How to recognize and treat stomatitis in children in time?

One of the most common diseases of the oral cavity is stomatitis. This is a pathology that most often takes an infectious-inflammatory course and is the result of increased activity of lymphocytes in response to the ingress of pathogenic molecules that the child’s body cannot recognize. Decreased immunity is the main factor that provokes inflammatory processes in the mucous membranes of the oral cavity. In newborns and infants of the first year of life, the immune system continues to improve and cannot cope with all negative factors, therefore children under one year of age are considered the most vulnerable group of patients for the development of various forms of stomatitis.

Stomatitis in babies

Treatment of stomatitis in infants differs from therapy that may be recommended for an adult, so you cannot prescribe medications yourself. This is also due to the fact that stomatitis has several varieties, each of which differs in clinical course, symptoms and characteristics of the therapy. To correctly determine the type of disease, laboratory diagnostics (scraping from the tongue and gums) may be required, so if symptoms of stomatitis are detected in an infant, you should immediately go to the hospital. The pathology is treated by a local pediatrician or pediatric dentist.

Childhood stomatitis - how to help your baby?

Types of stomatitis common in children?

Treatment of stomatitis will directly depend on the correct diagnosis of the form of the disease and the severity of its manifestation. Below are the forms of stomatitis that are most common in children.

• Herpetic stomatitis in a child is expressed by multiple small or merging blisters, gradually turning into erosions with a white-gray coating.

• Aphthous stomatitis in children is one, two or three elements of a round-shaped rash (aphtha) with a diameter of 5-10 mm with a red rim around.

• Candidal stomatitis in infants is a whitish “curdled” coating on the tongue or cheeks, tightly fused to the mucous membrane.

• Angular stomatitis , seizures - erosions with crusts in the corners of the mouth.

Children may also encounter toxic-allergic, bacterial, erosive, and many types of specific (arising against the background of a specific infection) stomatitis, but the most common are acute herpetic, chronic recurrent herpetic, chronic recurrent aphthous and angular stomatitis.

What is stomatitis?

Stomatitis is the general name for a large group of diseases of the oral mucosa, which are characterized by a general picture of inflammation, as well as the appearance of specific rash elements on the mucosa (depending on the type of stomatitis).

This disease can occur in both adults and children, with the only difference being that some types of “adult” stomatitis do not occur in children (prosthetic stomatitis or stomatitis associated with smoking).

What are the causes of stomatitis in children and infants?

In children and infants, in most cases, the cause of stomatitis is infection. Stomatitis is often associated with ARVI, although the virus is not directly involved in stomatitis.

Stomatitis occurs against the background of a decrease in general immunity, against the background of local immunity in the oral cavity, and can also occur due to injury and subsequent infection of the mucous membrane. With general diseases (acute respiratory infections, acute respiratory viral infections, severe systemic diseases), the body’s overall resistance decreases, which contributes to the development of stomatitis. With viral infections accompanied by a runny nose and cough, the oral mucosa dries out, resulting in a decrease in local resistance - this also contributes to the development of stomatitis.

Treatment of stomatitis in infants

the article on how to treat stomatitis in infants with a warning. Many young parents rely more on their grandmother's and mother's advice, which, they say, has always helped - and will help now. We don’t argue - folk remedies are effective and often with their help you can easily get rid of inflammation in the baby’s mouth, including thrush, which occurs in a mild form.

Treatment of stomatitis

Many doctors recommend rinsing with chamomile, but this must be done very carefully, placing the baby on its side so that it does not choke. Although most folk methods - rinsing with decoctions of sage, St. John's wort, cabbage juice, etc., are not very suitable for a newborn who, in addition to mother's milk, does not yet even receive complementary foods. In addition, some methods are categorically unacceptable for children, for example, in no case should you burn sores with brilliant green or peroxide. Firstly, it is very painful (try it for yourself), and, secondly, burns are obtained on the baby’s delicate mucous membrane, which are very difficult to heal.

