Oral herpes in young children

It is caused by a herpes virus and appears as a small herpes on the gums, buccal mucosa, tongue and palate, and pharynx. The herpes breaks down and becomes an ulcer covered by a yellowish discharge with a ring of redness next to it. Children often refuse to eat because of the severe pain caused by the mouth ulcers. The inflammatory stimulation of the oral mucosa increases saliva production and aggravates the phenomenon of drooling in children. Herpetic stomatitis is caused by the herpes simplex virus. Herpetic stomatitis can be infected at birth through the birth canal. Studio stomatology orthopedic disease description stomatitis is the oral mucosa due to various infections caused by inflammation, if the lesion is limited to local such as tongue, gums, corners of the mouth can also be called tongue inflammation, gingivitis or stomatitis, etc.. The disease is mostly seen in infants and young children. It can occur alone or secondary to systemic diseases such as acute infections, diarrhea, malnutrition, chronic illness and vitamin B and C deficiency. Infections are often caused by viruses, fungi, bacteria, inattention to eating utensils and oral hygiene or various diseases that lead to a decrease in body resistance and other factors that can lead to the occurrence of stomatitis. Currently, bacterial infections are rare, but viral and fungal infections are still frequently seen. Herpes stomatitis is caused by herpes simplex virus type I infection. It is mostly seen in children aged 1-3 years, and there are no significant seasonal differences in its onset. The virus can be isolated from the patient’s saliva, skin lesions, and urine and stool. After 1-2 days, single or clusters of small herpes, about 2 mm in diameter, surrounded by a red halo, appear on the oral mucosa of the gingiva, inner lip, tongue, and cheek mucosa, rapidly breaking down to form ulcers covered with yellowish-white fibrinous secretions, and multiple ulcers may fuse to form large irregular ulcers, sometimes involving the soft palate, tongue, and pharynx. Due to severe pain, the child may show refusal of food, salivation, irritability, and swollen lymph nodes belonging to the child may last for 2-3 weeks. The disease should be differentiated from herpes pharyngitis, which is mostly caused by Coxsackie virus and occurs in summer and autumn. Herpes mainly occurs in the pharynx and soft palate, sometimes in the tongue but does not involve the gingiva and buccal mucosa, this point is very different from herpes stomatitis to distinguish hand, foot and mouth disease 1, acute onset, fever; 2, the oral mucosa appear scattered herpes, the size of a grain of rice, pain is obvious; 3, the palms of the hands or feet appear rice-sized herpes, buttocks or knees may occasionally be involved; 4, herpes surrounded by an inflammatory redness, herpes within the The herpes can be accompanied by cough, runny nose, loss of appetite, nausea, vomiting, and headache. 1) Keep the newborn’s oral hygiene frequently, drink more water, and prohibit irritating drugs to prevent oral inflammation. 2) Strictly enforce the sterilization and isolation system. 3) For severe ulcer pain, apply topical 2% lidocaine for pain relief and ensure that the child is fully nursed for heat and water. Local herpes net can be applied to inhibit the virus, or spray watermelon cream, tin type dispersion, etc. 4. Attention should be paid to good oral care and keep the mouth clean to repair the trauma and relieve pain. The mouth can be thoroughly cleaned with 0.9% NS or 2% SB, especially the ulcer area, and then locally coated with polymyxin; to relieve pain when the child eats, 2% lidocaine can be applied to the mouth 10-15 minutes before eating. 5. 2.5%-5% gentamycin cod liver oil can be applied to prevent secondary infection. For severe pain, 2% lidocaine can be applied locally before meals. The food should be slightly warm or cool liquid. Antipyretics are available for fever and antibiotics for secondary infections. 6. To treat herpes stomatitis, the main thing is to control the infection, use triazolyl nucleoside or oral platelet flush, keep the mouth clean to repair the trauma and relieve pain, in addition, B vitamins should be supplemented appropriately. My friend’s baby is also feverish, in the case of taking antipyretic medicine still does not reduce fever, went to the nearby community service station, the doctor said the throat fire, to the baby hanging water, dispensing medicine, hanging water finished the fever also went down. However, on the third day, the baby had a fever again, reaching 39.5 degrees, and a few white bubbles appeared on the tongue, which was the most powerful period of hand, foot and mouth publicity. The doctor prescribed a drip and dispensed medicine, but after the drip, the baby still had a fever of 40 degrees and asked the doctor, who said it was to be like this, because there were too many people visiting the doctor and the doctor did not elaborate. The doctor prescribed five days of suspension, mainly cephalosporin, inflammatory and anti-inflammatory drops, with some oral liquid and punch to clear the throat and throat, the doctor advised that the temperature should be measured once every half hour, especially at night, the temperature should be over 39 degrees to take antipyretics, Merlin, Tylenol can be taken every four hours, the baby has been high fever in those days, they take turns at night to the baby with warm towels Wipe. Until the fifth day of the night the baby’s fever finally went down when the doctor said the recovery was very good, the oral herpes diagnosis are no longer, again blood test, white blood cells have returned to normal, and said that this time the medicine after eating no need to come back to the follow-up. The five days of the baby’s high fever, they went through purgatory-like pain, while suffering their care methods are: First, wash hands regularly, before and after meals with hand sanitizer for the baby to wash their hands. They bought grapes and made water for the baby to drink slowly to give it more energy, and cooked the porridge and gave it to the baby after blowing it warm. Feed the baby. Five, all the baby’s toys, clothes, all the bedding soaked in disinfectant and washed in the sun to disinfect. Six, do not take the baby to the crowded stations, shopping malls are public places to reduce the chance of cross infection. Seven, gargle the baby’s mouth with light salt water every day, because light salt water has the effect of wounding bacteria, and also spray with watermelon cream spray at night before bedtime on the place with traumatic surface and herpes diagnosis to speed up the recovery. Under their careful care, the baby finally recovered fully after half a month, but the lesson brought to them is that in the hot summer, various bacteria are breeding, mothers must pay attention to their children’s daily hygiene, wash hands regularly and more often, eat a reasonable diet, balanced nutrition, strengthen physical exercise, enhance resistance, and go to less crowded public places to get together.