomatitis in children and adults - treatment


1. features of the disease

2. symptoms of herpetic stomatitis in children

3. treatment of herpetic stomatitis

Among all the diseases of the oral mucosa acuteherpetic stomatitis is the most common disease.Most often it occurs in children from one to three years, because at this age the immune system is not fully formed, and the body is unable to fight infection.

Herpetic stomatitis is still the name of the primary herpetic gingivostomatitis.It is a disease that is caused by herpes simplex virus and is characterized by rapid onset of painful sores on the gums and the oral cavity.Secondary herpes (recurrent) is a local reactivation of the virus in turn.

Herpetic stomatitis occurs regardless of age.Children from one to three years, as a rule, are infected with the herpes simplex virus from adults.The infection causes inflammation of the mucous membranes of the mouth and inflammation of the gums, with increased cervical lymph nodes, increased body temperature and general condi

tion deteriorates.But the disease is often easy and even remain undetected.

Herpetic eruptions can appear in any part of the mouth, but it is always a plaque on the gums.Despite the fact that the symptoms generally disappear after a week to get rid of the herpes simplex virus finally fails.He will forever remain in the human body in an inactive state, and after a while re-growing.Its activation contribute to influenza and other viral infections, hyperthermia, hypothermia, endocrine disorders, emotional stress.

Unlike primary herpetic gingivostomatitis, which affects all parts of the oral mucosa, recurrent herpes, mostly accompanied by the appearance of ulcers ( "colds") on the lips.

People who escaped herpetic stomatitis in childhood, but they were ill in adulthood, the disease is more severe.

Peculiarities of

disease in the pathogenesis of the disease are important elements of the lymph nodes and reticuloendothelial system.The appearance of ulcers on the oral mucosa is inextricably linked with lymphadenitis of varying severity.Often, there are bilateral lymphadenitis, submandibular.But in acute herpetic stomatitis, the process involved and cervical lymph nodes.

resistance to herpetic stomatitis is determined by its immunological protection.In that case, if the immune system is weak, the disease is more severe.In general, there are three degrees of herpetic stomatitis in adults and in children: mild, moderate and severe.

mild form is characterized by the absence of malaise, weakness and nausea, body temperature normal.As a rule, in the mouth, there are several small bubbles mucosa heals quickly.

moderate forms of different discomforts, nausea, low-grade body temperature.In the mouth, the mucous membrane of many lesions.

In severe herpetic stomatitis in adults appear nausea, vomiting, diarrhea, high body temperature (38-40 ° C), on the mucous membrane of the mouth a lot of rashes.

moderate and severe forms of the disease provoked sharp depression of natural immunity, but he recovered after a week or two after recovery.The severity of acute herpetic stomatitis adult evaluated for the extent of damage and oral mucosal severity of toxicity.

In order to confirm the diagnosis of a specialist can prescribe the necessary laboratory tests.

Formation of diseases characterized by the following periods:

  • incubation;
  • prodromal;
  • period of development of the disease;
  • period of extinction;
  • period of clinical recovery.

symptoms of herpetic stomatitis in children

In children, the disease is more severe than in adults.It usually starts with increasing body temperature (38 ° C and above).The child becomes moody and irritable, lymph nodes increase.

symptoms of herpetic stomatitis in children are:

  • red swollen gums that bleed;
  • rashes and blisters on the mucous membrane of the oral cavity;
  • continually open mouth, pain on swallowing and take food.

herpetic stomatitis in children characterized by the appearance of erosions, which are formed in the mouth.They gradually covered with a touch of white and mucous heal in a few days.

mild form of the disease is characterized by lesions in the mouth only.In this case, the child can be treated at home, but you need to call a doctor.

Unlike mild, moderate and severe forms manifest a variety of lesions not only in the mouth, but also near the mouth and in the remotest areas.In these forms of the disease patients between the ages of one to three years need to be hospitalized.In addition, a child sick with acute herpetic stomatitis, should be isolated in a separate room and provide him with a separate bowl.

treatment of herpetic stomatitis

Tactics physician in the treatment of patients with acute herpetic stomatitis should be determined by the period of development of the disease and its severity.

very important to follow a balanced diet - food must be complete and contain the necessary vitamins and nutrients.Therefore, should eat fresh fruits, vegetables, berries and juices.It is also important to give the child plenty of fluids, which is essential when intoxication.In addition, it is necessary to give preference to a liquid or semi-liquid food.Before feeding the patient is recommended to anesthetize the oral mucosa or lidocaine solution anestezinovoy emulsion.In addition, the alkaline rinsing and relieve pain.

treatment of herpetic stomatitis should be general and local.Topical therapy involves the removal and relief of painful symptoms in the oral cavity, as well as prevention of repeated eruptions.

the treatment of herpetic stomatitis in the home should be every 3-3.5 hours to process the oral cavity of the patient with a cotton swab dipped in antiseptic solution (eg, in rivanola or furatsilina).

Given the etiology of the disease, it is necessary to pay attention to antiviral therapy.For these purposes it is possible to lubricate the mouth antiviral ointments, for example 0.5% or 50% oxolinic interferon.In the waning days of illness can be applied wound-healing agent (sea buckthorn or wild rose, oil solutions with vitamins A and B).

In addition, the patient is prescribed inside ascorbic acid and an antihistamine (Tavegil, Diazolin, Suprastin or calcium gluconate), and in moderate form of the disease are recommended adjuvants.

In severe stomatitis the child should be placed in a hospital for a course of intensive therapy.

People who often suffer an aggravation of the disease, experts recommend intake of lysine.Treatment of severe herpetic stomatitis antibiotics provides for the prevention of bacterial infections.But it is important to note that the antibiotics have no effect on the herpes virus itself.

Despite the seriousness of the disease, it can be avoided.In order to prevent disease, experts advise:

  • personal hygiene;
  • lead a healthy lifestyle and eat right;
  • avoid prolonged exposure to the sun;
  • avoid hypothermia;
  • enough sleep and avoid frequent stress.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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