We also consider it contraindicated to lubricate erosions with honey, because a sweet nutrient medium, on the contrary, promotes even greater development of bacteria and fungi. Moreover, there is no need to shove a mixture of yogurt with garlic or aloe juice into your baby’s mouth. Self-treatment can lead to the opposite results - the disease will develop and enter a difficult-to-treat stage. Parents often ask the question: which doctor treats stomatitis ? Thrush and other mild forms of stomatitis are treated by pediatricians; more complex cases should be addressed to pediatric dentists.

How to treat stomatitis in children under one year of age?

In general, the treatment of stomatitis, like all other diseases of the mouth, is the prerogative of dentists. After all, treatment depends on the type of stomatitis and the causes of its occurrence. And only a doctor can assess the severity of the disease and the necessary list of medications and manipulations. To carry out treatment, the child should be isolated from other children, since stomatitis is a contagious disease. You should strictly adhere to cleanliness, feed the baby only warm and liquid food, and give plenty of unsweetened drinks. Before feeding, you should wash your breasts well with warm water (without soap or alcohol solutions!). Treatment of stomatitis in infants and older children has a number of differences, because you cannot force a baby to rinse his mouth, he will not talk about his feelings. When the baby has eaten, you need to put him on his side and rinse his mouth with a special irrigation bottle, pouring the solution (chamomile, pimafucin) behind his cheek and collecting it with a diaper. After this, the mouth is lubricated with special ointments, which are prescribed by the doctor depending on the type of stomatitis - antifungal, antiviral or, in the case of traumatic stomatitis, a solution of vitamin A in oil or Shostakovsky balm.

To treat thrush, a Candide solution is used, which destroys the fungus. The duration of use of the drug is strictly 10 days; you cannot stop treatment, even if there is no longer visible thrush, since the fungus may not be completely eliminated, and if it returns, it will be resistant to the drug and difficult to cure. For candidiasis, it is also recommended to lubricate the mouth with a solution of soda (or boric acid) to change the pH, which kills the fungus. Under no circumstances should you use drugs prescribed for older children for infants! Dosages for children are completely different, in addition, there may be intoxication of the body, because the functions of the liver and kidneys are still in their infancy. For infants, lubrication with aniline dyes (methylene blue) is also not used. The doctor may prescribe lubrication of the mucous membrane with 1% clotrimazole or 5% nystatin ointment.

How to treat viral stomatitis?

How to treat stomatitis in an infant if it is of viral origin? Herpetic stomatitis in infants requires a more responsible attitude. In acute cases of the disease, treatment is only in a hospital. The main reason is that acute viral stomatitis occurs against the background of a sharp increase in temperature to 40°, which often causes convulsions and can cause respiratory arrest.

In case of a mild form of herpes (and aphthous stomatitis, which is more rare in infants), a course of acyclovir (in the form of an ointment), vitamins and immunostimulants is given, but only on an individual prescription from a doctor. In addition to antiseptic rinses using chamomile decoctions, for children over 8 months old, you can use a decoction of sage, pimafucin, keratoplasty is also prescribed - substances that actively restore damaged oral mucosa - vitamin A, sea buckthorn or rosehip oil, Vinylin ointment. If a child refuses food, there are options to relieve pain, for example, with gels for anesthetizing teething - Kamistad, Kalgel and Baby Doctor. The latter does not contain icecaine, which allows it to be used for children with allergies.

An infant, and even children under 3 years old, are very vulnerable creatures. It is better not to self-medicate, but to trust experienced doctors. Children's dentists have extensive practical experience in treating the youngest patients for all types of stomatitis - contact us at the first suspicion. And also carefully read the article “Prevention of stomatitis in children under 1 year of age” - and you will not need to treat stomatitis in your baby.

