Stomatitis in the mouth in children. Means for treatment, drugs

A remedy for the relief of symptoms and treatment of stomatitis is selected in each case individually. Pathology is an inflammatory process of the mucous membrane in the mouth, which can occur in different forms and with different manifestations, often occurs in children of different ages.

Therapy for the disorder should be carried out in a timely manner, which will significantly reduce the risk of complications and shorten the recovery period.

General approaches to the treatment of pediatric stomatitis

The pathological condition can occur with various manifestations, which depends on the specific form of the inflammatory process. There are general rules that should be followed when treating children of different ages.

Patients under 1 year of age are prescribed mainly local remedies, since their body can react negatively to systemic medications. In most cases, such patients develop a candidal form of the disease and are treated with antifungal, antiseptic medications.

In children from 1 to 2 years old, in most cases, aphthous, viral stomatitis is diagnosed, therefore, during therapy it is important select the most effective medications that affect the pathogens of this particular form of pathological states.

There are general rules that must be followed when treating any form of pathology in patients of different ages:

• Temporarily, all foods that can provoke irritation of the affected tissues should be excluded from the diet. It is worth giving up sour, salty, spicy, as well as excessively cold and hot foods. This will minimize the negative effect on the tissues, as well as shorten the recovery period.
• It is important to carefully follow the rules of oral hygiene, brush your teeth in a timely manner and regularly, and rinse your mouth after eating.
• In the acute course of a pathological condition, it is temporarily necessary to refuse food, which can injure tissue.
• During the entire period of therapy, it is important to control the amount of fluid that the child takes. It should be sufficient, as dehydration inhibits the process of tissue repair.
• One of the important points of treatment is the provision of personal hygiene items and dishes to the child. This is especially true with the development of viral stomatitis.

When using local remedies, it is worth strictly adhering to all recommendations. Application is carried out with a clean gauze swab or cotton swab. Depending on the chosen method of treatment, there are other features that are determined in each case individually.

Children's medicines by age

A remedy for the treatment of stomatitis in the mouth in children is used depending on age. Not every medicine is suitable for young patients, so it is important to visit a doctor in advance, who will select the appropriate medicine for a particular child.

There are drugs that in most cases are prescribed to patients with acute or chronic severe stomatitis. It is they who are assigned to patients depending on age.

Patient age	Allowed funds
Patients from 1 to 4 months	It is allowed to give Paracetamol in order to alleviate the condition, as well as to treat the affected area with a solution of baking soda. The use of Candida, Viferon and Suprastin is allowed, depending on the form of inflammation.
Patients from 4 months to 3 years	Ibuprofen can be prescribed to alleviate the condition, as well as Cholisal, Candide, Kalgel.
Children from 3 to 6 years old	Patients receive Hexoral, Chlorophyllipt, Ingalipt.
Patients from 6 to 10 years old	Patients may be prescribed previous medications suitable for younger patients, as well as Furacilin solution, Fluconazole and other antifungal agents.
Patients from 10 to 14 years old	Patients can receive almost all drugs that are prescribed to patients over 14 years of age. They are often prescribed gels and solutions with antiseptic properties, Solcoseryl and Lugol in the form of a solution.
Teenagers over 14 and under 18	Patients are usually allowed to use drugs that are indicated for adults. Depending on the form of the disease, the therapeutic regimen may differ, and the list of drugs changes.

The choice of funds is carried out depending on age, as well as the specific type of pathological condition. It is not recommended to use medicines on your own without identifying its variety.

Gels, ointments

A remedy in the form of an ointment or gel is used to treat stomatitis in the mouth quite often, especially when diagnosing a pathological condition in children. Such drugs are easy to use, have a local effect, and are absorbed in a minimal amount into the systemic circulation.

Many agents have a complex effect on tissues, stimulate regeneration, and prevent pathogenic bacteria from multiplying on the mucous membranes.

