Stomatitis after antibiotic treatment
- How to cure stomatitis after antibiotics
- How to determine stomatitis in children
- How to cure stomatitis in the tongue
After taking antibiotics and some drugs, the body’s immune defenses are reduced. This leads to a decrease in the resistance of the oral mucosa to various viruses and bacteria, resulting in the development of stomatitis.
For effective treatment it is necessary to take antiviral drugs and immunostimulants. As an anti-virus agent, it is advisable to use special ointments (for example, "Acyclovir", "Zovirax", "Viferon" and others) for topical use. But it should be noted that some of them are absolutely not suitable for application to the oral mucosa. Before applying the ointment or gel, it is necessary to wet the mucous membrane with a gauze pad, which will increase the effectiveness of the product. Antiviral drugs should treat the affected area 3-4 times a day for a week.
Immunostimulants are needed as an additional means for the treatment and prevention of disease recurrence. Depending on the severity of the lesion, choose drugs of general and local action. An experienced doctor determines how and how much to take drugs. The most common is considered to be "Amiksin" and "Imudon." They enhance the body's natural defenses. With the same purpose, you can drink a course of vitamins.
To eliminate the symptoms of the disease, it is recommended to rinse your mouth every day with antiseptic solutions that destroy the virus and promote the healing of open ulcers. You can also use herbal teas: sage, tutsan, chamomile, calendula, oak bark. They relieve inflammation and accelerate the healing process.
For quick relief of swelling and inflammation, you can attach a slice of raw potatoes. Starch contained in it favorably affects the course of the disease.
With an increase in body temperature on the background of stomatitis, it is advisable to take a febrifuge. But use it only if it exceeds the mark of 38 ° C. Low body temperature indicates the production of interferons by the body itself, which are aimed at combating harmful microorganisms.
To prevent disease, you should regularly visit a specialist in the field of dentistry and undergo a thorough examination.
Why does stomatitis develop after taking antibiotics?
Stomatitis - a disease characterized by inflammation of the mucous membrane of the oral cavity, develops due to many reasons (primarily factors that contribute to a decrease in immunity).
One of the reasons most often associated with the development of the disease in adults and children - taking antibacterial drugs. According to statistics, about 25% of cases in a person develop stomatitis after antibiotics.
The significance of this indicator should not be minimized, since the symptoms of the disease (swelling, inflammation of the oral mucosa and subsequent formation of erosions and bleeding ulcerations, painful swallowing) significantly impair the quality of life of patients - performance decreases, school performance is depressed, children refuse food and become capricious. Considering that in some cases the disease entails very serious consequences, it is necessary to describe in more detail about the symptoms and treatment.
Why do antibiotics cause stomatitis?
Antibacterial drugs are a very strong pharmacological group of drugs, which, in addition to the positive effect, provokes many side effects, one of which is stomatitis.
However, everything is not so simple: the development of stomatitis after taking antibiotics can occur in two main ways, the clinical picture of which will vary considerably in the time of development and the nature of the symptoms:
- Medication (allergic) stomatitis. In this case, the antibiotic acts as an antigen, which, when ingested, immediately triggers an allergic reaction, resulting in swelling and redness of the oral mucosa.
- Candida (fungal) stomatitis - the symptoms of this form of the disease begin to appear several days after the first intake of antibiotics, which is associated with the destruction of the natural flora in the oral cavity and the reproduction of fungi of the genus Candida. Fungal stomatitis (thrush) is not difficult to recognize - white plaque on the mucous membrane resembles a curd and has a specific unpleasant odor.
This form of the development mechanism is a drug allergy, the symptoms of which can be reflected not only in the form of stomatitis, but other allergic manifestations (dermatitis, rhinitis, conjunctivitis, asthma, angioedema and anaphylactic shock - the last two can be fatal!). The most common allergies provoke sulfa drugs, barbiturates, tetracycline. However, the list goes on and on: drug stomatitis can be caused not only by all antibiotics, but also by any drug.
The clinical symptoms of such stomatitis are varied: in the milder forms of the patient, itching, burning, redness and swelling of the mucous membranes, painful swallowing are troubling.
