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Stomatitis in children: symptoms and treatment


Stomatitis in children Stomatitis in children is a common disease of the mucous membranes of the oral cavity, manifested by characteristic symptoms and developing as a result of the penetration of a pathogenic infection or due to an allergic reaction.

There are many misconceptions about the causes of stomatitis in children. The most common of them - the disease develops as a complication after acute respiratory illness, influenza infection.

Experts emphasize that stomatitis may occur as a consequence of SARS, but not as a complication of the disease, but as a result of a decrease in the overall protective functions of the body.

Immunity of the oral cavity falls due to the constant drying of the mucous membranes during an infectious disease, as there is a decrease in saliva production during this period. When a pathogenic infection penetrates a dry oral cavity, the body cannot withstand the attack and the inflammatory process begins.

The child behaves restlessly, often crying, refuses food and even water, does not sleep well. Possible increase in body temperature to high rates.

Attention! Do not self-medicate! Independently establish the diagnosis is impossible. A qualified pediatrician with extensive experience should appoint a competent therapy. Often parents treat stomatitis with antibiotics, which only exacerbate the situation and further contribute to lower immunity. Prescribing antibiotics for any temperature rise in a child, including during stomatitis, is a common mistake of parents.

Types of disease

There are many types of disease. The most common forms of stomatitis:

  • aphthous;
  • herpetic;
  • angular

Aphthous stomatitis

Afta is a localized area of ​​the oral mucosa in the form of small foci of inflammation - round-shaped sores with a bright red rim and yellowish gray patina. This type of stomatitis is not contagious.

Herpetic stomatitis

Herpetic stomatitis - is transmitted from child to child through toys, dishes, etc. and most often occurs in young children. The causative agent is a type of herpes virus.

Angular stomatitis

Angular stomatitis in children photo In everyday life, this type of disease is called zady. Slivers are manifested by irritation of different intensity in the corners of the mouth, which, subsequently, leads to the formation of painful cracks.

If a child is often diagnosed with this type of stomatitis, laboratory and diagnostic measures should be carried out and consult a doctor. The most common cause of the development of this type of disease is an acute shortage of iron in the child’s body or its insufficient absorption.

The causes of the disease

The development of the disease is due to several factors.

The disease can develop as a result of mechanical damage to the mucous membrane:

  • when biting through the internal surfaces of the cheeks, for example, when a child is sleeping
  • after thermal burns, such as a hot meal or drink.

Due to excessive overdrying of the mucous membrane of the oral cavity, which is a favorable environment for the revitalization of pathogenic viruses, viral forms of the disease are developing.

The herpetic form is caused by the herpes virus (the first type), which has nothing to do with genital herpes (the second type). These two types of herpes are often mistakenly identified.

The causes of non-herpetic stomatitis (aphthous) have not been precisely established. Among the provoking factors are called:

  • genetic predisposition;
  • immunity disorders;
  • psycho-emotional overload;
  • nutritional deficiencies, iron, vitamin B12 in the child’s body.

In some cases, the disease develops as a result of a food allergic reaction.

Symptoms of stomatitis in children

Common symptoms that can occur with any form of the disease include:

  • the appearance of ulcers in the mouth, the size, foci and color of which can vary greatly depending on the type of stomatitis;
  • a change in the child's behavior - tearfulness, irritability, worsening of sleep and appetite.

Symptoms of herpetic stomatitis

Herpetic stomatitis in children photo Herpetic stomatitis has its own characteristic symptoms:

  • the simultaneous appearance of aft almost the same size and configuration on the mucous membrane of the mouth at once in several places;
  • undulating course of the disease, manifested in the initial period of rash painful ulcers, a sharp increase in body temperature. Then there is a stabilization of temperature and improvement of the general condition of the child. After a few days, a relapse develops - new rashes appear, and the temperature begins to rise;
  • swelling of the gums;
  • bad breath.

Symptoms of aphthous stomatitis in children

A few days before the development of the disease, a characteristic symptom, the so-called geographical language, is observed. The tongue is covered with small bubbles. After a day or two, the next period of the disease begins: aphthae on the oral mucosa and an increase in body temperature. The child complains of a burning sensation in the mouth, refuses food and water.

Aphthous stomatitis in children photo Aphthous stomatitis symptoms photo

Often, in addition to the bubbles, a bloom of white is observed on the tongue.

Attention! The number of aft on the oral mucosa in the aphthous form of stomatitis is much less than in the case of herpetic. Usually poured no more than one or two or five or six ulcers. For the herpetic form is characterized by a large number of ulcers, which sprinkled the entire mouth of the child.

A common common symptom of any type of stomatitis is an increase and tenderness of the lymph nodes under the lower jaw.