Herpetic stomatitis in children

Causes

This is an infectious stomatitis that occurs under the influence of the herpes virus. There are acute and chronic recurrent herpetic stomatitis. Acute herpetic stomatitis occurs when a child is first infected and occurs most often between the ages of 6 months and 3 years. In 100% of cases, the child gets the infection from parents and other close people (when they lick the child’s spoon and continue to feed him further, lick the pacifier or drink from the same cup). At this age, the child no longer has the antibodies that he gets from his mother’s milk, and has not yet developed his own. Therefore, when a virus enters the body, a disease inevitably begins. In its acute form, such an infection manifests itself in only 10% of children, and all the rest tolerate the primary infection quite easily.

Chronic recurrent stomatitis is due to the fact that the herpes virus, once entering the body, settles there forever and under favorable conditions (the above-mentioned decrease in immunity) can provoke repeated rashes.

The symptoms of acute and chronic herpetic stomatitis are different. In both forms, there are general phenomena (in the body as a whole) and a specific picture in the oral cavity.

Symptoms

Acute herpetic stomatitis

• General deterioration in health. Acute herpetic stomatitis is characterized by weakness, headache, pain in joints and muscles, malaise - general symptoms of intoxication caused by viral activity. The temperature is usually raised to 37 -41 degrees in the first or second day. The lymph nodes (especially the submandibular ones) enlarge and become painful.

In the oral cavity there are:

• swelling;
• redness of the mucous membrane;
• soreness of the mucous membrane in the cheeks, lips, tongue, palatine arches;
• small (the size of a millet grain) bubbles, usually collected in groups filled with a clear liquid; over time, the liquid becomes cloudy, and after 2-3 days the bubbles burst, and a bright red erosion forms in their place. Even later, the surface of the erosion becomes covered with a fibrinous coating (whitish or yellowish). These white spots are surrounded by a red corolla.
• Redness and swelling of the gum edge around the teeth and redness of the interdental papillae are often observed (clinic of gingivitis).

Along with rashes in the mouth, rashes are often observed at the border of the red border of the lips and skin or at the border of the nasal mucosa and skin.

Chronic herpetic stomatitis

All symptoms in the oral cavity repeat the picture of acute herpetic stomatitis, but the general condition, as a rule, does not suffer.

Factors that provoke exacerbations of chronic herpetic stomatitis:

• acute respiratory infections, acute respiratory viral infections, hypothermia;
• avitaminosis;
• allergy;
• stress;
• taking immunosuppressive drugs;
• exacerbation of chronic tonsillitis, sinusitis and other diseases;
• trauma to the oral mucosa;
• foci of infection in the oral cavity (carious teeth, hard and soft dental plaque, gingivitis);
• breathing through the mouth (due to this, drying out of the mucous membrane occurs, which provokes a decrease in local immunity, as well as the formation of cracks on the lips).

Treatment of herpetic stomatitis in a child

Be sure to consult a dentist for an accurate diagnosis. If it is not possible to see a doctor on the first day, you can start treatment, but a visit to the doctor as soon as possible is required.

Antiviral therapy (to combat the pathogen)

• Acyclovir (tablets) or Viferon (gel, suppositories) - depending on the age of the child. Suppositories are more suitable for infants and children up to one year old; older children can be given tablets or treated with gel.
• For rashes that are observed only on the skin, antiviral ointments are used (acyclovir, Viferon, Zovirax and others).

Antiviral drugs are taken according to the regimen specified in the instructions. The sooner you start taking the drug, the more active it will be against the virus. These drugs are taken on days 1-4 of the disease.

Antiseptic treatment (prevention of complications)

• Miramistin (rinse aid) is used directly as a rinse. For young children who cannot yet rinse their mouths themselves, wiping with a gauze swab dipped in a solution of the drug is used. Other antiseptics are either not used at all (since they are not effective against viruses), or are used in combination with miramistin (alternately). You can take chlorhexidine, givalex, rotokan, chlorophyllipt, but all this is only in combination with miramistin.