In the absence of timely treatment, erosions and bleeding ulcers appear on the mucous membranes, which make swallowing too painful.
It is important to note that the first manifestations appear already within a day after the first dose of the drug and have a progressive course up to a lethal outcome.
Fixed medical stomatitis - is characterized by the appearance of a round or oval spot (or several spots) on the mucous membrane in diameter up to 1.5 cm, in the center of which a bubble appears, which quickly opens and erosion remains in its place.
With the addition of infection and mechanical trauma, erosion becomes a bleeding ulcer, which subsequently does not heal for a long time. The peculiarity of stomatitis is that when the antibiotic is taken again, a bubble re-forms at the same place.
The first and most important thing that needs to be done is to stop taking the antibiotic and immediately seek medical help, especially if the child has an allergy.
Complex therapy of stomatitis:
- antihistamines that will relieve swelling and inflammation in the mouth. Preparations are made in the form of tablets (Cetrin, Erius, Zyrtec, etc.) with the reception 1 time per day, or in the form of drops for small children,
- the damaged oral mucosa is treated with antiseptic lotions (Furacilin) and soothing solutions of herbs (chamomile infusion),
- with severe pain, you can take painkillers,
- The diet should be gentle so that food pieces do not traumatize the already damaged mucosa. Be sure to exclude spicy and salty foods, alcohol, hot drinks.
In severe forms of the disease, hospitalization is required.
In case of medical stomatitis, a child always needs hospitalization, where, under the supervision of specialists, full-fledged complex therapy is carried out. With the right treatment tactics, the prognosis is favorable - the symptoms subside already during the first day and disappear in 3-5 days.
If any drug develops symptoms of stomatitis or other manifestations of allergies, then the medicine should never be taken later in life.
After taking antibiotics, this form is much more common than allergies. The fact is that normally the oral cavity is populated by a variety of microorganisms (normal microflora), including a small amount of Candida fungi.
Antibiotics destroy the natural bacterial microflora, but have absolutely no effect on fungi, which gives the prerequisites for the growth and reproduction of the latter.
As a result, with prolonged antibacterial therapy, the fungi completely colonize the mucous membrane and develop fungal stomatitis (thrush).
Mouse over or click on the image to see the picture.
Symptoms of thrush
The main symptom of this form is white bloom on the mucous membrane. Initially, the foci are point (on the tongue, on the gums or on the hard palate), but over time the plaque delays the entire mucous membrane and resembles a curd with an unpleasant odor.
The disease is complicated by the fact that white plaque is difficult to separate from the mucous membrane, leaving behind the bleeding erosion, swallowing becomes very painful.
These symptoms begin to appear only with prolonged antibiotic therapy (not earlier than 5-7 from the first dose of the antibiotic) and without timely treatment it is difficult to give a drug therapy.
Treatment and Prevention
As described above, the treatment of candidal stomatitis is difficult and lengthy, since time is needed not only to kill the fungus, but also to restore normal bacterial microflora. It includes:
- elimination of the cause of the disease (ie, cancellation of the antibiotic, or its replacement),
- rational nutrition
- stimulation of the immune system,
- improving oral hygiene,
- local antifungal drugs (ointment) and systemic action (tablets),
- elimination of symptoms (painkillers, antihistamines).
Among the systemic antifungal drugs most commonly used are flucanazole, nystatin, intracanazole, ketonazole. Local exposure can be carried out with the help of rinsing, ointments (clotrimazole, nystatin), gel, spray.
2-3% solution of potassium iodide will reduce dry mouth and will also destroy the fungus.
The course of treatment is long, at least 2 weeks. Therapy continues until the symptoms are completely eliminated to prevent the recurrence (recurrence) of the disease.
Prevention of candidal stomatitis includes taking antifungal drugs during antibiotic therapy. In this case, experts recommend taking fluconazole 1 tablet 1 time per week. The drug can be drunk once, if the course of antibiotic therapy is no more than 7 days, or 2 or 3 times (2-3 weeks), with a course of antibiotic therapy more than 7-10 days.