The most effective drugs:

• Solcoseryl - an ointment for external use, which has pronounced regenerating properties. The drug helps to improve the process of tissue repair and prevents the spread of the lesion to healthy areas. An additional property of the agent is the ability to stimulate metabolic processes in the mucous membranes of the oral cavity. The drug is used in courses of 10 days. In this case, the treatment of lesions is carried out 2-3 times a day. Apply the product in a thin layer using a gauze swab.
• Vinylin applied to the affected area with a cotton swab. The agent stimulates healing and has anti-inflammatory properties, helps to shorten the recovery period and can be used for any form of stomatitis in children over 1 year old. When applying, the layer should be thin, repeat the procedure 3-5 times a day for 5-7 days.
• Metrogyl Denta - dental gel, which has pronounced antibacterial and antiseptic properties. The application is indicated in the case of a bacterial origin of pathology. The tool helps to quickly destroy pathogens, which helps to eliminate edema and inflammation. It is applied only to the lesions 2-4 times a day for 7-10 days.
• Kamistad - an anesthetic, antiseptic and anti-inflammatory gel that contains chamomile. The component not only has a positive effect on tissues, but also saturates them with valuable substances, vitamins. The tool helps to quickly eliminate pain and discomfort during an exacerbation of the disease. Apply it from 2 to 5 times a day only on the affected area in a small amount.
• Holisal prescribed to patients older than 9 months with stomatitis provoked by teething. The drug has not only antiseptic, analgesic, anti-inflammatory, but also antibacterial properties. Prescribe its use in courses of 1-2 weeks with daily application of the gel from 2 to 5 times a day with a thin layer on the affected area.
• Calgel possesses quite pronounced anti-inflammatory and antibacterial properties. The drug is used to eliminate pain and destroy microbes, tissue edema, and other symptoms of bacterial, aphthous or traumatic stomatitis. The drug is applied up to 6 times a day for 10 days. Usually, the use of the medicine is combined with the appointment of other medicines.

Means in the form of ointments and gels are considered quite effective in the initial stages of the disease. They are versatile and can be used as the main method of treatment or as an auxiliary therapy.

Pills

The remedy for the treatment of stomatitis in the mouth in children can be in the form of tablets. They are usually used in the treatment of patients over 3 years old, since medications must be absorbed, and small children are not able to do this correctly. Most of the products have anti-inflammatory, antiseptic and antimicrobial properties.

Today, the following tools are more commonly used:

• Septefril is considered a fairly effective agent, has anti-inflammatory and antiseptic properties, helps prevent the spread of lesions to large areas. Tablets are prescribed to patients over 3 years of age in courses of 5 days. The daily dosage for patients is 3 tablets. They must be absorbed at approximately equal time intervals to provide a uniform effect on the tissues.
• Grammidin children are indicated for patients from 4 years old. The drug has pronounced antibacterial and anti-inflammatory properties, it is more often prescribed for throat pathologies, but with stomatitis of bacterial, traumatic and other origin, it is considered quite effective. Tablets dissolve 2-4 pieces per day with approximately equal time intervals. Treatment usually lasts no more than 7 days.
• Lizobact not only has an antiseptic effect, but also saturates tissues with vitamins. The medicine in tablet form helps to normalize the microflora of the oral cavity, accelerates the process of tissue repair, and helps to eliminate pain. With various forms of stomatitis, the drug has a rather pronounced effect. Tablets are indicated for patients over 3 years old, they dissolve 3-5 pieces per day for 1 week. Therapy can be shortened or prolonged, depending on the severity of the manifestations and the presence of concomitant deviations.

In most cases, tablets are used in combination with other medicines. In most cases, they do not have a significant effect on the process of tissue repair, but can accelerate recovery and prevent the spread of the inflammatory focus.

Sprays

Spray medications are considered to be quite convenient for young children. They do not require any special actions and bring quite pronounced results.

• Ingalipt in the form of a spray is considered to be quite effective and safe. It has a positive effect on the tissues of the oral cavity, improves microcirculation, helps to eliminate symptoms and alleviate the condition. For 7-10 days, the oral cavity is sprayed up to 4 times a day. The therapy is combined with the use of other medications to speed up recovery.
• Hexoral indicated for children over 3 years old. It acts rather aggressively on tissues, but quickly suppresses the activity of bacteria and prevents the progression of the disease. As a result, tissue integrity is restored and the symptoms of the disease are eliminated. The spray is applied in courses of 3-10 days with daily treatment of lesions 3 times a day. In parallel, other drugs are prescribed that enhance the effectiveness of treatment.
• Chlorophyllipt is considered the safest and most effective spray for children of all ages. It is plant-based and helps to quickly kill germs, pain and signs of inflammation. The herbal ingredients in the composition stimulate the restoration of damaged cells. The oral cavity is treated 3 times a day for 10 days.

