With the onset of summer, herpes pharyngitis is at its peak. I met a child in the emergency room who was just over 1 year old and had herpes pharyngitis. He suddenly developed a high fever and had many ulcers on the upper palate of his mouth (commonly known as heaven), his gums were red and swollen, his mouth smelled bad, he cried all the time and could not eat anything. Herpes pharyngitis is an enterovirus infection that is contagious and can be spread through saliva droplets or contact, so it can be caused by close contact between adults and children, such as kissing children, and can also be spread among children. The main clinical manifestation is the early appearance of small blisters on the mucous membrane of the palate of the mouth, which break down and form ulcers, causing significant pain and affecting the child’s ability to eat. If, in addition to the oral cavity, herpes also appears on the palms of the hands, feet, or even the buttocks, then it is likely to be HFMD, which is caused by the same type of enterovirus infection, but is usually more severe in HFMD. The key to oral care for a child with herpes pharyngitis is simple, but also very important is to drink water! Be sure to encourage your child to drink more cool water, light salt water, even if you can bear to drink two or three mouthfuls of water, a little later, a little later, a slightly lower temperature water can start the analgesic effect, but the most critical thing is that you can flush some of the traumatic bacteria, secretions, as much as possible to keep the oral cavity clean, which will help the condition to get better. Especially for small babies, it is impossible to take other measures. Older babies can use some tablets or mouthwash to help clean their mouths. In addition to oral care, the most important thing is to handle the baby’s fever properly. The virus is usually self-limiting, and the duration of the disease is usually about 1-2 weeks. Therefore, if you can take proper care of the mouth and control the body temperature, your baby will get better faster. Parents should be reminded not to give antibiotics to their children when there is no obvious bacterial infection, because this is a viral infection! I personally believe that antiviral drugs should not be given when the condition is not too serious because of their side effects, and should be prescribed by a professional doctor.