Classification by severity

The severity of symptoms allows you to classify any kind of disease.

It is customary to separate the following forms of the disease:

  • light, which is not observed intoxication and pronounced symptoms;
  • moderate, in which rashes on the mucous membrane of the mouth are numerous and the overall health of the child deteriorates;
  • severe, with which significantly increased body temperature, pronounced general intoxication and diagnosed multiple rash.

The disease can also be: acute, recurrent and chronic. With proper treatment, the risk of developing the chronic form is minimized.

Prevalence of disease

There is a prevalence of a certain type of disease depending on the age of the child.

Children aged 1-2 years . The most commonly diagnosed candidal stomatitis, which can be repeated every month, and herpetic stomatitis

Children from six years . Allergic or aphthous type of stomatitis is diagnosed.

The bacterial form of stomatitis is characteristic of both children and schoolchildren, since the cause of its occurrence is most often mechanical injury of the oral mucosa or thermal burn, as well as violation of the rules of personal hygiene and eating unwashed fruits and vegetables.

In children, especially younger ones, the mucous membrane of the mouth is very tender and easy to injure. The immune system in this period is still being formed, because it can not cope with attacks of disease-causing organisms from the outside. Saliva is an excellent factor for powerful protection against disease-causing agents; however, in young children, saliva does not yet possess strong antiseptic properties.

Diagnosis of the disease

The diagnosis is made by the doctor after an external examination of the child. Only a doctor can identify stomatitis and determine its type. There are many inflammatory diseases of the oral cavity, it is glossitis, and gingivitis, and periodontitis. Each disease has its own symptoms and its own method of therapy.

In the chronic form of the disease there is a need for additional laboratory and diagnostic measures.


  • cytological;
  • virological;
  • bacteriological;
  • immunological and other studies.

For laboratory tests, smears and scrapes are taken from the mucous membrane and blood.

If a child is diagnosed with chronic candidal stomatitis, it is necessary to conduct a laboratory test of blood for glucose and visit a children's endocrinologist.

In case of persistent chronic aphthous stomatitis, consultation with an experienced pediatric gastroenterologist, allergist and immunologist is necessary. In such cases, doctors prescribe additional studies:

  • analysis of feces on the eggs of the worm;
  • tests for dysbacteriosis ;
  • ultrasound examination of the abdominal organs.

Treatment of stomatitis in children

Treatment of herpetic stomatitis

The main way to treat stomatitis in a child is to take special antiviral drugs (acyclovir, viferon in candles, viferon ointment). The disease is based on the herpes virus, from which it is impossible to get rid of it forever, but it is possible to suppress its activity by means of well-planned treatment. Immunostimulants are also recommended, because a weakened immunity allows the disease to progress.

Special attention is paid to antiseptic rinses. Locally it is necessary to get rid of the virus, remove the inflammatory reaction and eliminate the painful sensations. Anesthetics help reduce painful manifestations, restore appetite and improve the mood of the baby. Use spray anesthetics. Many dentists recommend rinsing the mouth with chlorhexidine.

But there are also combined antiseptics, which not only destroy viruses, but also anesthetize. It is good, when similar agents have also anti-inflammatory effect, and not just antiseptic. If a child with stomatitis has a high body temperature, be sure to give the crumbs antipyretic drugs. Against the background of hyperthermia in childhood, convulsions can begin at any time.

During illness, the child needs a half-bed mode. Give up walks and outdoor games. Remember that stomatitis is an infectious disease characterized by high contagiousness (can be transmitted to others, especially to weakened children and the elderly). Give a sick child a separate towel, your cutlery, try to reduce his contact with other family members.

In case of recurrent herpetic stomatitis, it is necessary to consult an immunologist. Serious immunomodulators are prescribed that increase the body's defenses and activate antiviral activity. Do not self-medicate and never give children drugs without coordination with the pediatrician. You can not know how the baby's body will react to this or that means. For any stomatitis, it is recommended to give the child vitamin preparations that the pediatrician should prescribe.

Treatment of aphthous stomatitis in children

Treatment of aphthous stomatitis is prescribed by a doctor. At the same time, it is necessary to take into account the causes of the disease. If aphthae appear as a result of injury to the mucous on the sharp edges of carious defects, then it is necessary to cure tooth decay and polish the teeth. Topically, aphthae can be treated with anesthetics, anti-inflammatory drugs. To improve the condition of the oral cavity will allow toothpastes with enzymes, vitamins and microelements. They can be used for several months to achieve a local immunostimulating effect. If you suspect allergies, exclude from the baby's diet foods that most often cause an exacerbation of an allergic reaction (strawberries, citrus fruits, chocolate).