Solutions

A remedy for stomatitis in the mouth in children may be in the form of a rinse solution. However, this method is only suitable for children who can self-cavity under adult supervision. Otherwise, the risk of complications increases.

The most effective solutions:

• Stomatofit it is considered a fairly effective and safe medication, since it has a vegetable basis. For 10 ml of solution, you need to add 100 ml of water, rinse. The procedure is repeated 3 times a day for 7 days. The tool not only eliminates signs of inflammation, but also destroys microbes, helps to shorten the recovery period by stimulating tissue regeneration.
• Tantum Verde considered to be quite effective and relatively safe for patients of all ages. It has local anesthetic, anti-inflammatory and antiseptic properties. As a result of course use, the signs of any form of stomatitis are weakened or completely disappear. For 1 rinse, you need 10 ml of solution, which should be used in its pure form. The procedures are carried out 2-3 times a day for 5-10 days, depending on the severity of the manifestations.
• Rotokan it is also of plant origin, which makes it safe for patients. The drug helps to eliminate signs of inflammation in the form of redness and swelling, stimulates tissue repair and improves the general well-being of patients. When preparing a rinse solution, add 5 ml of solution to 1 glass of water. The procedures are carried out 2-3 times a day for 1 week. If necessary, repeated courses are carried out after 2-3 months of a break.

When using solutions, it is worth considering the possibility of their entering the digestive tract. That is why they are prescribed to children over 3 years old who are able to rinse the mouth and swallow the medicine.

Features of the treatment of different forms of stomatitis

A remedy for the treatment of stomatitis in the mouth in children should be selected taking into account the specific form of the pathological condition. For example, for aphthous inflammation, a gel with antiseptic and anti-inflammatory properties is considered the best drug. At the same time, antiviral agents are ineffective, as are drugs with antifungal components.

With traumatic stomatitis, the most effective is a drug with regenerating properties, for example, Solcoseryl. But patients must be prescribed antiseptic sprays or solutions that will help prevent the growth of microorganisms in the oral cavity.

The traumatic form of pathology can also be accompanied by extensive injuries and the addition of systemic complications. That is why the patient can additionally take antibacterial and antipyretic medications.

For other forms of pathology, there are treatment rules:

• With candidal stomatitis, antibacterial tablets, sprays, solutions are not prescribed. This is due to the fact that such treatment can provoke an aggravation of symptoms. With the development of this form of pathology, systemic antifungal agents are prescribed. Fluconazole helps relieve symptoms and quickly kills fungi in the mouth. The dosage and duration of the drug is determined individually, but usually 3 days are enough to normalize the condition.

  

• The herpetic form of stomatitis requires the appointment of antiviral medications, the action of which is aimed at combating the herpes virus. In each case, the drug is selected individually, depending on the type of virus. Additionally, antiseptic agents are included in the therapeutic course to prevent the development of bacterial complications.
• With bacterial stomatitis, the prescription of antibacterial medicines is considered a prerequisite. Only funds from this group help to eliminate symptoms and reduce the risk of complications. The drugs are selected individually in each case, usually local antibiotics are sufficient to obtain a pronounced result. Usually, with this form of pathology, antipyretics and drugs are additionally used to accelerate the process of tissue regeneration.
• The allergic type of inflammation involves the appointment of standard local drugs with antimicrobial properties, and also systemic antihistamines, which will help eliminate edema and prevent progression pathology.

Aphthous stomatitis is usually treated with topical antiseptic, antimicrobial solutions and pain relieving gels. Each case requires an individual approach and a preliminary examination of the patient. You cannot independently treat pathology at home without examination and identifying the origin of the pathology.

What cannot be used for therapy?

In the treatment of children, home formulations cannot be used without preliminary examination. This can provoke severe complications against the background of the rapid progression of the pathological condition.

It is important during treatment to abandon the use of a brilliant green solution, fucorcin. When treating children, do not use pure medical alcohol. This can lead to burns on the mucous membrane.

If there is plaque on the foci in the oral cavity, it cannot be removed with various devices. Carrying out such manipulations increases the risk of infection.

The agent that is used to treat stomatitis that occurs in the mouth in children should be selected individually, depending on the symptoms of the disease and the presence of concomitant deviations. Experts recommend preliminary examination of the oral cavity in order to identify the form of the inflammatory process.

Video about stomatitis

The reasons for the appearance and the rules for the treatment of stomatitis in children: