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Chronic herpetic stomatitis in adults. Treatment of herpetic stomatitis in children and adults

Herpes stomatitis is a disease caused by the common herpes virus. It manifests itself in the form of wounds, sores on the mucous membrane of the mouth. Experts are sure that this disease occurs at a time when the body has suffered the disease and is still weak, has not fully recovered.

The herpes virus is present in every person, but it manifests itself only under favorable conditions.

Symptoms of herpes stomatitis are:

  • the presence of one or more blisters on the lips, tonsils, tongue, cheeks, palate, gums (they accumulate pus over time);
  • increased body temperature;
  • headache, nausea, drowsiness, constant fatigue;
  • the viscosity of saliva increases;
  • pain occurs at the site of localization of the blisters, it intensifies when pressed;
  • bad smell from oral cavity;
  • sometimes a sore throat;
  • edematous mucous membrane is observed;
  • an increase in the lymphatic submandibular nodes;
  • after the bursting of the bubbles, ulcers form, which long time don't heal.
With the right approach, the treatment of herpes stomatitis in adults takes 10-14 days

Note! Herpes stomatitis (treatment in adults will be discussed later) has two forms of course: acute and chronic. The second of them is easy to earn if not treated in a timely manner.

The disease in question causes a lot of discomfort: the patient cannot eat normally, he is constantly disturbed by blisters that itch and hurt.

Doctors distinguish three stages of the disease, which are shown in the table:

Stage of the disease Description
Light It is characterized by the presence of a small number of rashes, there is a slight swelling of the mucosa, slight headaches.
Medium The patient has a fever, swollen lymph nodes, severe headache and sore throat, sometimes nausea
heavy Present heat, complete loss of appetite, bleeding of wounds, large swelling of the mucous membrane of the mouth, eyes, blisters can spread to the face, ears, hands, if herpes stomatitis is severe.

Treatment in adults is much more difficult and longer.

If herpes stomatitis, then treatment in adults should occur in combination. It is not recommended to speed up the healing of blisters, as this does not guarantee a complete recovery. and that the disease will never return. It is necessary to act on the cause of the disease.

The main and mandatory steps in the treatment of stomatitis:

  • treatment of blisters, rinsing the mouth;
  • treatment possible diseases teeth - pulpitis, caries and others, it is worth performing a professional dental cleaning;
  • taking immunostimulants, vitamin complexes to raise immunity;
  • elimination of the virus that progresses in the body.


Also, it is recommended to adjust the diet. It is necessary to switch to cream soup, pates, grated mashed dishes in order to reduce the traumatization of formations in the mouth.

Important to remember! The stomatitis virus is transmitted through the use of one dish, through the blood.

Drug treatment of herpes stomatitis

Treatment of herpes stomatitis in adults involves the use of specific drugs and general medicines. The former are aimed at curing the disease, the latter support the immune system, have an anti-inflammatory effect.

Some tablet forms of drugs that are prescribed for the treatment of herpes stomatitis in adults adversely affect digestive system human, and are not compatible with various diseases stomach and intestines.

Therefore, before use, you must read the instructions or consult with a specialist.

Treatment with antiseptic solutions

The doctors prescribe without fail the following therapeutic measures:

  • Chlorhexedine. Antiseptic that doctors advise for removal pathogenic microflora in the oral cavity. They treat wounds at least 3 times a day.
  • Miramistin. It works like Chlorhexedine, it can be sprayed directly on wounds or applied with it.
  • Furacilin. 2 tablets must be dissolved in 250 ml warm water and rinse the mouth with the resulting solution 3-5 times a day.

The use of antiviral drugs

  • Malavit. Is an herbal preparation, can be used locally on sores, as well as a mouthwash and throat rinse.
  • Chlorophyllipt. A herbal preparation designed to relieve inflammation and fight microbes. 1 tsp medicines are diluted in a glass of boiled water and rinsed.
  • Acyclovir, Zovirax These drugs are the most commonly prescribed. They have proven to be the best in the treatment of herpes stomatitis in adults. The drugs are available for oral administration in the form of tablets and for local treatment in the form of ointments. Sometimes, in severe cases, Acyclovir is given intravenously.

Immunoglobulins against herpes stomatitis

as strong antiviral drugs usually appoint Anaferon or Viferon. These drugs activate the body's defenses, relieve fever, headaches, and effectively fight infection.

Antiviral ointments for herpes stomatitis

Oxolinic ointment is exactly what you need for herpes stomatitis. She fights infection and brings recovery closer. Use it at least 3 times a day full recovery.