With aphthous stomatitis, children are often found staphylococcus. This microbe lives in a dental calculus, inside carious cavities. Therefore, be sure to show your child to a dentist who will professionally reorganize the oral cavity, eliminate all existing dental deposits, and heal carious defects.

Recommendations for parents

It is necessary to immediately consult a pediatrician:

  • in case of a child’s refusal of food and difficulty in swallowing;
  • at elevated body temperature;
  • with worsening sleep;
  • with increased irritability, tearfulness and any changes in behavior;
  • in case of detection of ulcers and plaque in the mouth.

Therapy of stomatitis in children is carried out only after an external examination of the child by a doctor and collection of anamnesis. The selection of treatment depends on the form of the disease. Self-treatment is unacceptable and only aggravate the situation.

In order for recovery to come faster, you need:

  • observe a sparing diet - eliminate solid foods that contribute to irritation of ulcers and exacerbation of the inflammatory process in the mouth, do not give the child sour and spicy foods and too hot food and drinks;
  • carry out a thorough oral hygiene - daily rinse your mouth with antiseptic agents prescribed by a doctor and carefully clean your teeth and tongue with a soft bristled toothbrush;
  • when raising the body temperature to high rates give antipyretics.

As an effective means for rinsing the mouth use: chlorhexidine, furatsilin, decoctions of chamomile and calendula. There are also pharmacy antiseptic aerosols, which are prescribed by the attending physician. But some means for rinsing is often not enough. Comprehensive treatment measures are needed to prevent recurrence.

Attention! Aerosols should not be used for children under one year of age. For young children, gels are recommended that relieve itching and are also used when teething the first teeth in babies.

It is necessary to draw the attention of parents to the fact that if the child wears braces and often becomes ill with stomatitis, it is necessary to visit the children's dentist and resolve this issue.

Prognosis of the disease

With the parents strictly following the doctor’s prescription, the symptoms of the disease disappear 10-15 days after the onset of the disease. This applies to any kind of stomatitis. No need to interrupt treatment at the first improvement in the general condition of the child. Therapeutic measures must be completed.

Prevention of stomatitis in children

Preventive measures of stomatitis in children do not present difficulties and require only the discipline of the parents. It is necessary to ensure that the child does not injure the oral cavity. From a very young age, the child should be taught proper and constant hygienic oral care. Reduce the risk of developing the disease in children up to a year of life simple manipulations: regular disinfection of nipples, feeding bottles, toys. A nursing mother should thoroughly treat the breast glands before each feeding, not lick the nipples and spoons of the child.

From the moment the baby’s first teeth erupt, parents are obliged to undergo regular check-ups at a pediatric dentist. Brushing your teeth should be done only with specially intended for children toothpastes, which are designed to increase local immunity.

If the child is wearing briquettes, special preventive measures should be observed; use modern cleaning products - irrigators.

Common preventive measures include the timely treatment of any acute and chronic diseases in a child and the treatment of comorbidities.

| 19 May 2015 | | 7 559 | Children's diseases
Leave your feedback

Aqua_rose 8: I had around 6 ulcrers all at once back when i was 3 yo. Turns out mum told me that i licked the floor a lot and the bacteria piles up in there to cause it -_-

LS RĒCORDS: I have one right now but this one is different. It hurts when anything touches it, like water or saliva, also it is on the gum opposite my teeth and and it is rubbing against my teeth and getting worse

Amogh Mhatre: Stop saying banane are worst.. If it's hurting let it hurt... Bananas containing iron which helps in healing ulcers.. Plus if you want to get rid of ulcers within 3 days... Just go and apply salt on ulcer and press it. Until your eyes starts watering.. Yeah it will hurt like hell but trust me.. It will heal more faster than any medicine.. Btw I got an ulcer behind my cheeks the side which I eat.. And it's so painful that i can't even open my mouth it hurts.. Can't eat can't talk so worst.. This is the Worst ulcer in my whole lifetime

Kim Duy Tan: I do not normally like giving my views about certain matters, but the Herpes treatment solution *4HerpesCure .Com* is simply too great not to share due to its fast and effective outcomes. I saw a massive development right after just Two days. This morning, the Herpes were almost unseen as well as treated.

Two Pacs Shakur: I smoked with a girl who has herpes. Idk if it’s genital, oral or both. She didn’t have any bumps on her lips. Does anyone know if I caught it off of smoking with her??? I had a enlarged lymph node on the back of my neck, no cold sores or puss blisters on my lip though. We smoked New Year’s Eve, today it’s 1-25-20 I had a enlarged lymph node but it went down, and I had a little runny nose/watery eyes.

Experiment Eight: Is everyone on here a hypochondriac or germaphobe? Just chill if you got HSV1, like 70-80% of people got that so it's practically like a cold or acne, just part of life. Can't say the same for HSV-2 though