Q: What causes it? A group of enteroviruses
Q: What causes herpes cheek infection?
Herpes cheek infection is caused by an enterovirus. There are many kinds of enteroviruses, such as echovirus, coxsackie virus, etc. We all know hand, foot and mouth disease, in fact, hand, foot and mouth disease and herpes cheek infection is a class of viruses caused by, absolutely not a, a class of viruses.
Q: Is it severe enough to be HFMD?
Yes, hand, foot and mouth, hands and feet also have blisters, light throat is herpes cheek infection, they are a class of viruses caused by.
Why do you have a sudden high fever?
The virus comes quickly and reacts strongly
Q: Why do you get a high fever all of a sudden?
Because the virus comes quickly and reacts strongly, and it will disappear naturally after a certain period of time, so we call this disease a self-healing disease, and when it comes, the fever will be high, 39 or 40 degrees.
Q: How does the course of the disease progress?
From viral proliferation to natural regression
The whole course of the disease is the virus replication period, which is usually 3-5 days. What is meant by 3-5 days replication period is that it is growing and proliferating.
But later on, it stops proliferating, and after it stops proliferating, it stagnates, and finally it naturally decays in the body and is well. So we say that there is no medicine available for viral infection, you can not kill him quickly.
Some people say I used medicine to get well in a few days, in fact, without medicine, so many days, should also be well, so we have always said that herpes pharyngitis or hand, foot and mouth disease, the main is not to kill the virus, but to control the body temperature during the period of viral infection, including local symptoms.
For example, the throat is blistered at the beginning, when it is blistered does not feel pain, so when the fever is high, the child may not feel special pain, once the fever has gone down can still eat and drink a little. But when the so-called fever is gone, the child does not eat or drink, and some of them are drooling and crying. The herpes broke, and after it broke, it was the ulcer stage.
We look at the ulcer period, learn to be almost done. The days that are almost ready are actually the hardest days for the child because he can’t eat or drink, so it’s such a process.
From the beginning of the herpes, that is, the blister stage, high fever stage, to the later blisters broke, ulcer stage, the general temperature is low fever or recede, to finally completely healed.
So the recovery time of the disease is two weeks. 3-5 days for the replication period, to the ulcer, and then gradually get well again, to healing is basically two weeks. So the whole course of the disease is two weeks.
During the two weeks, some people say, in order to get better faster, can’t we use antibiotics to prevent infection? First of all, the virus itself is not something that antibiotics can kill, and there is no particular drug that has been found to really kill the virus, including virazole and some antiviral drugs actually really can’t kill, sorry, really can’t kill. In this way we need to protect our children very well.
Q: Antibiotics can prevent infection?
Doesn’t make any sense at all.
It makes no sense at all for antibiotics to prevent infections because they have no role in preventing infections, only in killing bacteria. Do we have bacteria in our bodies? The bacteria are everywhere in our body, in the mouth, in the ears, in the nose, in the intestines are bacteria, but these bacteria we call normal bacteria, we and bacteria are coexisting, not that the bacteria are the enemy, is bad, we have to drive it away.
If you give the child antibiotics, it will lead to the entire flora disorder, flora disorder, one may lead to antibiotic-related diarrhea, diarrhea, and then may lead to mycobacterial infections. Sometimes the ulcers that you see, the so-called pediatric thrush, is because the antibiotics put too much pressure on the bacteria, no beneficial bacteria clamping down on the mold, so that the mold can breed, invariably with antibiotics to prolong the course of the disease, aggravating the condition.
Q: Will it get better faster with antibiotics?
Proper care is more effective
The prolonged course of the disease does not mean that the viral infection has worsened, but that another layer of damage has begun.
So what should I do to prevent infection at this time? At this time there is a trauma in the mouth, and the child does not eat or drink, there must be bacteria at this time, bacteria stay here may multiply, because the mucous membrane once broken, invisible seepage of some things, these things are also nutrition for bacteria, so this time must encourage children to drink more cool water? Even bear to drink two or three mouthfuls of water, a little later, a little later, cool, cooler is not better to swallow? And itself cool water also has a bit of analgesic effect, so encourage some cool water, gradually, the wound washed clean, not infected, the better will be faster.
Some parents may ask why their neighbor’s child got it earlier than us and why he got better later than us? It’s because we used less medication, we didn’t use antibiotics, and we took proper care of them, so they got better faster. This is the principle of how we treat herpes cheek infection and hand, foot and mouth disease.
Hand, foot, and mouth disease itself will be more powerful and more severe than herpes cheek disease. But the vast majority, the vast majority is a viral infection process. Is it possible to really talk about the brain? There are definitely, including the flu can also be dead. But we find many serious cases, the most critical because the early stage of the disease is not well controlled, such as the fever problem, such as I said the mouthwash problem. The child ends up with a real bacterial infection, or even a serious meningitis. If you take better care early on like I said, you can prevent it.