How to take antibiotics?
In order to reduce the risk of negative effects of antibiotics on the body, it is necessary to adhere to some clear rules:
- Antibiotics, as well as any prescription drugs, should be prescribed only by a doctor, taking into account all indications, contraindications, age, body weight and individual tolerance.
- Stronger does not mean more efficient! Each disease has its own antibiotic groups, so you do not need to ask the doctor (or the pharmacy) the most powerful drug
- Be sure to complete a full course and in no case do not stop treatment as soon as there is an improvement.
- Record and memorize which antibiotics had certain allergic reactions, especially in children. This information is entered into a medical card in order to avoid repeated episodes of allergy in the future.
- You can not change the dose yourself. Less is not safer!
- Do not skip the medication, try to take every day at the same time.
What is more dangerous antibiotics?
With long-term use, antibiotics can cause dysbacteriosis not only in the mouth, but also in other organs (intestines, female genitals).
Therefore, to prevent the development of dysbacteriosis and thrush, it is important to take antifungal drugs as prophylaxis with antibiotics, if the course of antibacterial treatment is more than 7 days.
As a rule, short courses of antibiotics (3-7 days) do not lead to similar fungal complications.
What it is
Specific rashes on the oral mucosa, spots, blisters, edema - all this may be a consequence of the use of a potent drug. And sometimes it doesn't even matter if you drank it inside or just used it during contact treatment.
Unfortunately, there is no classification and it is impossible to predict in advance what kind of reaction the drug will give the body.
The processes are so individual that one person can undergo treatment without visible complications, another will only have a slight urticaria, and the third will suffer with serious skin reactions, erosions and painful ulcers, up to Quincke's edema.
Idiosyncrasy or violent reaction of the body to contact with foreign substances, including with strong medicines, is a frequent phenomenon, since most antibiotics give an allergic reaction, and therefore doctors always prescribe them in conjunction with antihistamines. In addition to medical stomatitis, these patients may develop skin irritations, eczema, allergic sinusitis, headaches, and even asthma attacks.
In addition, the general condition worsens, weakness, nausea appear, subfebrile non-falling temperature may appear. The presence of all these signs, or at least one or two of them (after taking a potent drug) in parallel with stomatitis, clearly indicates its medical origin.
Depending on the degree of body resistance and its susceptibility to drugs, this reaction can last from a couple of hours to several days. And if the external skin manifestations of allergy can pass quickly, then you will have to tinker with the treatment of stomatitis.
Most often, stomatitis occurs when the drug is taken orally, but it can also occur as a result of contact with low-quality prosthetic or filling material. In this case, the reaction will be only local.
You can identify the type of stomatitis in the laboratory by donating blood for analysis. Drug intoxication of the body is confirmed by the presence in the blood of a high content of the drug taken. Consider which drugs are able to cause certain reactions.
Reasons for education
An unusual reaction of the body can develop to any, even seemingly innocuous drugs, but most often stomatitis occurs while taking such drugs as:
- antibiotics (tetracycline, streptomycin),
- sulfonamides (sulfidine, norsulfazole, sulfazole, streptocid, etazole),
- pyrazolone preparations (analgin, antipyrine, butadione, amidopyrine),
- sera and vaccines
- vitamin complexes,
- salts of heavy metals (lead, mercury, bismuth).
Moreover, the reaction occurs most often to sulfonamides and antibiotics, but it is possible that stomatitis may appear and because of the administration of other, more specific drugs.
And if an acute reaction can occur both at once and for a short period of time at the first dose of the drug, then a repeated allergic reaction develops after the second dose.
So, for example, the reaction to the primary intake of sulfonamides may occur within three days.
But allergy to antibiotics can occur not only immediately, but also develop gradually, with a cumulative effect in the process of taking the prescribed course.
In order to avoid the manifestation of such an allergic reaction, before starting a long-term administration or administration of a large dose of the drug, it is necessary to conduct a test that will show whether the body is normally tolerating this medicine. If you did not test, and you have stomatitis, determine the drug or not, help the following list of symptoms.