Keratoplasty (drugs to stimulate mucosal healing)

• solutions of vitamins A and E (you can buy an oil solution at the pharmacy). Applications are made after rinsing with an antiseptic (the drug is applied to a gauze turunda and the wound surface is lubricated).
• rosehip or sea buckthorn oil. Also in the form of applications.
• solcoseryl (after rinsing, apply a thin layer of gel using an ear stick or a clean finger).

One of these drugs to choose from.

Symptomatic treatment

• If soreness of the mucous membrane interferes with eating and hygiene - Dentol or its analogues (drugs used in children during teething) - lubricate the surface of erosions before eating or brushing teeth.
• If the temperature is above 38 degrees - paracetamol, nurofen, ibuprofen, mefenamic acid or any other antipyretics (according to the instructions).
• drinking plenty of fluids to reduce symptoms of intoxication;
• diet excluding spicy, salty, sour, hard foods, allergens (citrus fruits, chocolate, honey);
• Immunostimulants: imunal, amiksin, imudon and others - as prescribed by a doctor.

Symptoms and treatment of stomatitis in children

Every adult is familiar with inflammation of the oral mucosa. This problem can overtake babies already in the first days of life. Often the cause of stomatitis in newborns is untreated thrush in the mother. Passing through the birth canal, the child immediately picks up the fungus. In general, stomatitis is usually diagnosed in older children - from 6 months to 3-4 years.

There are three main types of disease:

Aphthous stomatitis

The name is associated with the concept of “afta” - damage to the mucous membrane, ulcer. The aphtha is often surrounded by a bright red rim and has a yellow or gray coating. This stomatitis affects almost 20% of the population and can recur periodically throughout life (more often in children than in adults). The specific cause of this type of stomatitis has not yet been established (it could be an ordinary injury with the sharp corner of an object); it usually goes away without a trace, in a couple of weeks.

Herpetic stomatitis

The disease is caused by the herpes virus. It is always accompanied by malaise, headaches and pain in the mouth. This stomatitis is contagious and is often transmitted from child to child, for example, through shared toys. Most often it affects children from 1 to 3 years old.

Angular stomatitis

In everyday life, this type of disease is called “jamming”. This is severe irritation in the corners of the mouth. It can be caused by streptococcus, candidiasis or, most often, iron deficiency in the child’s body. If you notice such symptoms in your baby, be sure to donate blood for iron.

You can maintain the required level of the element with the help of certain foods in your diet, but you will have to make up for the deficiency only by taking medications prescribed by the doctor.

How to understand that a child has stomatitis?

If your baby is capricious, cries, refuses to eat, sleeps poorly, or may have a fever, be sure to examine his oral cavity. Most often, lesions (particularly aphthae) are located on the inner side of the lower lip. Even if there are no ulcers, you should be alerted to any heterogeneity in the oral mucosa, as well as plaque on it. In a healthy child, it is pink, smooth, and well moisturized. If the mucous membrane is not the same and the child does not feel well, consult a doctor. Only he can prescribe competent treatment, taking into account the cause of stomatitis. For this, a simple examination may be enough for the pediatrician; if necessary, he will ask for a blood test.

Treatment of stomatitis

It usually consists of several important points:

• Excluding solid foods and dishes with pronounced flavors, as well as hot foods, from the baby’s menu.
• Particularly careful oral hygiene: rinsing with antiseptic agents, changing the brush to a softer one.
• Use antipyretics if the baby’s temperature is outside the normal range.

Prevention of stomatitis

The main protection against such troubles is good immunity. Walk more, give your child a comfortable sleep, carefully monitor his diet (eat a balanced diet yourself if you are breastfeeding, or be very careful when choosing formula milk). If your baby is in good health, he may never know what stomatitis is, or he will tolerate it easily.