You can also use ointments Acyclovir and Zovirax, which contribute to rapid healing wound. If these ointments are used at the first manifestations of the disease, then herpes stomatitis can be cured in less than a week.

Vitamin therapy and immunomodulators

These drugs are any vitamin-mineral complexes. Vitamin C, E and vitamins of group B should prevail in their composition. These are Duovit, Biovital, Supradin.

Immunomodulators - Tiloron, Arbidol, Immudon. These drugs are able to raise the body's defenses and resist various viruses and infections. Without them effective treatment herpes stomatitis is impossible.

Folk recipes for the treatment of herpes stomatitis

Traditional medicine has never been in last place in the treatment of stomatitis. With her recipes, tinctures and decoctions, she effectively heals wounds, kills viruses, reduces inflammation and speeds up recovery.

Potato compresses

You need to peel raw potatoes, preferably fresh. Grate it, wrap a teaspoon of gruel in gauze, squeeze out the juice a little and apply to inflamed places. Carry out the procedure 2-3 times a day, keep for about 30 minutes.

Also, you can cut the potatoes into small slices, but grate into gruel is much more effective.

Decoctions of medicinal herbs and plants

1. Decoction of chamomile. 15 g of chamomile herb should be poured into 200-300 ml hot water. Leave for 40 minutes, strain, add a spoonful of honey. Infusion rinse the mouth about 5 times a day. Thanks to chamomile, you can quickly heal blisters, sores, promotes the regeneration of the oral mucosa.

2. Green tea. Infuse 20 g of green tea in 200-300 ml of hot water for 20 minutes. Strain the resulting infusion, dilute with the same amount of water. Rinse your mouth every time before eating for 5 minutes. Green tea has excellent antiseptic, tannic properties.

3. Decoction of yarrow. 5 g of dry yarrow grass should be poured with 0.5 liters of hot water. Infuse for 7 minutes, strain and let it cool to room temperature.

Rinse 6 times a day for a course of 7 days. After, a week break is needed, then the treatment can be continued for another week. Millennium neutralizes microbial infection.

4. Decoction of sage. 30 g of sage leaves must be poured with 0.5 liters of boiling water. Infused for half an hour. Rinse 4 times a day.


5. Decoction of burdock root. 5 g of dry chopped burdock root pour 2 tbsp. boiling water. It is necessary to boil for 30 minutes, then strain, cool. Rinse the mouth with warm infusion 5 times a day.

6. Flax seeds. 15 g of seeds must be poured with 200–300 ml of boiling water. Boil for 15 minutes, strain. A rather thick decoction will be obtained, which must be diluted with boiled cooled water to a normal consistency and rinsed with the resulting solution 5 times a day.

Flax seeds relieve pain well, restore the level of moisture in the oral cavity, and heal wounds.

Aloe juice and Kalanchoe

You can use aloe juice and Kalanchoe in the form of lotions. Moisten gauze with plenty of juice, apply on wounds, hold for 30 minutes. If this is not possible, then you can anoint all blisters and sores with a cotton swab. Also, doctors recommend diluting the juice with boiled, cooled water in a ratio of 1: 1 and performing a regular mouth rinse.

Aloe and Kalanchoe juice has good effect relieve inflammation, swelling and accelerate the healing of the mucous membrane. In addition, the juice well cleanses wounds from dead cells and tissues.

Oil rinses

Treatment of herpes stomatitis in adults is effective sea ​​buckthorn oil.

Due to its rich composition - rutin, silicon, manganese, iron, pectin, vitamin C, vitamins of groups B, E, K, tannins and many others, sea buckthorn oil quickly heals wounds, raises local immunity, and promotes a speedy recovery.

It can be applied in different ways:

  • via cotton swab anoint all wounds in a dotted way;
  • apply the product on a cotton swab and apply to wounds for 5 minutes; after this procedure, do not drink or eat for 30-60 minutes;
  • wrap a bandage around your finger, lubricate with sea buckthorn oil and gently smear the entire oral cavity, paying more attention to the inflamed areas of the mucous membrane.

Interesting fact! Almost 30% of patients became infected with herpes stomatitis in in public places: baths, saunas, as the herpes virus is resistant to high temperatures.

What to do so that the disease does not return: prevention

Precautions and prevention:

  • always wash your hands with soap;
  • enjoy by individual means hygiene - towels, Toothbrush, dental floss, underwear;
  • reduce visits to swimming pools, saunas, baths, or visit only trusted establishments;
  • always monitor the state of your health, undergo examinations and medical commissions on time;
  • attentive to immune system body, if necessary, use immunostimulants, antiviral drugs;
  • do not eat dirty vegetables and fruits;
  • lead a healthy lifestyle and eat right.


