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Stomatitis in newborns and infants: causes, manifestations, treatment.

Stomatitis – inflammation of the oral mucosa. Virtually all children, to one degree or another, have manifestations of stomatitis.

Causes of stomatitis in children

As you know, any infection leads to inflammation. Stomatitis occurs when a child has a combination of several factors: the presence of an infectious agent in the oral cavity, a decrease in immunity and the presence of predisposing factors.

Stomatitis in newborns and infants: causes, manifestations, treatment.

TO contributing factors include: taking antibacterial medications for the baby, prematurity, oral mucosal lesions (scratches, burns), teething, lack of hygienic measures (dirty hands, pacifiers, nipples, mother’s breast), excessive love for family members (especially those who like to kiss babies and the best) Urges to lick their nipples and pacifiers), frequent regurgitation in a child.

Allergies can also cause stomatitis, in which case stomatitis is part of a common allergic reaction.

More often stomatitis in babies causes

Mushrooms of the genus Candida. – One of the most frequent causes of stomatitis in newborns and infants. The child can obtain them from the mother, through the birth canal, during lactation (in the case of dissemination of these fungi).

Normally, these fungi are part of the microflora of the oral cavity, but if the child’s immune defense is weak, this can lead to the activation of the fungus and the development of the disease.

Herpetic infection It can cause damage to the oral mucosa. But as a rule, it occurs in children older than 1 to 3 years.

Much less frequently, other viruses and bacteria lead to the appearance of stomatitis.

Clinical manifestations of stomatitis in children.

The symptoms of stomatitis in babies depend on their type.

Stomatitis in newborns and infants: causes, manifestations, treatment.

Fungal stomatitis (candidal), It is also called thrush. The symptoms of this disease can appear from the neonatal period.

It is manifested by the fact that the child in the mucous membrane of the mouth (on the lips, cheeks, gums, tongue) appears redness, swelling, and then the white plate characteristic of cheese, similar to sour milk ( hence the name – candidiasis). The color of the plate can vary from white, white-yellow to dirty gray. Common symptoms are also observed: chest failure, frequent mood, irritability.

The common symptoms are associated with the fact that the disease is accompanied by itching and pain.

Herpetic stomatitis. This disease manifests itself characterized by painful blisters of small size.

When they open (burst), a red erosion appears in its place (redness, sores). A child may have severe symptoms: severe fever, nausea, vomiting, diarrhea, weakness, loss of appetite.

The duration of the eruption around 3-5 days. Healing occurs within 1-2 weeks. Depending on the degree of manifestation of the clinical symptom, a mild, moderate and severe form of the disease is distinguished.

It should be noted that the rash may be not only on the oral mucosa, but also on other parts of the face.

Stomatitis during teething. Signs of stomatitis in babies can occur with teething.

It is manifested by the inflammation of the gums. In the place where the tooth should appear redness and swelling.

Children in this period are very whims, have little appetite, many have a fever.

Treatment of stomatitis

As soon as you suspect signs of stomatitis, first show the child to the doctor. The treatment of stomatitis in babies aims to eliminate the cause that led to its appearance and maintain the body’s defenses.

Child nutrition during the period of illness.. If the baby has already begun to eat more than my mother’s milk, during the period of the disease, her food should be mechanically, thermally and chemically mild. That is, it must be warm, clean (not hard), as neutral as possible (not sour, salty or sweet), so as not to damage the inflamed mucosa.

Useful will be milk without fat, kefir, fruit and vegetable juices.

It is also useful lots of hot drink Especially if the baby has a high body temperature.

Treatment of stomatitis by Candida At an early stage, it is possible to clean the baby’s mouth with gauze dampened with a solution of 1% sodium bicarbonate (1 teaspoon of baking soda per cup of boiled water) or chamomile broth or furatsiline solution. The rubbing is done with soft, gentle movements 3 times a day. A good effect in the treatment of candidiasis of the oral mucosa, provides the antifungal drug “Candide” for the mucous membranes.

Maybe it’s its use in newborns.

With herpetic stomatitis The mucous membrane is treated with antiviral ointments: acyclovir, viferon.

To increase the body’s defenses, interferon, Viferon and vitamin preparations are prescribed.

To improve the healing of the mucosa., Especially with herpetic stomatitis use rose hip oil, sea buckthorn oil.

With any type of stomatitis there is inflammation and reaction to pain. With a pronounced pain syndrome shown pain relief. Local analgesics in children are used: Lidohlor gel, Kamistad, Kalmgel.

This is especially true when teething.

Special attention should be given to oral hygiene. Regular treatment of the oral cavity.

Use only clean objects for the child’s care, treatment and nutrition.

But it is not recommended to treat the affected areas with hydrogen peroxide and bright green, as these backgrounds can cause burns to the mucous membranes.

What else can treat stomatitis in children? The drug of a wide range of action – iodinol is not badly tested.

However, the use of iodinol in babies is limited due to the risk of swallowing the medication.

Preventive measures

  • To avoid the appearance of stomatitis in a child, from the first days of life, should pay attention to hygienic measures and strengthen their immunity.
  • Do not kiss the child on the lips, do not lick your nipples and pacifiers. If they get dirty or fall to the floor, it is better to rinse them with boiled water.
  • Handle and disinfect toys, nipples, pacifiers.
  • Wash the baby’s hands.
  • Treats the breast before feeding the baby.

These simple recommendations will help prevent the onset of stomatitis in a child.

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