What to do with stomatitis in children

When we see chubby children, our hearts melt. However, children's resistance is relatively weak. When mothers see anything abnormal in their children, they will think that their children are sick. Therefore, mothers hope that their children can grow up healthily. When the baby's mouth is inflamed, mothers will be particularly nervous. Today, let's see what to do if children have stomatitis?

Stomatitis in children refers to inflammation of the oral mucosa, if the lesions are localized such as the tongue. Quarrel. gums. It is also called glossitis. Gingivitis. and angular cheilitis.

1. Simple stomatitis: [Cause] It is mostly caused by stimulation of local physical and chemical factors. Scrubbing the newborn's mouth with rough objects, overheated or hard food, chemical preparations or drug stimulation can all cause the disease. Gastrointestinal diseases, acute infectious diseases such as measles, scarlet fever or other febrile diseases can also cause the disease.

[Clinical manifestations] The mucosa of the entire oral cavity, including the lips, tongue, cheeks, and palate, is congested and edematous, and appears red and velvety; in severe cases, the mucosal surface is slightly eroded. The sick child will complain of pain when eating. Infants and young children sometimes have difficulty sucking milk due to pain and have a poor appetite. If it is not caused by a systemic disease, there are generally no other manifestations except local oral symptoms.

2. Acute bacterial stomatitis: [Cause] It can be caused by streptococci, Staphylococcus aureus, Streptococcus pneumoniae, etc. Low local or systemic resistance of the body, such as poor oral hygiene, acute infectious diseases, and long-term digestive and nutritional disorders, can all be causes of this disease. [Clinical manifestations] Oral mucosal congestion, edema, and increased saliva. Scattered ulcers of varying sizes appear on the gums, tongue, cheeks, inner sides of lips and palate, and sometimes they can connect into large areas. The periphery of the ulcer is relatively regular, with thicker fibrinous exudate, forming a grayish white or yellow pseudomembrane covering the wound surface. After the pseudomembrane is peeled off, it will show a hemorrhagic erosive surface. Taking the pseudomembrane for smear or culture can reveal pathogens. The ulcer is painful. There is slight bad breath and local lymph nodes are often swollen. Systemic symptoms vary in severity, and most patients have fever, irritability, loss of appetite, or inability to eat due to local pain. The total white blood cell count is often increased.

3. Oral thrush: [Cause] It is caused by Candida albicans infection. This fungus often parasitizes on normal skin and mucous membranes, and can cause illness when there is malnutrition, reduced body resistance or poor oral hygiene. It can also cause illness due to long-term use of antibiotics, which inhibits other bacteria and causes the fungus to grow rapidly.

[Clinical manifestations] It is more common in newborns and infants. It is characterized by the appearance of white spots or flakes on the oral mucosa. It first appears on the edge of the tongue or buccal mucosa, gradually spreading to the tongue, gums, palate and pharynx, and may merge into a large piece of white film. This white flake substance looks like milk curd, but it is not as easy to wipe off as milk curd if you wipe it gently with a cotton swab dipped in water. However, it is easier to peel off than the diphtheria pseudomembrane and is not prone to bleeding. In addition, the oral mucosa is relatively dry, not red or swollen, and there are no systemic symptoms. ?However, in patients with low body resistance, the lesions can spread to the throat and go down along the esophagus or trachea to affect the digestive tract and respiratory tract, and even cause systemic fungal diseases.

4. Herpetic stomatitis: [Cause] Caused by herpes simplex virus. When suffering from respiratory tract infection, diarrhea and other infectious diseases, the body's resistance is reduced, making it easy to get this disease. [Clinical manifestations] It is more common in children aged 1-3 years old. It has no obvious seasonality but is highly contagious, often causing small epidemics in collective childcare institutions. Fever occurs at onset, sometimes as high as 39-40 degrees. The sick child suffers from headache, fatigue, and may have symptoms of upper respiratory tract infection.

The oral mucosa is congested, the gums are swollen, and scattered or clustered yellow-white blisters may appear on the edge of the tongue, inner cheeks, lips, and upper palate. They are about 2-3 mm in diameter and surrounded by a red halo. The herpes can rupture very quickly, so most of the cases seen clinically are small ulcers formed after the herpes rupture. There is yellow-white cellulose exudate on the surface of the ulcer, the pain is severe, affecting eating, causing diarrhea, thirst, and often enlarged submandibular lymph nodes. The characteristics of pediatric stomatitis are severe pain, rapid onset, and the child's inability to eat, so rapid pain relief and promoting the child's diet are the key.

According to the above statements, we know that there are four major reasons why children have stomatitis. Children's resistance is very weak and they are easily infected by bacteria. At this time, mothers must be especially careful, pay attention to the changes in their children, and see why the children have stomatitis. Then give the children something to reduce heat, drink more water, and encourage them to eat more vegetables. I hope the baby can be healthy.