Stomatitis is a common lesion of the oral mucosa. It is not dangerous. For its diagnosis, specific tests are not necessary, since a dentist examination is enough.
Why does it arise? What symptoms indicate its presence? How to prevent the appearance of this disease? And most importantly, which stomatitis medications are the most effective? This and much more will be discussed now.
Pathogenesis
Inflammation of the oral mucosa occurs for a variety of reasons. Stomatitis can appear as an independent disease or as a symptom of systemic pathologies. Predisposing factors and probable causes (the exact pathogenesis is unknown) include:
- Poor nutrition and lack of a balanced diet.
- The penetration into the human body of pathogens of infectious diseases. These include mycoplasmas, viruses and bacteria.
- Age. Elderly people and children are more likely than others to develop the disease.
- Thermal or mechanical damage to the oral cavity.
- Dehydration caused by vomiting, diarrhea, prolonged fever, increased urination, inadequate fluid intake and blood loss.
- Excessive or inadequate oral hygiene.
- Poorly installed or poorly made dentures.
- Taking medications that reduce salivation.
- Smoking.
- Prodromal stage of HIV infection.
- Hormonal disorders / fluctuations.
- Lack of folic acid or iron, vitamin deficiency.
- Anemia.
- The presence of malignant tumors in the pharynx, nose or neck.
- Side effects of chemotherapy.
Also often the cause of the disease is the use of cleaners and toothpastes, which include sodium lauryl sulfate. This substance has a dehydrating effect. The tissues of the oral cavity dry out and become vulnerable to many irritants - to food acids, for example.
Symptoms
Before proceeding to the consideration of medicines for stomatitis, you should list the signs that indicate the presence of such a disease. Here, if there are any symptoms, you should consult a doctor:
- Slight redness on the mucous membrane (early stage).
- Swelling in the same area and a sensation of a slight burning sensation (development of an ailment).
- The appearance of sores oval or rounded.
These formations also have specific signs. Characteristics of ulcers can be distinguished in the following list:
- They are solitary and shallow.
- In the middle you can see a white or gray film. It is thin, but very tight to the ulcer.
- The tissue of education looks healthy, normal.
- The ulcer has smooth edges surrounded by a red border (halo).
These "corns" cause a feeling of discomfort. They are painful. Because of them, it is not possible to eat and drink normally. Even difficulties arise when trying to make a movement with the tongue or lips.
How to choose a medicine?
Of course, the doctor prescribes the therapy. The medicine for stomatitis in adults and children is selected depending on the cause of the disease and its form. If the lesion arose as a result of an allergy, one drug is prescribed. If its appearance is provoked by infection with parasitic bacteria - a completely different drug.
It should also be noted that all existing drugs for stomatitis in the mouth in adults and children are divided into two groups. Taking some drugs is aimed at eliminating inflammation, while others are aimed at relieving pain.
Here's what to consider when choosing the right medication for yourself:
- To cope with candidal stomatitis, you can rinse your mouth with soda solution or herbal infusions. In this case, children are prescribed antifungal medications, which include Nystatin, Fluconazole, Malavit.
- Herpetic stomatitis is treated with antiviral drugs. It is possible to use not only Acyclovir, but oxolin ointment and Viferon.
- If an allergic form of the disease is diagnosed, then antihistamines are used - Parlazin and Suprastin.
- With catarrhal disease, rinses are carried out with antiseptics - preparations with baking soda, borax or hydrogen peroxide. An excellent pain reliever is Instillagel and Kamistad gel.
- If a person has ulcerative stomatitis, then he will have to undergo a course of immunostimulating drugs with the parallel use of solutions for irrigation of the mucosa. Antiviral ointments - oxolinic and interferon - are also recommended.
- To eliminate lesions of the ulcerative-necrotic form, trypsin and metronidazole are prescribed.
- Solkoseril ointment, intake of vitamin complexes and a drug such as Imudon helps cure aphthous stomatitis.
There is no universal remedy for getting rid of the disease. Therefore, it is not recommended to choose a cure for stomatitis yourself. First you need to determine the cause of the ailment.
Effective pills
When choosing a medicine for stomatitis in the mouth, one must take into account a lot of different factors, including the presence of allergic reactions. Prescribes drugs, of course, the doctor after the examination. But the most common are the following tools:
- Decatilene. This is a highly effective antiseptic that has analgesic and anti-inflammatory effects.
- Strepsils. A widely known antimicrobial drug that comes in the form of candy. Its active substance is lidocaine. With regular intake of such lozenges, the drug relieves inflammation and eliminates painful symptoms.
- Chlorophyllipt. Antibacterial tablets. It treats various inflammatory processes and stomatitis of various forms. With individual intolerance to the components, there may be swelling of the lips or tongue.
- "Sebidin." Another effective cure for stomatitis in the mouth. He can cope not only with this lesion, but also have an effect against staphylococcal and fungal infections.
- "Acyclovir." Highly effective antiviral agent, the regular use of which helps not only cure the disease, but also prevent its re-formation.
- Hexoral Tabs. These tablets are able to cope with various lesions of the oral mucosa due to their disinfectant and antiseptic properties. There are contraindications, so you need to read the instructions before using it.
All of these pills can help cope with the disease, but the doctor should decide which medicines to treat stomatitis. He will select a drug that will not only be the most effective, but also will not harm a person.
Ointments
Listing effective medicines for stomatitis, it is worthwhile to talk more about such drugs. There are many ointments that can help in eliminating this disease, but here are the most effective of them:
- Holisal. The main active ingredients of the drug are cetalkonium chloride and choline salicylate. Ointment relieves pain, eliminates inflammation, and also lowers temperature. Most importantly, it acts within a few minutes after application.
- Oxolinic ointment. It can be called universal, as it helps with many forms of stomatitis. There are no contraindications. A similar tool is approved for use even by children and pregnant women.
- "Nystatin." The active substance of this ointment is a polyene antifungal antibiotic. The molecules of this agent quickly penetrate the membrane of the virus and destroy it. Apply the ointment in very small quantities. And not on the affected area, but first on cotton wool or gauze.
- "Acyclovir." We have already talked about a similar drug in the form of tablets. The ointment also deserves attention. Its component is an analogue of DNA (deoxyguanosine). This complex compound easily attacks the DNA of herpesvirus and destroys its structure. As a result of this, it simply cannot affect the mucous membrane.
- "Methyluracil." An effective medicine that helps get rid of stomatitis in the mouth in children (also suitable for adults). Ointment improves tissue regeneration, eliminates pain and inflammation.
- "Solcoseryl." The action is similar to the ointment, which was described in the previous paragraph. This is a dialysate of cow blood. It is an excellent healing agent, stimulator of new cell development and an excellent antiseptic. It forms a film and lasts on the mucosa for several hours.
- "Metrogil Dent." An antiprotozoal and antimicrobial agent that kills bacteria, including those that cause stomatitis. Its intake is combined with antibiotics.
- "Kamistad." An excellent cure for stomatitis in adults, which has an antimicrobial, anti-inflammatory and analgesic effect. For a greater effect, it is recommended to rub it into the mucosa. Children under 12 years of age should not be used.
- "Viru Merz Serol." The main active ingredient of this stomatitis medication is thromantadine, which can even cope with herpes. Eliminates burning, itching and pain.
- Tebrofen ointment. It has an antiviral effect. A quality medicine for the treatment of stomatitis, the duration of use of which should not exceed 7 days, but should be applied three times a day. Therapy is carried out with caution - side effects can occur in the form of allergic dermatitis.
Whatever ointment a person uses, before using it, you must definitely treat the oral mucosa with an antiseptic. And apply the product only after the antiseptic has dried.
Solutions and concentrates
There are three effective medications for stomatitis in the mouth in adults that also need to be considered. These are cheap but good remedies:
- Iodinol. A small bottle contains molecular iodine, which has a wide spectrum of effects. Previously, they were treated with varicose ulcers, chemical burns, postoperative abscesses and chronic tonsillitis. This tool has disinfecting and antiseptic properties and, importantly, it is suitable for the treatment of ailment in children and adults. You just need to dilute 50 ml in a glass of water, mix, and then rinse your mouth with the resulting composition. You can also make lotions.
- "Sodium tetraborate." Another effective cure for stomatitis in adults. It is a glycerin solution that has a positive effect on the affected tissue, accelerating their healing. Also, this tool is an effective antiseptic and a medicine against inflammation. They need to lubricate a cotton swab and smear painful areas.
- "Fukortsin." Here's another stomatitis medicine that can help. The composition of this tool includes acetone, fuchsin, boric acid and resorcinol. Such a complex of substances has a drying and antimicrobial effect. "Fukortsin" should be used for point applications. But this medicine for stomatitis for children is not used. They and pregnant women are forbidden to use it.
Preparations for children
It was described in detail above how to treat stomatitis in adults. There are many medicines, but not all of them are suitable for children. But even the smallest to eliminate such a disease have to take antiviral drugs and immunomodulators.
Children are allowed treatment with the following medicines:
- Antiviral: Viferon and Acyclovir. For children over two years of age, the dosage should be the same as for adults. For everyone younger, it is halved.
- Antiseptic: Miramistin. Rinse the mouth with the solution 4 times a day for 1 minute, or treat the cavity with a gauze swab dipped in the solution.
- Symptomatic: antipyretics are prescribed if the child's temperature is more than 38 ° C. At lower rates, their administration is impractical, since they reduce the production of interferons and create a barrier to the formation of full-fledged immunity.
- Immunomodulatory: sodium nucleinate, Amiksin, Immunal, Imudon. There are also special toothpastes for children, the use of which is aimed at increasing the immunity of the oral mucosa. They usually include glucose oxide, lysozyme, lactoperoxidases, lactoferrin. It is recommended to pay attention to pastes called SPLAT - they are considered the most effective.
- Antiallergic: Tavegil, Diazolin, Claritin, Suprastin.
In addition to the listed funds, it is also necessary to give the child vitamins. The use of painkillers, antibacterials, as well as anti-inflammatory drugs is allowed only in severe cases of the disease.
As a rule, the pediatrician prescribes them only if a bacterial infection joins the viral infection, or ulcerative gingivitis begins to develop. It is better, of course, to do with physiotherapy (UV radiation) and regular preventive sanitation of the oral cavity.
Universal drugs
In a separate list, it is worth highlighting medications that are convenient to use, and are also suitable for the vast majority of patients. These include:
- Painkillers: “Lidocaine Asept”, “Kamistad-gel”, “Instillagel”, “Teraflu Lar”, “Stopangin 2A”.
- Antiseptic and anti-inflammatory: “Pharyngosept”, “Sebidin”, “Lizobakt”, “Stomatophyt”, “Holisal”.
- Healing: “Solcoseryl paste”, methyluracil 10% ointment, “Carotolin”, “Olazol”, “Propolis-spray”, sea buckthorn and rosehip oil.
Some of the drugs listed are natural biostimulants and antiseptics. Others are multicomponent medicines with a wide range of actions.
In any case, if it is decided to start taking this or that remedy without prior medical advice, you should at least familiarize yourself with the instructions. Particular attention should be paid to studying the list of contraindications and possible consequences.
Folk remedies
Above were listed a variety of drugs that can help in the treatment of the disease under discussion. But many people are sure that the best cure for stomatitis is still folk remedies. They can also be used. If not as the main medicine, then as a preventative one for sure. Here are the most popular recipes:
- Chopped oak bark in an amount of 20 grams pour a glass of boiling water and cook for 15 minutes. Then remove, cool and strain. Use a decoction for rinsing.
- A handful of tea rose petals should be poured with a glass of boiling water and let it brew for 10 minutes. Rinse the mouth with infusion after each meal.
- In equal proportions, mix sage, calendula, eucalyptus, chamomile, aloe and yarrow. You can add willow bark and a little celandine. Repeat the steps from the first recipe. Also use for rinsing.
- Large St. John's wort, loosely fill it with a jar and pour medical alcohol. The ratio should be 1 to 10. For 14 days, send the future tincture to a dark, cold place. After the time has passed, strain. 40 drops should be added to half a glass of water and rinsed the mouth twice a day.
- Pour 3-4 cloves of garlic through a press. Into the slurry, add sour milk (1 tbsp. L.). The resulting ointment to treat the mucous membrane at least three times a day.
- Heat a spoonful of liquid honey in a water bath. Add the same amount of olive oil, raw chicken protein and novocaine 0.5% (one ampoule will be enough). Mix thoroughly and use to lubricate the affected surface.
- Fill a glass with half-chopped burdock root, pour hot sunflower oil, preferably unrefined (100 ml is enough). Leave to insist for a day. Then boil and cook for 15 minutes. This ointment can also treat the mucous membrane.
The advantage of these funds is their natural origin. But, nevertheless, if the disease causes severe discomfort, it is better to take medications prescribed by your doctor. They will act faster, and the effect will be stronger.
Prevention
Much has been said before about how to treat stomatitis. Medications are not cheap, and the healing process takes a lot of time, so it’s much easier to prevent the development of the disease. Prevention includes:
- Quitting alcohol and smoking or minimizing the use of alcohol and nicotine.
- Rational oral care.
- Timely treatment of diseases associated with the gastrointestinal tract.
- Transition to a healthy lifestyle.
- Balanced diet.
- Limiting contact with people with stomatitis.
- Hand washing.
- Prevention of mucosal injuries.
- Regular visits to the dentist (at least once a year).
- Performing processing toys for a child.
- Carrying out wet cleaning.
All of the above will help to avoid both stomatitis and many other diseases. And in the event that the signs of the disease have made themselves felt, then you need to immediately sign up for a specialist examination.