Some people will say look at this without using antibiotics, it’s fine if you use them, but in fact it’s more problematic to use antibiotics in the first place, what is the problem? If the antibiotics kill the bacteria okay, once the antibiotics do not kill the bacteria, it will produce drug-resistant bacteria.
Q: Go to the hospital right away when your child has a fever?
Consider after 24 hours
Nowadays, there are too many drug-resistant bacteria. Sometimes parents say, “Look, my child is getting worse when he goes to the hospital, because the bacteria that the child is exposed to in the hospital are drug-resistant bacteria.
So the disease that can be controlled at home, control at home, do not go to the hospital. Going to the hospital is likely to cross-infection, the whole course of the disease will be prolonged, and the child will suffer more.
What is the purpose of your visit to the hospital? If it is just to reduce the fever, then the reduction of fever can be done at home. If something new is discovered during the fever and you feel that the problem cannot be solved or you do not understand it, you can take your child to the hospital, that way you have a strong purpose.
The early stage of herpes cheek infection is fever, and when you first get a fever you don’t even know it’s herpes cheek infection. Only 3-24 hours later when the throat is red and blistered is the diagnosis confirmed, there is always such a process. Therefore, we advise parents to take care of themselves as much as possible during the first 24 hours of fever symptoms, and then come back to the hospital after 24 hours if they are not sure or if they have any more problems, the doctor can also give you a relatively accurate examination, including taking blood tests or physical examinations.
Q: Does a high fever indicate a bacterial infection?
Often a high fever is more indicative of a viral infection
Q: Does a high fever in a child always indicate a bacterial infection?
A high fever does not necessarily mean a bacterial infection, but often a high fever means a viral infection, which comes on quickly and reacts strongly, so do not judge the severity of the disease by the level of fever.
Some parents said, give us antibiotics, I said it is not necessary now. If 38 degrees is not necessary, is 38.5 degrees necessary, is 39 degrees necessary, is 39.5 degrees necessary? The parents basically think that a high temperature is heavy and a low temperature is light, but this is not the case.
Q: Is a high white blood cell count necessarily a bacterial infection?
We need to look at the total number and also the classification
What are the white blood cells that are found to be high during a blood test? Lymphocytes, neutrophils, monocytes, eosinophils and basophils are the types of cells. Therefore, in addition to the total number of white blood cells, we should also look at the following classification. The classification generally depends on the percentage of lymphocytes, the percentage of neutrophils, and the percentage of other categories.
For example, if the test result is 13 leukocytes and 80% neutrophils, is it considered a bacterial infection? At this point, you actually need to do a smear and check the results manually. All of the blood testing machines in hospitals are not specifically designed for children, but are designed to check the results against the standard values for adults, and often lymphocytes are mistaken for granulocytes by the machines because granulocytes are relatively large and lymphocytes are relatively small. Generally, if the neutrophils are more than 75%, a manual smear will be done, and the results will show that many of them are very different from the results of the machine.
If the neutrophil count is 80%, the white blood cells should not be only 13, but probably 18 or 20.
Q: Is it not contagious after the fever has gone down?
Only after complete recovery is it not contagious
Q: How long is the incubation period for herpes cheek infection?
The incubation period is about 3-5 days.
Q: What about the infectious period?
It is reasonable to say that it starts from the incubation period and continues until full recovery. Why? Because after the herpes break, although there are antibodies, it is likely to spread to other people, so it takes about two weeks.
Q: What are the ways of transmission?
Droplets, saliva, oral contact, etc.
Q: Can you not get it again after you have had it?
It can be repeated, but the chances are not too high.
Q: Can herpes cheek infection be repeated? Will I become immune after having it once?
The disease is caused by a group of viruses, not a single virus, so it can be repeated. This time the infection is this virus, and the next time it may be a different one. However, the body is cross-immune to this group of viruses, so there is not much chance of getting it again and again, but it is definitely not true that you will not get it again and again.
Q: Anti-viral drugs are good for the treatment of the disease?
The side effects are even worse
Q: Many local doctors will prescribe the antiviral drug ribavirin.
There is a component of ribavirin in virazole.
Antiviral drugs have an inhibitory effect on cell differentiation and are used to treat by inhibition. Why do you discourage viral killing? Because antiviral drugs kill viruses to inhibit virus replication and also inhibit normal cells. Once normal cells are inhibited, something goes wrong and they become cancerous, so definitely, antiviral drugs are not advocated unless it is a special virus and inhibiting it is really to save your life.
Q: Anti-viral drugs or try not to use them?
Yes, what ribavirin, aciclovir, because antiviral drugs can cause teratogenic and carcinogenic and mutagenic, which is the side effect of the so-called antiviral drugs. This side effect, than antibiotic drugs
The side effects are even worse than those caused by antibiotics.
Q: What are the benefits of proprietary Chinese medicines for recovery?
It is mainly for hydration and fever reduction
Q: Do doctors prescribe Chinese medicine for herpes cheek infection?
Wang Meng: I will not. Rarely prescribe Chinese medicine, go home and drink more water.
Drink some water, take some tablets, local pain relief, mainly rehydration and fever reduction.