#PROMO_BLOCK#

Chronic aphthous stomatitis

Causes

Aphthous stomatitis is caused by staphylococcus, a microorganism that is found in large quantities in dental plaque and lives in carious cavities. Every person has this microbe and usually does not manifest itself in any way, but against the background of immune disorders. Often aphthous stomatitis can develop against the background of allergies, gastrointestinal diseases or injuries to the oral mucosa. Another factor in the development of the disease is dirty hands. This disease is often associated with children putting unwashed toys into their mouths, thereby increasing the total number and variety of microbes in the mouth.

Symptoms

Most often, manifestations of chronic aphthous stomatitis occur on the lips, transitional fold, gums, under the tongue and on the tongue - in places where the mucous membrane can be injured by teeth or spicy food.

• Minor change in general health. Characterized by enlargement of the submandibular lymph nodes, fever and weakness.
• On an externally unchanged mucosa, aphtha appears - a spot 5-10 mm in size, slightly rising above the surface of the mucosa, covered with a whitish film tightly fused to the mucosa and surrounded by a bright red rim. Aphthae are very painful when touched. Most often there are one or two aphthae, less often – several.

Must remember! It is necessary to accurately determine the type of stomatitis: herpetic or aphthous. With herpetic stomatitis, there are many small blisters that turn into erosions and sometimes merge with each other, and rashes on the lips are possible. With aphthous rashes, larger, single rashes occur only in the mouth. If you have stomatitis, you should definitely consult a dentist to determine the type of stomatitis and choose the right treatment tactics.

Treatment

Elimination of the factor that caused the disease:

• exclude all allergens (citrus fruits, chocolate, brightly colored foods...);
• if you are taking medications that can cause allergies, then you also need to take this into account (tell your doctor what you are taking and for how long);
• exclude rough, spicy, salty, sour foods;
• if stomatitis is caused by allergies, antihistamines (suprastin, loratadine) are prescribed;
• If the aphthae is due to injuries from sharp edges of a tooth or filling, it is necessary to put the tooth in order.
• in the first 3-4 days, treatment of aphthae is carried out exclusively with antiseptics (rinses, gels). You can use chlorhexidine, rotokan, miramistin, givalex, stomatidine, listerine, chamomile and calendula decoctions - you can take any of these drugs (or any other analogue). Use according to the instructions (there are preparations in ready-made form, and there are those that need to be diluted). Rinse (or wipe the mucous membrane in small children) 3-4 times a day.
• after 3-4 days, epithelializing agents are added: solutions of vitamins A and E, rosehip or sea buckthorn oil, solcoseryl.
• If relapses occur frequently, you should pay attention to your general health. In some cases, only joint treatment with an immunologist, gastroenterologist, endocrinologist and other specialized specialists can help cope with the disease.

Must remember! Aphthous stomatitis is, first of all, a microbial lesion. Oral hygiene, adherence to personal hygiene rules, as well as timely treatment of caries, caries complications, and removal of tartar in many cases are sufficient to avoid aphthous stomatitis.

Candidal stomatitis in children (infants)

Cause

This type of stomatitis appears due to fungi, which are constantly present in the microflora of the oral cavity, but usually do not manifest themselves. Against the background of microflora disturbance (due to licking dirty toys, treatment of other diseases with antibiotics, acute respiratory infections, acute respiratory viral infections, during treatment with corticosteroids and other drugs that suppress the immune system, as well as with a high-carbohydrate diet), the growth of fungi of the genus Candida, which is the cause of stomatitis, is activated in infants.

Symptoms

• a whitish or yellowish cheesy coating on the tongue, cheeks, and gums, which is easily removed. It is important to remember that young children who are breastfed and whose diet is dominated by dairy products may have a coating of milk on their tongue - this is normal and does not need to be treated.
• when removing plaque, the mucous membrane is swollen, slightly red, and may be painful.

General health is usually unchanged.

When it becomes chronic, dryness and pain occur in the mucous membranes, and swallowing is difficult.