Symptoms, complications and clinical presentation
The manifestation of medical stomatitis individually not only for each drug, but also for each person. The overall picture of the disease is characterized by painful sensations, itching, burning, swelling, malaise, impaired salivation, dryness in the mouth and the appearance of lesions that are not characteristic of the usual state of the body.
After taking antibiotics, stomatitis can manifest itself as follows:
- Redness and severe swelling of soft tissues (lips, cheeks, tongue) and sky.
- Bleeding and increased soreness of the gums when touched.
- The tongue becomes smooth and swollen, the mucous membrane of the oral cavity is dry and sensitive to external stimuli.
- In parallel, you may experience headaches, pain in the joints and their swelling, muscle pain, urticaria, itching, low-grade fever.
- In severe cases, anaphylactic shock may occur.
Acceptance of sulfanilamide may be accompanied by an uneven reddening with the further appearance of single or multiple spots of rich red-blue color, bubbles, after rupture of which a non-healing erosion is formed for a long time. The rash can spread not only on the mucous membrane of the mouth, but also on the skin of the face around the lips. At the same time, the drying crusts painfully crack when you try to open your mouth.
Iodine and bromine also cause an acute reaction in some patients, accompanied by severe swelling, pain in the gums, abundant salivation and allergic rhinitis. На слизистой и коже появляются гранулемы, пузырьки и йодистые угри, активизируется работа желез.
Одна из возможных причин развития медикаментозного стоматита — дизбактериоз на фоне длительного приема антибактериальных препаратов, hormones, cytostatics and sulfonamides. In this case, the consequences will not only be stomatitis, but also a rash and blackening of the tongue with a change in its texture.
Treatment: 5 recommendations
The very first step in the treatment of this type of stomatitis - the abolition of the drug and a complete cleansing of the body from the allergen. Further actions depend on the severity of the disease and the consequences. Rashes are treated with antiseptic solutions, and drug therapy most often involves the following medications:
- calcium chloride,
- a weak solution of adrenaline sc,
- Suprastin (tavegil).
Erosions are treated with retinol acetate for speedy healing. To restore the immune response, vitamin C is prescribed if the allergy was not on it. Frequent rinsing with sodium bicarbonate solution is also recommended. Within a few days, the obvious symptoms of stomatitis with this treatment go to zero.
Fixed medical stomatitis
This type of stomatitis is characterized by the appearance of single or multiple spots with a diameter of up to one and a half centimeters. In fact, it is also an allergic reaction to the intake of tetracycline, barbiturates and sulfonamides, but it is customary to distinguish it as a separate subtype.
In the center of each spot or group of spots a bubble with serous fluid is formed, which opens almost immediately after the appearance.
In the case of a secondary intake of a drug that gave a reaction, a vial will arise in the same place.
In addition to the appearance of rashes on the oral mucosa, the same bubbles can form on the genitals, while their appearance will be characterized by severe itching and burning.
As a result of the occurrence of fixed medical stomatitis, it becomes painful for the patient to open his mouth and take food, which can lead to weight loss, exhaustion and a decrease in the overall resistance of the body.
The only method of treatment in this case is the abolition of the drug that causes the reaction, and the appointment of antihistamines. Local symptoms are removed by regular rinsing and applications.
Features of the disease
Stomatitis - is an inflammatory disease of the oral cavity, accompanied by the appearance of ulcers and rashes on the inner surface of the cheeks, lips, tongue.
It hurts to eat, drink, talk. In severe stages, body temperature rises, nausea occurs, and well-being deteriorates.
Stomatitis is viral, fungal, bacterial in nature. Occurs when pathogens enter the body and the protective forces weaken.
Taking antibiotics for stomatitis is indicated in the following situations:
Stomatitis is caused by bacteria.
Antibiotics are a powerful tool that, in addition to the pronounced therapeutic effect, causes harm to the body, destroying the beneficial microflora, worsening the state of the body's digestive, immune systems. Therefore, resort to this method of treatment only in extreme cases.
