STOMATITIS

Definition

Inflammation of the buckle membrane (with or while not infection), that is extremely common in young children.
Stomatitis may be severe and might contribute to deficiency disease in children: it should be treated fastidiously and mothers ought to be schooled the way to treat it.
Clinical signs

. Dysphagia
. Anorexia
. Nausea
. Typically ejection
if you see a patient with these non-specific symptoms and signs – continually examine the mouth. Signs within the mouth embrace.
. Red mucosa
. +/- Pathos ulcers
. +/- Vesicles
. With white plaques
Treat according a etiology:
Candida Albicans (Thrush)
– Very common in infants
– White plaques
– Frequently caused by antibiotic treatment.
Treatment
– Clean the mouth with gauze soaked in sodium hydrogen carbonate resolution, and so apply anthelminthic with a cotton bud. Show the mother the way to do that 4-6 times per day.
– Oral mycosis id usually related to duct mycosis, therefore, offer antifungal a hundred, in three divided doses for 5-10 days. (Note that channel tablets may be sucked if solely these are available).
– Maintain sensible association and m\nutrition.
– Teach the mother regarding oral hygiene to forestall more episodes.
– In severe cases, think about the chance of HIV infection – perform an entire clinical examination.
Herpes Simplex Infection
– This infection is additional common in older kids and adults.
– It causes a painful mouth and issue feeding.
– Transmission is by tiny droplets of spit.
– Herpes simplex infection is commonly related to another health problem (malaria, pneumonia)
Treatment
– Clean the mouth as higher than and apply anthelminthic.
– Maintain adequate association and nutrition.
– Treat associated diseases.
– Secondary infection will occur and more compromise feeding.
– Hydrate and feed by nasogastric tube
– Clean the mouth as represented higher than
– Give Associate in nursing antibiotic: Cotrimoxazole
– Adult: TMP 320 mg/day or SMX 1600 mg/day in a pair of divided doses for five days.
– Child: TMP 8-12 mg/kg/day or SMX 40-60 mg/kg/day in a pair of divided doses for five days.
Scurvy
– Hemorrhagic
– White bone and joint pains within the lower limbs (due to sub-periosteal hemorrhage).
– Caused by dietary antioxidant deficiency and should occur once individuals are dependent of food aid (in expatriate camps).
Treatment
– Local treatment
clean the mouth and apply anthelminthic.
– Curative treatment
Ascorbic acid (vitamin C)
Adult five hundred – one,000 mg/day in three divided doses for 2-3 weeks.
– Preventive treatment
Ascorbic acid (vitamin C)
Adult a hundred mg/day
Nutritional education and supplementation with recent fruit.
Other causes
. Vincent’s angina (ulcer + mortification, fusospirillum)
. Measles
. Contagion (pseudo-membranes, general signs.
. contagious disease (strawberry tongue): eubacteria infection.
Treatment:
Benzylpenicillin G IM a hundred,000 U/kg/day divided in four injections for five days (or PPF IM as a
single injection/day), then penicillin V a hundred,000 U/kg/day in three divided doses to finish ten days.
. Angular rubor of the lips: may be a proof of aliment deficiencies and/or iron deficiency.
Offer multivitamins and/or metal salt + B complex tablets.

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