Herpes stomatitis - persistent viral disease, which is accompanied by the presence of sores and wounds on the oral mucosa. Competent treatment and prevention of the disease will help to quickly get rid of the problem and prevent its reappearance.

Herpes stomatitis. Symptoms and treatment in adults:

Symptoms and methods of treatment of herpetic stomatitis:

Data 15 May ● Comments 0 ● Views

Doctor   Dmitry Sedykh

Herpetic stomatitis is a viral disease. Its main manifestations are painful sores covering the oral mucosa. Activation of symptoms provokes a simple virus. It is worthwhile to understand in more detail the causes of infection, the forms of the disease and the methods of its treatment.

Getting into the human body once, the virus remains in it forever. It awakens only during periods favorable for reproduction. Infection with the virus and its activation is associated with a weakening of the immune defense. If left untreated, herpetic stomatitis can become chronic. On the incubation period affects the body's natural defenses.

The danger of the virus lies in its ability to infect not only the mucous membranes and skin of the mouth, but also the genitals and nose. The spread of the virus throughout the body can adversely affect the cardiovascular and nervous systems.

How does an infection enter the body?

Primary infection occurs in several ways:

  • airborne - when talking, in the process of coughing or sneezing the patient;
  • in close contact with the carrier - kisses, sexual intercourse;
  • household - through hygiene items, common utensils;
  • hematogenous - through the blood.

The initial infection with the herpes virus occurs in early age. It usually happens before the age of 20. The infection can manifest itself not only on the oral mucosa, but also on the lips and the skin around them. The average duration of the disease is 2 weeks.

The primary activation of the virus in adulthood entails more severe course disease than with herpetic stomatitis in children.

Virus herpes simplex

Causes of relapse

Herpes is activated only during periods when a person's natural defenses are weakened. These include spring beriberi, recovery after colds, stopping the course of taking antibiotics, etc. Proper treatment of herpes stomatitis in adults helps prevent relapses.

The following irritants contribute to the manifestation of herpes:

  1. Reduced immunity. It is the most common cause of herpetic stomatitis. The infection, without encountering opposition from the body, quickly spreads through the oral cavity, capturing new areas of the mucosa. Immunity is reduced after physical and emotional overwork, with a lack of essential vitamins.
  2. Damage to the mouth. The virus can begin to multiply in the smallest cracks and scratches. The role of the irritant is not the fact of damage to the oral cavity, but the infection of the wound.
  3. Hygiene failure. This factor most often leads to the activation of the herpes virus.
  4. Dry mouth. It appears when breathing through the mouth or dehydration.
  5. Untreated simple stomatitis may develop into herpetic.
  6. Acute respiratory diseases, striking immune defense patient.

By avoiding these causes of the virus, you can reduce the risk of reactivation of the virus, because it often recurs with reduced body defenses and insufficient oral care. In other cases, the infection is in the body in a dormant form.

Forms of the disease

Herpetic stomatitis can develop in acute and chronic forms. They differ in manifestations and duration of the course.

Common inflammation of the oral mucosa dental disease among adult patients. The appearance of blisters with liquid on the lips, under the tongue and on inside cheeks is associated with infection of the body with the herpes virus. On the acute stage the patient feels discomfort when talking and eating.

According to statistics, 80% of all diseases of the oral mucosa in adults are herpetic stomatitis.

Causes

The herpes virus is insidious. Entering the human body at a young age, it long years doesn't show up at all. Most often, it provokes infection and the formation of unpleasant ulcers - weakened immunity (hypothermia, SARS).

The course of the disease is conditionally divided into periods:

  1. Incubation - lasts from 2 days to 3 weeks;
  2. Catarrhal (the appearance of the first symptoms) - from several hours to a day;
  3. The development of herpes - lasts from 2 to 4 days;
  4. Extinction - from 3 to 4 days;
  5. Healing - from 3 to 9.

The peak of virus development occurs in the first 24 hours.

Herpetic stomatitis is transmitted by airborne and household means, so you should be careful, refuse any contact with the patient.

Factors affecting the appearance of herpes:

  • Hormonal changes in the body;
  • Injuries of the oral mucosa (solid food, sharp edges near the teeth, braces);
  • Poor quality dental prosthetics;
  • Diseases associated with dry mouth and general dehydration;
  • Improper or irregular hygiene;
  • course of chemotherapy;
  • Avitaminosis;
  • Not proper nutrition.

