Do you know how to treat herpetic pharyngitis in children?

The incidence of herpetic pharyngitis is high among children. Children will suddenly develop a persistent high fever, and will also cry, be irritable, and refuse to eat. Infants will also have symptoms of drooling. Parents should not handle it privately, but take their children to the hospital in time. The combination of Chinese and Western medicine is effective in treating herpetic pharyngitis.

1. Herpangina in children is a self-limiting disease caused by enterovirus, characterized by acute fever and herpes ulcers in the pharyngeal isthmus. It is mainly transmitted through the fecal-oral or respiratory tract. It is highly infectious and spreads quickly, either sporadically or epidemically. The peak season is summer and autumn, and it mainly affects children aged 1 to 7 years. The general course of the disease is 4 to 6 days, and in severe cases it may last up to 2 weeks.

2. The main symptoms of the children are sudden fever, which may last or recur. Older children often complain of sore throat, especially when swallowing, and sometimes headache, abdominal pain or myalgia; infants and young children show symptoms of irritability, refusal to eat, drooling, vomiting, etc. Most children do not have symptoms such as coughing and runny nose. Some children may experience submandibular lymph node enlargement or tenderness, and routine blood examinations mostly show normal or slightly low blood cell counts.

3. This disease is better treated with a combination of traditional Chinese and Western medicine. The treatment is not complicated. Since there is no specific antiviral drug and antibacterial drugs are ineffective against viruses, the treatment mainly consists of oral Chinese medicine, antiviral drugs, and symptomatic treatment. Acyclovir, ribavirin and other Western medicines can be used to fight viruses; the traditional Chinese medicine diagnosis of herpetic pharyngitis is damp-heat throat congestion, which is mostly caused by exogenous damp-heat that attacks the pharynx. The commonly used treatment methods are detoxification, relieving sore throat, and removing dampness and reducing fever. The new Xiangru Drink, Ganlu Xiaodu Dan, Yinqiao Mabo Powder, antipyretic mixture, Shuanghuanglian, Isatis indigotica, Isatis root, etc. can be selected according to the syndrome differentiation; those with combined myocardial damage should rest in bed appropriately and use heart-protecting medicines.

4. You can also use pressurized or ultrasonic nebulization inhalation of antiviral drugs, take Huashenlong pills, take gargle with Liyan mixture, sprinkle tin powder, spray Jinhoujian, etc. for local treatment of pharyngeal isthmus; when fever occurs, you can use antelope horn powder to clear heat, reduce fever and prevent convulsions, or you can use physical therapy to reduce temperature. When the body temperature exceeds 38.5℃, you can use antipyretics such as Thorn and Motrin; when the body temperature exceeds 39.5℃, there is vomiting, convulsions, and it affects diet and sleep, you can cooperate with infusion support therapy and symptomatic central cooling measures; when the white blood cell count and neutrophil count in the routine blood examination are increased, it indicates a concurrent bacterial infection, and antibacterial drugs can be used in combination, otherwise it should not be used.

5. Sick children must be isolated for 2 weeks, and the utensils used by the sick children must be disinfected with boiling water to prevent cross infection. There is currently no vaccine for this disease. Because there are many types of enterovirus, the same child may be infected with the disease multiple times. During the treatment, you should pay attention to rest, avoid strenuous activities, get enough sleep, drink enough water, eat less food and more vegetables, and do not eat ice cream or drink beverages. Pay attention to keeping the diet light, drink more warm water, give your children more vegetables and fruits rich in vitamins, and eat less fried and greasy foods as possible. Avoid irritating foods, such as sour, sweet, spicy, salty, hot, hard, etc. Pay special attention not to eat overheated or overcold foods to avoid irritating the ulcerated area of ​​the mouth and causing pain. You can take appropriate amounts of mung beans, bitter gourd, coix seeds, rice, etc. to cook porridge or soup, let it cool down, and give the child an appropriate amount to drink.