Important! To begin treatment with antibiotics, the doctor needs to clearly know what kind of stomatitis. Because, for example, with fungal stomatitis, antibiotic treatment can aggravate the situation.
Antibiotics for aphthous stomatitis are taken strictly according to doctor's prescription. It determines their feasibility, form and severity of the disease.
You need to take the drug according to the scheme, without interrupting the reception ahead of time, even if the symptoms quickly disappeared. Otherwise, you can cause more harm to the body.
Herpetic stomatitis is caused by the herpes virus, which means it is viral in nature.
Herpetic stomatitis is caused by the herpes virus, which means it is viral in nature.
Treated with antiviral drugs. Taking antibiotics will not do any good.
However, they can also be assigned for this variety if:
- mixed nature disease
- accompanied by bacterial complications,
- often relapses occur.
The need for the drug will determine the doctor individually.
Bacterial Stomatitis - A Top Purpose for Antibiotics
Bacterial stomatitis is the main destination for antibiotics.
In the light stages, not accompanied by a significant deterioration in health, they should not be used.
For recovery, standard local remedies and rinses are sufficient.
In severe cases, they are necessary. Otherwise, the disease can give complications to the internal organs and cause sepsis - if the infection gets into the blood.
For the treatment of stomatitis are used different antibiotics, both for oral administration, and local preparations. The most commonly used antibiotics for internal use are listed below.
The main active ingredient of Amoxiclav is amoxicillin lyophilisate. It also contains clavulanic acid.
The drug is available in the form of a suspension for the preparation of a solution, tablets, syrup, drops for oral administration. A depressing effect on the development and synthesis of about 30 types of bacteria.
It is used for severe exacerbations of stomatitis. Adolescents and adults over the age of 12 take 250 mg tablets three times a day. Children Amoxiclav is appointed in the form of syrup. The price of tablets Amoxiclav from 98 rubles and above.
Azithromycin is Sumamed's main active ingredient, belongs to the group of macrolides. Suppresses gram-positive, gram-negative bacteria, anaerobic microorganisms. Available in the form of tablets, powder and suspension. It is used when stomatitis is caused by a systemic illness of the body.
Babies, starting with 5 months, appointed Sumamed as a suspension. The volume is calculated by the doctor based on the child’s body weight. Pills are shown to adults. Reception is three days, in rare cases longer. Cost Sumamed tablets - from 250 rubles, the powder will be 100 rubles. cheaper.
Amoxicillin is used in the treatment of systemic infectious lesions of the body. It is a semi-synthetic antibiotic and belongs to the penicillin group.
Available in the form of tablets, capsules. The dose of the drug for adults and children over 12 years of age ranges from 250 to 500 mg per reception. With a strong exacerbation can be increased to one gram. It should be taken every eight hours. You can buy Amoxicillin from 35-50 rubles per pack.
Semi-synthetic penicillin antibiotic Augmentin is used for severe stomatitis, complications, systemic lesions of the body. It consists of the antibiotic amoxicillin and clavulanate, which helps the absorption of the antibiotic.
Available in the form of tablets, syrup, powder for injection and suspension. It is even prescribed for children from two months. The dose is determined by the doctor individually. Price from 150 rubles and above.
Azithromycin belongs to the penicillin group. It is used when infectious inflammation has spread to the internal organs. It affects not the focus of inflammation in the oral cavity, but systemically.
Available in the form of tablets and capsules. It is taken in one dose (the dose is prescribed by the attending physician) every eight hours. Azithromycin can be purchased starting from 35-50 rubles and above.
Antibacterial gels and ointments
Antibiotics for internal use are prescribed for severe stomatitis, for complications and systemic lesions of the body and have a number of contraindications and side effects. Gels and ointments with antibacterial effect act more gently.
Used when stomatitis is caused by the direct penetration of bacteria into the tissues of the oral mucosa, but there is no damage to the whole body. Before using antibacterial gels and ointments, it is necessary to treat the oral cavity with a disinfecting solution.
It consists of a synthetic substance metronidazole and chlorhexidine, which has an antiseptic effect. Metrogil dent acts directly on the bacteria, destroying them from the inside. Created a drug specifically for the treatment of dental diseases.