In adult patients, the disease progresses worse than in children. This is due to changes occurring in the oral cavity - caries, plaque and tartar formation, loosening of teeth and enlarged gum canals, eating excessively spicy or salty foods, smoking and alcohol.

People with chronic diseases of cardio-vascular system, gastrointestinal tract, diabetes and HIV-infected people are at risk.

Herpetic stomatitis has three forms:

  1. Light;
  2. middle;
  3. Heavy.

If the disease is not cured initial stage, it flows into a chronic form. The rest of the life of such a patient is associated with constantly returning symptoms.

The severity of the disease, the nature of its course and the method of treatment can only be determined by a specialist.

The appearance on the lips of sores filled with liquid - characteristic herpetic stomatitis. Other symptoms appear depending on the form of the disease.

Light form characterized by the absence of intoxication of the body. Body temperature suddenly rises to 38 degrees. The mucous membranes of the mouth swell, there is swelling in the gums. Within 2-3 days, small sores form. They are located dotted or grouped in several pieces. Total aft - up to 5.

Middle form characterized by general weakness and drowsiness that occurs against the background of intoxication. Lymph nodes increase in size, the patient feels discomfort in this area. Against the general background of symptoms, angina may occur.

After 1-2 days the temperature rises to 39 degrees. Dizziness, headache and nausea begin. On the surface of the lips, the inner part of the cheeks, the first rashes filled with liquid appear. A whitish coating forms on the mucous membranes, the gums bleed. The sores itch, itching occurs, discomfort is felt upon contact. With their appearance, the body temperature decreases. After 1-3 days, the ulcers burst, and erosion (aphthae) remains in their place. Eating is difficult painful sensations when swallowing, salivation is increased.

The duration of the average form of viral stomatitis depends on the drugs taken and the overall resistance of the body. The total number of ulcers reaches 20-25 pieces.

Sharp form.The percentage of people with acute herpetic stomatitis is very small. The general condition of the patient worsens within 2-3 days. The temperature rises to 40 degrees, the outer surface of the lips becomes dry, covered with microcracks. The oral mucosa becomes inflamed and swollen.

After 1-2 days, the first sores appear, which form not only on the lips, but also on the earlobes, wings of the nose, and in the corners of the eyes. Increased salivation is accompanied by bad breath. The total number of ulcers can reach 100 pieces.

The period of the disease from the appearance of the first symptoms to the formation of erosion and healing is 12-14 days. Sleep and appetite are restored, skin and the mucosa is cleared. The acute form requires consultation and immediate treatment by a specialist.

At the stage of the appearance of vesicles with liquid, the patient is most contagious. It is necessary for the duration of treatment to minimize household contacts.

According to statistics, 80% of people on the planet are carriers of the herpes virus. A healthy lifestyle and proper nutrition support the protective functions in the body normally. The chronic form appears in patients with untreated herpetic stomatitis.

With the change of seasons in the autumn-spring period, an exacerbation is observed. Other factors can also provoke herpes in the oral cavity - hypothermia, tonsillitis or sinusitis, mechanical damage mucous.

Light degree chronic form characterized by education a large number ulcers 1-2 times a year on the inside of the cheeks, on the gums and palate.

Severe form characterized by an abundance of rashes. Mucous swells during such a period, saliva is abundantly secreted, accompanied by an unpleasant odor. Ulcers due to the large number merge into painful erosions. The number of relapses increases to 5-6 times a year.

Unlike acute form manifestation is not typical for chronic secondary symptoms- an increase in body temperature lymph nodes, bleeding gums. There is only general malaise.

Diagnostics

Symptoms of herpetic stomatitis are similar to other diseases, so only a dentist can accurately diagnose.

At the initial stage, the doctor asks the patient about past diseases and studies medical card. With the help of medical devices, the doctor conducts a visual examination to assess the nature of the formation of ulcers and inflammation.

To clarify the diagnosis, the patient is prescribed to take a scraping from the surface of the vial with liquid to the laboratory. In the acute form of herpetic stomatitis, the skin is checked for the presence of the virus with special reagents.

The symptoms of herpes have similar symptoms with other diseases, in order not to make a mistake in the choice of treatment, additional tests are carried out.

If herpes returns periodically, the dentist gives a referral for examination by other specialists - an immunologist, an endocrinologist, a general practitioner and an ENT doctor. Comprehensive examination allows you to establish the exact cause of recurring viral stomatitis and conduct high-quality treatment.

