How to treat oral herpes in babies

Every parent loves their child more than themselves. When their child is sick, the parent will feel more sad than if they were sick themselves. Oral herpes in babies is a relatively common disease that often makes babies feel very uncomfortable. I believe that parents must be very concerned about how to treat oral herpes in babies. Let’s learn about it together.

1. Stomatitis type aphthous ulcers: They are scattered small single ulcers with repeated course and no blistering stage. The ulcers are mainly distributed in the mucosa with poor keratinization in the oral cavity. They do not cause gingivitis and are rare in children with no skin damage.

2. Trigeminal herpes zoster: caused by varicella-zoster virus. The blisters are arranged in a band along the trigeminal nerve, not exceeding the midline. The pain is severe and generally does not recur after healing.

3. Hand, foot and mouth disease: caused by Coxsackie A16 virus, scattered blisters and papules appear on the oral mucosa, palms, and soles of the feet in varying numbers. The blisters in the mouth are easy to break and form ulcers.

4. Erythema multiforme: a group of acute inflammatory skin and mucosal diseases involving the skin and mucous membranes, with target-shaped or iris-shaped erythema as typical lesions. The oral mucosa is congested and edematous, and erythema and blisters are sometimes seen. The blisters are easy to rupture, leaving behind erosive surfaces, and there is a large amount of exudate on the surface to form a thick pseudomembrane.

Treatment principles

1. Systemic antiviral treatment: nucleoside antiviral drugs and ribavirin. For primary herpetic stomatitis, oral acyclovir 200 mg/time, 5 times/day, or ribavirin 200 mg/time, 3-4 times/day can be taken.

2. Local treatment: Topical medication for the oral mucosa. Commonly used preparations include solutions, pastes, powders and lozenges, such as compound boric acid solution, 0.1% to 0.2% chlorhexidine solution for gargle, phthalamide ointment, acyclovir ointment for local application, tin powder, Yangyin Shengji powder for local use, chlorhexidine gluconate tablets for sublingual use, etc. For recurrent herpes labialis, local irradiation with helium-neon laser can also be used.

3. Symptomatic and supportive therapy: Patients with severe illness should rest in bed. Those with difficulty eating can receive intravenous infusion and supplement with vitamins B and C, etc.

Through the above content, we know how to treat baby oral herpes. If parents still have any questions, you can ask our online experts your questions. Our hospital has the most authoritative experts, and I believe they will give you a satisfactory answer.