Metrogil denta reduces inflammation, reduces bleeding, promotes rapid healing of tissues. Applied to lesions twice a day for 7-10 days. The average cost is 220 rubles.
Antibacterial drugs are indispensable in the treatment of many ailments caused by bacteria, but they often cause side effects. Stomatitis after antibiotics develops in two forms:
- Allergic, representing a kind of immune response to drugs. The most common allergies cause sulfonamides and tetracycline.
- Candida, starting from the destruction in the oral cavity of the natural flora and reproduction of the fungus, which does not die under the action of antibacterial drugs.
Stomatitis is one of the possible side effects from taking antibiotics.
Both forms, having a common cause, differ in symptoms and require different treatment.
The following manifestations are characteristic of the allergic form of stomatitis that develops from antibiotics:
- burning, itching
- pain when swallowing,
Ulcers on the mucous membrane do not appear at an early stage. They occur only in the absence of adequate measures. Ulcers have the form of spots with a diameter of up to 5 millimeters with a bladder in the center. After opening it, erosion is formed, which does not heal for a long time.
In adults, the disease can occur in isolation, in a child, it most often becomes a manifestation of a common allergic reaction.
The main symptom of candidal stomatitis is white plaque on the mucous membrane.
Candida stomatitis is also called thrush: one of its main symptoms is white plaque covering the mucous membrane. First, there are point foci, but over time they stretch, resembling a cheesy mass. When plaque is separated from the mucous membrane, ulcers are formed, bleeding and painful. Adult patients complain of insensitivity to the taste of food, the appearance of iron taste.
Prescribed therapy will depend on what form of the disease is diagnosed.
Antibiotic local action, is available as an ointment. It is used in severe forms of bacterial stomatitis, when the disease does not spread to the entire body and does not have a systemic effect. Effective against streptococci and staphylococci, chlamydia, salmonella, gonorrheal infection.
The cost of the ointment is in the range of 50-60 rubles.
Antibiotic penicillin group. It is used for stomatitis, which is caused by injury to the mucous membrane, followed by the addition of a bacterial infection. Can be applied from the age of two.
Flemoxin price - from 250 rubles.
Antibiotic penicillin group. Available in the form of ointment and gel, and in the form of powder. Included in many antibacterial ointments and gels as an active ingredient.
Effective with a wide range of bacterial infections. It is used strictly as prescribed by the doctor.
The above preparations are the most frequently used for stomatitis. However, there are others that are also prescribed for the bacterial form of this disease. Their names are:
Kanamycin Clarithromycin Lincomycin Doxycycline Gentamicin Ampioks Cefazolin Cefuroxime Ceftriaxone Important! You can not take antibiotics alone or on the recommendation of friends. The organism of each person is individual, therefore the action of the same preparations will be different.
The children's body is still being formed, therefore, antibacterial drugs for children are prescribed in extreme cases, when the benefits to the patient outweigh the possible risks.
In appointing children, the doctor considers the following:
- type and form of stomatitis,
- severity of stomatitis,
- propensity for allergies,
- general well-being of the patient,
- presence or absence of complications.
Preference is given to local drugs. If an antibiotic is prescribed for internal use, then convenient forms for children are chosen: syrups, drops, suspensions. Children under the year they are appointed extremely rarely, and after seven years can be taken in pills.
The order of antibiotics:
- During the course of treatment and after it, you need to take probiotics to restore microflora
To take an antibiotic can only be prescribed by a doctor.
Stomatitis may occur while taking antibiotics aimed at treating other diseases. These drugs weaken the body's defenses and disrupt the normal microflora.
As a result of the disturbance of microflora, for example, stomatitis of fungal microflora caused by candida may occur. At the same time, instead of sores, a thick white bloom appears in the mouth, the tissues become inflamed.
In addition, as a result of a weakened immune system, the body becomes vulnerable to viruses and other infections. Treat such stomatitis is necessary, based on its nature. At the same time, probiotics are needed to restore microflora and drugs that help to improve immunity.