Treatment

Treatment of herpetic stomatitis is carried out in a complex. The methods used and the choice of drugs depends on several factors:

  • The state of the patient's immunity;
  • View medicines used by patients on their own;
  • The time interval from the onset of the disease to the visit to a specialist.

Regardless of the severity of the disease, the treatment method is built in 2 directions at once. Local and general therapy are used for complete recovery.

In the first days of the development of herpes in the oral cavity, antiviral drugs are prescribed, which stop inflammatory process in the body.

Commonly used ointments and gels:

  • Zovirax or its analogue Acyclovir;
  • Metrogil Denta;
  • Tebrofenovaya (1-2%) and adimalic (0.5%).

The ointment is applied to a cotton swab and applied to the affected area. Funds can be applied not only locally, but also to neighboring areas to provide a preventive effect.

Before their use, the oral cavity is irrigated with antiseptic solutions:

  • Hydrogen peroxide (1.5%) - cleanses the tongue, palate and cheeks from whitish plaque;
  • Miramistin or Chlorhexedine;
  • Furacilin (0.1%).

At home therapy do not use means for cauterization and irritation of the mucous membrane.

The use of drugs different action against the background of weakened immunity in some cases causes allergic reaction. Possible signs allergies relieve antihistamines- Tavegil, Diazolin, Zodak, Suprastin.

At the healing stage of aphthae, restorative agents are used to remove necrotic tissues - Solcoseryl, Karatolin, oil based on vitamin A.

Moderate and severe degree of herpetic stomatitis is accompanied by unpleasant sensations and pain with food and drink. To alleviate the general condition of the patient, painkillers are prescribed - Vinilin, Geksoral spray, Lidocaine Asept.

For general therapy characteristic is the use of suppositories (Viferon), which reduce the effect of the herpes virus on the body. Decrease elevated temperature body help antipyretic drugs - Nurofen, Ibuprofen.

Throughout the treatment, it is necessary to take vitamins P and C to improve protective functions body and immunity.

Therapy of chronic herpetic stomatitis does not differ from the acute form. A course of antiviral drugs and antibiotics is prescribed. The use of Lysine is practiced as immunomodulators.

At the time of treatment, the patient must be protected from household contacts with other family members. For him, dishes, bedding and personal hygiene products are allocated separately.

ethnoscience

Recipes traditional medicine effective only at the beginning mild stages forms of herpetic stomatitis.

As anti-inflammatory drugs, it is possible to use infusions from medicinal herbs- sage, chamomile, calendula, St. John's wort, yarrow.

For cooking, you need 1 tbsp. a spoonful of dry ingredient and a container of hot water (250 ml). Herbs are steamed for 3-5 minutes and filtered. Ready solution mouth cavity is irrigated 2-3 times during the day before meals.

As part of alcohol tincture propolis contains components that relieve not only inflammation, but also pain.

As soon as swelling and redness begin on the gums and palate, it is recommended to wipe these areas with lemon juice or tablets (2-3 pieces) of ascorbic acid mixed into a slurry with water.

At the stage of wound healing, oils are used - sea buckthorn and linseed.

Treatment medications accompanied by a special diet. The selection of foods, dishes and drinks takes into account the needs of a weakened body in trace elements and vitamins. The diet necessarily includes fresh vegetables, fruits and berries.

Until the mouth comes in normal condition, it is worth abandoning products with a hard shell and sharp edges.

For a while, it is necessary to exclude sour, salty, sweet, spicy foods and dishes so that they do not irritate the inflamed mucous membrane. These include: citrus fruits, sauces, fried meat and fast food. It is allowed to drink unsweetened compotes and plain water.

For breakfast and lunch, you can cook a simple porridge with milk, a piece of chicken or steamed fish, lean vegetable stew. As a dessert, light curd, yogurt or pudding is allowed.

Disease prevention

Preventive measures to prevent herpetic stomatitis in adults are simple to implement. Healthy lifestyle, rejection bad habits contribute to the maintenance of immunity and the general condition of the body in good shape.

When changing seasons, it is worth not to allow hypothermia, 2 times a year it is necessary to take vitamin-mineral complexes in courses. Include in daily diet as much healthy and wholesome food as possible.

If the disease has already developed into chronic stage do not despair modern medicine able to contain the symptoms of herpetic stomatitis.

Herpetic stomatitis is a viral disease. It is manifested by painful sores that cover the mucous membrane of the oral cavity. The development of pathology provokes the herpes simplex virus, which once entered the body and dozed until the onset of suitable conditions.

Causes of herpetic stomatitis in adults

Primary infection is associated with a weakening of the immune system, which causes the development of acute herpetic stomatitis. There is also a chronic form of the disease.

