Treatment of pharyngeal ulcers in children

Pharyngeal ulcer in children is one of the diseases with a very high incidence rate. This problem often makes children cry loudly in pain. As parents, when our children start crying, we are all worried. For this reason, we often take our children to seek medical treatment in the middle of the night, which tortures the children and many parents. So, is there any good way to treat oral ulcers in children? It can not only solve the problem of oral ulcers in babies but also reduce the trouble for our parents. Here we will introduce the treatment methods for pediatric pharyngeal ulcers.

Treatment:

1. General treatment: Life should be regular, work should be a combination of work and rest, excessive fatigue and mental stress should be avoided. If there is anxiety, counseling should be given, and sedatives can be given when necessary. In principle, it is important to eat on time and avoid spicy, salty foods and strong tea, coffee and other beverages. Although milk and bean paste can temporarily dilute stomach acid, the calcium and protein they contain can stimulate gastric acid secretion, so they should not be consumed excessively. If you have a habit of smoking or drinking and confirm that it is related to the onset of ulcers, you should quit immediately. Those who are taking NSAIDs should stop taking them as much as possible; even if the patient is not taking such drugs, they should be warned to use them with caution in the future.

2. Drug treatment Before the 1970s, the treatment of this disease mainly relied on antacids and anticholine drugs. The advent of H2RA caused the first change in treatment; eradication of Hp is a major milestone in treatment.

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1. Hp eradication treatment Eradication of Hp can completely achieve the treatment goal for most patients with Hp-related ulcers. The international community has reached a consensus on the treatment of Hp-related ulcers, namely, whether the ulcer is new or recurrent, active or dormant, or with or without a history of complications, anti-Hp treatment should be given.

1. Treatment plan for eradicating Hp Since most antimicrobial drugs have reduced activity in the low pH environment of the intestine and cannot penetrate the mucus layer to reach the bacteria, Hp infection is not easy to eradicate. To date, there is no single drug that can effectively eradicate H. pylori, so a treatment regimen has been developed that combines drugs that inhibit gastric acid secretion, antibacterial drugs, or synergistic colloidal bismuth agents. Treatment options for eradicating H. pylori can generally be divided into two categories: proton pump inhibitor (PPI)-based and colloidal bismuth-based. Triple therapy consists of a PPI or a colloidal bismuth agent plus two of the three antibiotics: clarithromycin (erythromycin), amoxicillin (or tetracycline), and metronidazole (or tinidazole). The resistance rate of Hp strains to metronidazole is increasing rapidly. Furazolidone has a strong anti-Hp effect, and Hp is not easy to develop drug resistance. Furazolidone can be used instead of metronidazole, with a dosage of 200 mg/d, taken in two doses. H2RA can be used instead of PPI to reduce costs, but the efficacy is also reduced. For patients who fail initial treatment, quadruple therapy consisting of PPI, colloidal bismuth and two antibiotics can be used.

2. There is no consensus on whether anti-ulcer treatment should be continued after the completion of Hp eradication treatment. When the treatment plan is highly effective and the ulcer area is not large, a single anti-Hp treatment for 1-2 weeks can effectively heal the active ulcer. If the efficacy of the H. pylori eradication regimen is slightly lower, the ulcer area is large, the patient's symptoms are not relieved at the end of anti-H. pylori treatment, or there is a recent history of complications such as bleeding, consideration should be given to continuing treatment with gastric acid secretion inhibitors for 2-4 weeks after the end of anti-H. pylori treatment.

The above content introduces us to how to treat pediatric pharyngeal ulcers. When our babies develop oral ulcers, we can treat our children faster and better, restore their health faster, and relieve our parents of unnecessary worries. I hope the above content will be helpful to everyone.