Treatment

• Candida mushrooms are well preserved in the external environment. It is necessary to wash all toys, bottles, dishes, pacifiers and other objects with which the child comes into contact with soap or soda.
• In the oral cavity, plaque is easily removed with a solution of soda (1 teaspoon of soda per glass of cold boiled water) - use a gauze swab to wipe the areas where there is plaque.
• Antiseptics (furacilin, decoctions of medicinal herbs, chlorhexidine) - rinsing or wiping the mucous membrane 3 times a day.
• Diet correction (exclude sweet, spicy, sour foods as much as possible).
• Local antifungal drugs (cholisal - spread on the mucous membrane 3 times a day after removing plaque, hexoral - dissolve a tablet (for children over 4 years old) and others). Carefully read the instructions for use and age restrictions.
• If improvement does not occur within 3-4 days, then you should consult a doctor to prescribe antifungal drugs for general treatment, as well as to identify possible concomitant pathologies.

Treatment

Therapy for stomatitis in children involves general rules that are mandatory for all types of the disease, and drug treatment aimed at eliminating the underlying cause.

Treatment should be prescribed by a pediatrician after examining the child, collecting the necessary information and identifying the causative agent of the infection.

General recommendations

General recommendations for treating stomatitis in young children include:

1. Drink plenty of fluids (it is allowed to give the child unsweetened compotes and decoctions, but it is best to persuade the child to drink plain water).
2. Regular ventilation.
3. Air humidification in a children's room.
4. Excluding refined and sweet foods from the child’s diet. If your baby is receiving complementary foods, you should avoid fruit purees made from sweet fruits (bananas) and cereals with added sugar.
5. Medications depending on the type of stomatitis

For young children, lotions with chamomile decoction are used, which help relieve inflammation, have an antiseptic effect, and reduce pain.

Victoria Druzhikina

Neurologist, Therapist

Treatment of Herpetic stomatitis

Therapy for this type of disease is carried out in three stages:

• relieving irritation and eliminating the inflammatory process;
• healing of wounds formed after opening ulcers;
• fighting the virus and activating the body’s immune reserves.

To treat herpetic stomatitis in children under 3 years of age, antiseptic treatment of the oral cavity is used, after which antiviral medications are applied. Given the young age, rinsing with special infusions and solutions is excluded.

To treat the affected areas, you need to moisten a cotton swab with a solution of Furacilin (Rivanol) and gently wipe all the places where the rashes are localized. After this, you can begin applying ointments (for example, “Oxolinic” or “Interferon”) . The procedure is performed every three hours, unless a different treatment regimen is recommended by the pediatric dentist.

Doctor's advice

In the case of bacterial stomatitis, treatment with a solution of chlorhexidine bigluconate 0.05% is effective. If the child is small, then moisten the cotton wool, squeeze it out and wipe the affected area. Make sure that the drug does not flow from the cotton wool into the child’s throat. Processing is carried out 2-3 times per day. If the child knows how to rinse his mouth, then rinse 3-5 times a day. Hydrogen peroxide solution should not be used to avoid burns.

Victoria Druzhikina Neurologist, Therapist

When herpetic stomatitis is diagnosed in a child aged 1 year (or younger), parents do not always cope with antiseptic treatment measures. If it is not possible to treat the cavity with a tampon, you can purchase a special brush for young children (from 4 months), which is placed on the finger, wrap it in gauze and lubricate the affected areas.

Restoring immunity and fighting herpes viruses occurs with the help of medications (Arbidol, Acyclovir, Imudon). To heal wounds, you can lubricate them with sea buckthorn oil or rosehip oil.

Treatment of Candidal (fungal) stomatitis

Drugs with antifungal effects can only be prescribed to older children, so treatment of candidiasis in children under 3 years of age is predominantly local.

Newborn children can be prescribed medications such as Candide, Nystatin or Clotrimazole - these drugs are safe for children and can be used from the first days of a baby’s life.