The acute phase proceeds in several stages:

  • Incubation period up to 3 weeks.
  • Catarrhal period (the appearance of the first signs) - from 2 to 24 hours.
  • The peak of virus activity is 2-4 days.
  • The subsidence of the process - 3 - 4 days.
  • Tissue regeneration - from 3 to 9 days.

The reasons for the activation of herpesvirus can be hormonal fluctuations in women, dehydration, trauma to the mucous tissues of the mouth, poor oral hygiene, beriberi, poor nutrition, poor-quality dental prosthetics, hypothermia, chemotherapy, dryness of the oral mucosa.

Herpetic stomatitis is contagious. The virus is transmitted by airborne and household means, so the patient is recommended to protect himself from society for the duration of treatment. At home, you should avoid close contacts with household members, acquire individual household items.

Adults can get sick with herpetic stomatitis after long-term use toothpaste with sodium lauryl sulfate, as well as due to excessive oral hygiene.

Clinical features of herpetic stomatitis

HS occurs in three forms - mild, moderate and severe. For a mild form of herpetic stomatitis, symptoms such as:

The average form of severity makes itself felt by intoxication of the body with general weakness and drowsiness, swollen lymph nodes and tonsillitis. Patients complain about sudden jump temperatures up to 39 °, dizziness and migraine. liquid bubbles and a whitish coating appear. Itchy elements create discomfort, the gums bleed. Eating is difficult due to pain, salivation is increased. The number of ulcers reaches 25 pieces.

The photo shows external signs herpetic stomatitis in adults.

The duration of the average form of the disease depends on the strength of the body's defenses and the effectiveness of the drugs.

acute form

With acute herpetic stomatitis general state The person is deteriorating rapidly. For 2-3 days, the oral mucosa becomes inflamed and swollen, the lips dry out and crack, the body temperature rises to 40°C.

Ulcers appear after 24 - 48 hours, not only in the mouth and lips, but also on the earlobes, near the eyes, on the nose. The number of ulcers reaches hundreds. Due to increased salivation, halitosis appears, i.e. bad breath.

From the manifestation of the primary symptoms of herpes stomatitis in adults to the formation and healing of erosions, 12-14 days pass. Gradually, the state of health improves, the skin of the face and mucous membranes of the mouth are cleansed.

Video:

Chronic form

The cause of chronic herpetic stomatitis is an untreated disease that proceeded in an active form. Exacerbations occur in the off-season, especially in the autumn-spring period with frequent hypothermia. But it also aggravates against the background of damage to the mucous membrane or transferred sinusitis or tonsillitis.

For mild degree the chronic form is characterized by irregular ulceration (1-2 times a year) of the palate, gums and the inner surface of the cheeks. The number of ulcers is insignificant. In a severe form of HS, rashes are plentiful. With a chronic process, the mucous membrane swells, an unpleasant odor comes from the mouth. Multiple ulcers merge into erosive foci. Relapses are registered up to 6 times a year.

Chronic herpetic stomatitis differs from the acute form by the absence of secondary symptoms - the lymph nodes do not change their size, the body temperature remains normal, there is no bleeding of the gums. The patient only experiences general malaise.

Video:

Herpes stomatitis in adults: what and how to treat?

Doctors develop a treatment regimen for herpetic stomatitis in adults from medicines from different groups.

These are antiviral and immunomodulatory drugs, antiseptic mouthwashes and wound healing agents. Antiviral tablets effective in the first 4 days, until the bubbles burst. If the elements have opened up and turned into wounds, wound healing and regenerating gels must be used for treatment.

Effective pills for herpetic stomatitis:

  • Famciclovir - taken at the beginning of the development of the disease 1-2 times a day with such a dosage: with a single dose - 1500 mg, with a double dose - every 12 hours 750 mg of the drug.
  • Valaciclovir - on the first day of the disease, the drug is taken at 2000 mg with an interval of 12 hours.
  • Acyclovir is effective in the treatment of primary HS. In case of relapses, it is recommended to use stronger analogues.

To increase immunity, patients are prescribed immunomodulators. For example, it is a complex remedy that strengthens the immune system and suppresses the activity of the pathogen. The drug is produced in the form of an ointment, gel, suppositories.

The gel is applied to the affected areas up to 4 p. per day, after wiping the mucosa with a gauze swab.

Candles are administered rectally. In the intestines active substance absorbs quickly and affects the entire body.

It is better not to use ointments and creams for the treatment of herpes stomatitis. Medicines in such forms are not able to linger on the mucous membranes of the oral cavity for a long time.

