Stomatitis is a diagnosis known to all parents. Due to the fact that the disease occurs frequently, serious adults do not include it. And in vain, because chronic candidal stomatitis (thrush in the mouth) can cause systemic damage to organs. Therefore, to treat childhood candidiasis is a must. How and what - now tell.
Causes of the disease and symptoms at different stages
Sadly, the main danger for children is adults. They are the main source of thrush in the mouth, especially for newborns.
According to studies, 45% of medical staff are candidates. In practice, it looks like this: if a candidate candidate carer for newborn babies touches the skin, Candida microorganisms will remain viable for another 2 hours. If the fungi settle on toys or a bottle, then another 15 days they will be able to infect the child.
Parents are another carriers of fungi. Only a small percentage of babies become infected during pregnancy or during labor (the cases when mom has chronic thrush). The rest get sick after birth, because mom and dad naturally kiss their baby, and thus infect the child.
A mother may have nipple candidiasis, and then breastfeeding is a direct path to candidiasis. When artificial feeding the likelihood of oral candidiasis is also high, because some mothers take a bottle nipple in their mouths, trying food. Units even manage to take a bath with the baby, although they know that they have vaginal candidiasis.
Here are examples of how candida stomatitis looks in the photo:
After a year, when the active study of the world begins, the main causes of infection are toys, which the little ones follow each other in their mouths. Stomatitis that has arisen in preschool age is a consequence of a weakened immunity or prolonged use of antibiotics.
The provocative factors for thrush in the mouth can also be:
- Feeding mixtures with high sugar content;
- Long stay in a hospital, intensive care unit and reanimation;
- Wearing braces or plates to correct bite;
- Diabetes mellitus and prematurity.
If at least one of the above factors is present in your life, then closely monitor the condition of the child in order not to miss the first symptoms of candidal stomatitis. This is important for two reasons: firstly, the painful sensations will force the baby to give up the breast, which is undesirable, and secondly, the mucous infected with fungi will be the gateway for a dozen more diseases.
There are mild, moderate and severe degree of stomatitis caused by fungi. The symptoms at each stage will be different.
- Cheesy plaque in the mouth, detectable not only in the tongue, but also in the sky, cheeks, etc. If in doubt, try it. Milk film will disappear without difficulty, but after removing the candida whitish film, bleeding may occur.
- The specific sour smell from the mouth.
- Refusal to eat.
- Anxiety during feeding.
- Swelling of the mucosa.
- Intermittent, restless sleep, waking, accompanied by a cry.
- In the area of the diaper, diaper rash occurs (fungi penetrate the intestines, and through the feces irritate the delicate skin).
- Rash similar to irritation, around the mouth.
Medium and heavy:
- Increase in body temperature to 38 degrees.
- Yellow-gray tint of plaque.
- Swollen lymph nodes.
- Mucous when trying to remove plaque begins to bleed.
- The language is heavily lined (remember the expression “as if lined with cotton”).
- Cracking the corners of the mouth.
- Loss of taste.
- Pain if swallowed.
With proper treatment, the kid with candidal stomatitis begins to feel better after 1-2 days, but the drugs prescribed by a specialist should be used until the symptoms disappear. Chronic (undertreated) thrush necessarily manifest itself during teething or after the introduction of vaccination vaccines.
If you are not a doctor, then do not increase the dosage of the medicine and do not use it more often than necessary. The fact is that "strong" antiseptics or conventional antiseptics, but in a loading dose, provoke bacterial stomatitis. The latter is due to the death of normal microflora on the surface of the oral mucosa and the growth of pathogenic bacteria. It is better to drink a course of special antifungal agents than to be treated with antiseptics.
An approximate sequence of actions for candidal stomatitis may look like this:
- The doctor specifies the diagnosis and prescribes the appropriate treatment.
- Taking medicines as prescribed by a doctor.
- Boiling toys, keeping the nipples and soothers in soda solution, washing the nipples (when breastfeeding) with warm water without soap before each feeding.
We now list the main antifungal drugs of local action that do not adversely affect the unformed children's organism, but do an excellent job with the task of suppressing the reproduction of fungi in the mouth.
1. 1% soda solution: make a gauze tampon or wrap a finger with cotton wool, wet it in a solution and process the oral cavity at least 3 times a day (not forgetting the gums and cheeks).
2. Solution "Candide"
The solution is considered more effective than the above funds. It includes Clotrimazole and glycerin, which gives the product a sweetish taste.
Method of application: single dose - 10-20 drops. They are distributed over the mucous with a cotton swab. The duration of treatment is up to 10 days.
Candide is one of the few remedies allowed for newborns.
In candidal stomatitis, the daily dose should not exceed 3 mg / kg / day . If Diflucan is prescribed to the newborn, then the first 2 weeks of life the drug is prescribed in the same dose, but with an interval of 72 hours. Children 3-4 weeks of age Diflucan is given with a break of 48 hours.
4. Nystatin and levorin ointment.
Nystatin- based ointment is rarely prescribed today. This is due to the high risk of such complications as itching, swelling, burning and an allergic reaction. Levorin ointment is contraindicated in children under 2 years.
5. Preparations to restore the mucous
Vitamin A oil solution
Sea buckthorn in the form of an oil solution
Viniline (the second name is Shostakovsky Balsam) - rinse or treat with a gauze pad at least 3 times.
Treatment with traditional medicine
The children's organism is vulnerable and sensitive, so if you resort to traditional medicine, give up multicomponent fees. An allergic reaction can occur on any weed, and it is better to know which one to relieve an attack.
chamomile decoction for rinsing (1 tsp raw materials per 200 ml of boiling water)
strong green tea or calendula decoction (for rinsing)
infusions of sage, oak bark, elecampane, burdock, yarrow (for rinsing after each meal)
aloe (point lubrication)
peach oil (all used after rinsing)
In order not to harm ...
Now let's talk about self-treatment of fungal candidiasis in children, because many mothers and grandmothers rely on their own knowledge or the experience of girlfriends. Sometimes this “treatment” can go sideways with a child.
A seemingly safe soda, which we recommended for treating mucous membranes, can burn an already damaged fungi oral cavity. If the baby accidentally swallows soda solution (now it’s about self-rinsing), then bloating, colic and constipation are likely. To avoid this, you need to prepare a 1% or 2% soda solution. Greater concentration will cause burns.
Treatment of the oral cavity with honey can also lead to a complicated course of stomatitis. In addition to the fact that honey can cause a serious allergic reaction, fungi and other pathogenic microorganisms will begin to multiply intensively in its sweet nutrient medium.
Currant, carrot and other juices - a delicacy for a healthy baby. When the mucous membrane of the mouth is covered with sores, irritation arises, and the baby already behaves restlessly because of the disease.
The most dangerous remedy is catria tetraborate, or simply borax in glycerin. This drug is classified as highly toxic. An adult for death is just 10 grams enough, what can we say about the child. Up to three years, this medication is not prescribed to children at all.
Fungal stomatitis is prone to relapses, so be prepared for the fact that the first time will not be the last. And it is better not to improvise, and to make appointments of specialists. The risk of complications with drug treatment tends to zero.