In a clinic setting, a doctor may prescribe an irrigation procedure (irrigation of the oral cavity) using sodium bicarbonate in the form of a 2% solution, followed by treatment with sodium borate (10%).

An important condition is maintaining oral hygiene and regular treatment of lesions (plaque removal). This can be done using a soda solution (2 tablespoons of soda per mug of warm water). This procedure will help restore the alkaline environment, which is detrimental to yeast-like fungi. At home, it is recommended to repeat it at least 4-6 times.

Treatment of Bacterial Stomatitis

Treatment of bacterial stomatitis (often occurring at 2-3 years of age) is aimed at destroying bacteria that cause the development of the disease and deterioration of the baby’s well-being.

Severe cases require taking antibiotics, which are prescribed by a pediatrician after taking a smear to determine the causative agent of the disease and its sensitivity to various pharmacological groups of antibiotics.

For local treatment, you can use antibacterial sprays (Tantum Verde, Hexoral, etc.). Treatment must be combined with antiseptic treatment.

Allergic stomatitis

This type of stomatitis, in addition to hygiene measures, includes taking allergy medications and antihistamines (histamine blockers). Young children can use Tavegil or Suprastin for these purposes - both drugs are in drops.

Treating stomatitis in young children is not the easiest task, but it is quite feasible. To do this, you need to consult a doctor in time, follow his recommendations, monitor the baby’s nutrition and hygiene, and not make any changes to the treatment regimen on your own. The use of traditional methods should only be carried out with the permission of a doctor after examination and an accurate diagnosis.

To learn how to recognize and treat stomatitis in a child, watch the video:

This article has been verified by a current qualified physician, Victoria Druzhikina, and can be considered a reliable source of information for site users.

Bibliography

1. https://stgmu.ru/userfiles/depts/therapeutic_dentistry/Obyavleniya/stomatity_2013.pdf
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Angular stomatitis in a child

Causes

In children, seizures are most often a manifestation of allergies, and can also appear while taking antibiotics. The mechanism is as follows: when using antibiotics, the microflora of the oral cavity is disrupted (both harmful and beneficial microbes die), against this background, space is freed up in which Candida fungi settle. It is these fungi that eventually cause the formation of buttocks.

Similar erosions can appear against the background of herpetic lesions, injuries, allergies, dry lips and cracks. It is important to determine the cause of their appearance and only then prescribe treatment.

Symptoms

Angular stomatitis (jams) - erosions with crusts that appear in the corners of the mouth - is also a fairly common form of stomatitis.

Treatment

• Antiseptics (chlorhexidine, miramistin) - use a gauze swab or ear stick to treat the surface of the wound.
• Keratoplasty (solcoseryl, oil solution of vitamins A and E) - applied to a dry surface after antiseptic treatment.
• Fighting the cause of the disease (if it is an allergy, we remove the allergens and prescribe antihistamines, if it is due to antibiotics, we prescribe drugs to restore the microflora and antifungal ointments, etc.).

Folk remedies

Traditional healers do not offer anything for the treatment of stomatitis in Samara : there are onions with garlic, and aloe, and a decoction of onion peels, and peroxide with water, and honey, and propolis and ... hundreds of other variations on the theme of anti-inflammatory substances. All this is very good, but does not exclude standard treatment, since all these substances act primarily on the consequences - on inflammation, but do not act on the pathogen. Rosehip and sea buckthorn oils are successfully used to heal erosions (the pharmacy equivalent is a solution of vitamins A and E), chamomile, aloe and other plants are used as antiseptics and anti-inflammatory, but their effect is rather weak.

The only thing that deserves attention:

• Rinse with raw egg white. 1 protein is dissolved in 100 ml. water and rinse with this solution (or lubricate the mucous membrane in infants). The protein contains a lot of lysozyme, which helps increase local immunity and helps fight infection. But the other side of the coin in this method is the danger of salmonella infection, so it is difficult to say whether it is worth the risk.