As immunity stimulants, the patient is offered such means as:

Miramistin is used to disinfect the oral cavity. Rinse your mouth with the solution for 1 minute. 4 p. per day. Each procedure is completed by wiping the mucosa with a gauze swab and applying Viferon gel.

Now consider how you can treat herpes stomatitis in adults without medication. But be aware: folk remedies effective only in the treatment of mild forms of the disease.

A decoction of calendula, sage, St. John's wort, chamomile, yarrow can quickly relieve inflammation and swelling in the mouth. Prepare it according to this recipe:

  • 1 tbsp dry phytocollection is doused with a glass of hot water.
  • Under the lid, the herbs are kept for 5 minutes and filtered.
  • The resulting liquid irrigate the mouth 3 r. a day before meals.

Relieves puffiness and inflammation lemon juice and vitamin C(2 - 3 tablets). The ingredients are mixed into a gruel and used to wipe the affected areas. To speed up the healing of ulcers, they are rubbed with sea buckthorn and linseed oil.

Video:

Is it possible to visit a dentist with herpes

If the purpose of visiting the dentist is the diagnosis and treatment of herpes stomatitis, the doctor must examine the patient and develop a complex therapy.

But if liquid bubbles have formed on the lips, not every specialist will answer in the affirmative to the question of whether it is possible to go to the dentist with herpes. The doctor will explain to the patient who came to treat his teeth that. When carrying out manipulations, areas of skin with vesicles can be injured, causing the infection to get into the mouth, throat or other areas of the skin.

If it is necessary to pull out a tooth, herpes on the face or in the mouth - do not the best time for removing. Wounds at the site of a problematic tooth are an excellent breeding ground for microorganisms. Therefore, herpes stomatitis can join purulent inflammation gum or other serious pathology oral cavity.

Inflammation of the oral mucosa () is manifested by small sores that cause sharp pain when chewing food.

Most often, the disease is viral in nature.

In more detail, what is herpetic stomatitis, and its treatment in adults, we will consider further.

Characteristics of the disease

- this is an inflammation of the mucous membrane of the oral cavity, accompanied by the appearance of painful ulcers, caused by the herpes virus.

Herpetic stomatitis in adults: photo before treatment

This pathogenic microorganism, when it enters the body, can a long period don't announce yourself. When the immune properties of the body are weakened, herpes quickly affects the mucous membrane, causing discomfort and pain.

Soreness in herpes stomatitis often causes the patient to refuse to eat.

Causes

The herpes virus can be in the body of an adult for a long time. Its activation occurs when the immune system is weakened.

There are several reasons for the spread of herpes infection:

  • fluid loss from the body
  • hormonal imbalance;
  • errors in dental prosthetics;
  • hypovitaminosis;
  • violation of the rules of personal hygiene;
  • dry mucous membranes;
  • consequences of chemotherapy;
  • malnutrition;
  • hypothermia.

Whatever the cause of the disease, prerequisite for the spread of lesions is to reduce the body's immune abilities.

Symptoms

The incubation (latent) period can last from one to three weeks.

Like all viral infections herpetic stomatitis is transmitted by airborne droplets and contact routes.

The latent period is replaced by a catarrhal period, during which the first signs of the disease appear. This period is the shortest - from 2 to 24 hours.

Viral activity peaks after catarrhal manifestations. At this point, there is a high probability of the spread of infection, the transmission of the pathogen from the patient to healthy person. The peak lasts an average of 2 to 4 days.

In the following 3-4 days, there is a decrease in the activity of the herpes simplex virus, and after that, in the period from 3 to 9 days, regeneration of the affected mucosa occurs. The disease can be acute or chronic and have three degrees of severity.

Symptoms indicating a mild disease:
  • swelling of the gums and swelling of the mucous membranes of the oral cavity;
  • hyperthermia (increase in body temperature up to 38⁰С);
  • appearance of the oral cavity. Ulcers can be located in groups or separately. There are up to 5 ulcerative lesions.

In stage moderate the number of ulcers is noted up to 25, while there is a sharp increase in temperature up to 39⁰С, lymphadenitis and tonsillitis, itching, the appearance of vesicles with liquid content. The sores bleed and cause severe pain.

It is characterized by the rapid development of pathology. At the same time, the temperature rises up to 40⁰С, increased salivation and bad breath. The virus can simultaneously affect the mucous membranes of the oral cavity, as well as the skin of the face, earlobes and mucous membranes of the eyes. The duration of the disease is up to 14 days.

The chronic form is the result past infection, which for some reason has not undergone a complete cure.

In this form, at the slightest hypothermia, sinusitis is exacerbated and the virus is activated again.

If the process of rash is observed 1-2 times a year, it is believed that this is how it manifests itself. mild form infectious disease.

The severe form of the disease is manifested by relapses up to 6 times a year. Clinical picture the disease is erosive in nature: sores merge into lesions, swelling, bleeding and severe pain are observed. Eating becomes impossible.

Diagnosis and treatment of the disease

A doctor can diagnose the disease. The diagnosis is made on the basis of the examination. In some cases, a scraping is performed to determine the causative agent of the infection.

In the treatment of herpes stomatitis, an integrated approach is important.

In addition to external preparations that can relieve pain, stop the spread of viral damage and accelerate regeneration, drugs are used to stimulate the immune system and antiviral agents.

The latter are only effective initial stage illness. In cases where erosive lesions form from the vesicles, the use of antiviral drugs does not bring the desired result.

Do not try to diagnose the disease yourself and self-medicate. This is the danger of the transition of the process into a chronic form.

The previously popular drug Acyclovir has now partially lost its ability to effective fight with the disease, since in 60% of cases resistance (immunity) of the herpes simplex virus to the drug is noted.

Famciclovir

Of the antiviral agents, it is worth noting, such as Famciclovir and Valaciclovir. With their help, a so-called one-day course is carried out, the essence of which is in the application high dosage drugs within 1-2 days.

For external use, it is recommended to use antiviral ointments, gels and solutions. A positive effect is observed when rinsing the mouth with Miramistin, applying Viferon gel to the affected areas. Immunomodulators are used to increase the body's immune properties.

The classic algorithm for stimulating the body's resistance looks like this:
  1. multivitamin complexes;
  2. ingestion of Amiksin or Immudon lozenges;
  3. symptomatic drugs (antipyretic and analgesic drugs).

All of these methods are applicable to adult patients. In the treatment of children, an individual approach is important.

Herpes stomatitis in children requires hospitalization. Do not risk the health of the child, do not refuse therapy within the walls of the hospital under the supervision of a doctor.

Folk methods

Traditional medicine offers its own ways of treating herpetic stomatitis. Basically, they are all aimed at topical application in order to stop the spread of infection, reduce itching, swelling and pain.

Consider some recipes traditional healers recommended for herpes stomatitis:

  1. a solution of alcohol tincture of calendula and water is used as local remedy for rinsing the mouth;
  2. treatment of ulcers with hydrogen peroxide. Prepare a solution of 1 tbsp. peroxide and a glass of boiled water. Rinse your mouth with this solution;
  3. in the same proportions, a solution is prepared from propolis tincture and water. Rinsing with such a solution gives a positive result.

Most often in folk recipes pharmacy forms are used active substances. Folk ways treatments offer techniques for external use.

This will not be able to affect the viability of the pathogen, so such recipes can be used as adjuvant therapy. In addition to affecting external sores, it is necessary to use antiviral agents. This will reduce the risk of developing chronic stomatitis.

Do not neglect the advice of a doctor, relying on the possibilities of traditional medicine. Using only external means, it is impossible to achieve a complete recovery.

Prevention

In the prevention of herpetic stomatitis, the leading role belongs to proper treatment primary infections. To avoid future recurrences, it is important to take treatment of any infectious diseases.

To prevent the disease, a set of the following measures is necessary:

  • increase the immune forces of the body;
  • a healthy lifestyle and the rejection of bad habits;
  • hardening procedures;
  • timely and complete treatment infectious diseases that reduce immunity;
  • compliance with the rules of personal hygiene;
  • proper nutrition;
  • taking vitamin complexes in cold seasons;
  • limiting contact with patients with herpes stomatitis.

If you are prescribed a course of antibiotics, you should not interrupt it. If instead of those prescribed by a doctor, for example, 7 days of admission antibacterial agents the patient took drugs for 3-4 days, the infectious agent develops immunity to this drug, and the focus of infection remains viable and provokes adverse effects

Related videos

A few interesting points about the causes and methods of treating herpetic stomatitis in adults in medical program"Hello":

https://youtu.be/w8owrmmPh2A

Herpetic stomatitis brings a lot of suffering due to the sensitivity of the mucous membranes, reduces the quality of life and damages the immune system. stick healthy lifestyle life and preventive measures. If the disease could not be avoided, seek qualified help and follow all the doctor's recommendations. It is impossible to get rid of the herpes virus, which once entered the body. But you can stop its activity and prevent chronic manifestations of the disease.