Antibiotics for stomatitis in adults and children: do they treat, what products are used
Based on the fact that the treatment of stomatitis with antibiotics is carried out only in some cases, there is no single problem solving scheme. For example, candidal lesions are fought with antimycotic agents.
In some cases, can not do without antiviral drugs. Therefore, self-medicating is dangerous.
Indeed, only after the doctor takes into account all the factors, can success be predicted from taking antibacterial agents.
Contraindications and indications
Doctors always prescribe drugs antibacterial group only in cases of extreme necessity. Indeed, together with the destruction of harmful microorganisms, the normal balance of the body’s flora is disturbed. At the same time, antibiotics are not omnipotent.
Consider the situations in which these drugs can be prescribed:
- When the pathology of the mucous membrane is excited - bacteria.
- Antibiotics for stomatitis are prescribed if the situation is neglected and the disease progresses heavily. This is expressed in large-scale lesions of the oral mucosa, the formation of ulcers, tissue death, and suppuration. Symptomatology is accompanied by severe pain.
- When diagnosing ulcerative-necrotic form of the disease (if it is caused by fusospirochetami).
- When a patient has lymph nodes in the lower jaw.
- If there is a likelihood of the spread of pathogenic microflora from the oral cavity into the circulatory system.
- If other treatments did not lead to recovery after a 7–10 day course.
- If the pathology is a complication or systemically manifested due to the presence of another chronic disease.
- When a secondary infection is diagnosed.
It is worth noting that even in the above situations, before prescribing the considered drugs to the patient, the doctor takes into account many other factors (clinical picture, patient's individual characteristics, etc.).
Contraindications are as follows:
- Antibiotics for stomatitis are not prescribed if they diagnosed a disease of viral etiology. This form is treated with appropriate drugs.
- Candida stomatitis. In this case, antibiotics are not only powerless, they can even aggravate the course of the pathological process.
It is worth noting that in the event of a relapse, antibiotic therapy is still relevant. It is also worth mentioning the general contraindications of the drugs in question:
- They are not prescribed for dysbacteriosis.
- Long-term use adversely affects the immune system. Therefore, drugs are prescribed to patients with impaired protective functions only when absolutely necessary.
Antibacterial drugs are taken strictly according to doctor's prescription. He also determines the dosage and duration of the course, monitors the reaction of the body. If necessary, medication can be replaced if allergic.
There are a few more rules to follow:
- It is impossible to interrupt the course of treatment, even if the patient has felt improvement.
- The dosage is strictly calculated by the doctor taking into account the age and weight of the patient.
- When the first signs of allergy appear, the drug is immediately stopped, activated charcoal or Sorbex is taken, and the doctor is informed.
- Since antibiotic treatment harms the beneficial intestinal microflora, it is necessary to take probiotics (Linex, Yogurt, Gastrofarm).
- Therapy should be comprehensive. The affected areas are treated with solutions, ointments, antiseptic group gels.
When choosing a drug, the doctor takes into account the results of tests on the sensitivity of the pathogen to the active substance of the drug.
List of drugs for children
Antibiotics for stomatitis in children prescribed with extreme caution. Consider a brief description of drugs that have earned a reputation as an effective and safe means:
- Sumamed refers to antibiotics macrolides. The active substance is azithromycin. This drug is well tolerated even toddlers. It is allowed to take from 5 months of life.
- Amoxiclav found wide application in dentistry. It is a drug that destroys pathogenic bacteria that cause inflammatory processes in tissues and organs. The action of Amoksiklava is aimed at eliminating the root cause of the occurrence of stomatitis. Therefore, after the elimination of the source of infection, the drug is canceled.
- Amoxicillin use when necessary systemic effects on the body. As a rule, it is effective in diseases of the internal organs or systems, which are accompanied by pathological eruptions on the oral mucosa.
- Augmentin for the treatment of pathologies on the mucous membrane of a child, it is used in case of severe disease or general systemic infection of the body. The drug is different in that it has two active ingredients. This is amoxicillin, which is an antibiotic in its pure form, and clavulanate. The second component helps to inhibit the production of beta-lactamase, inhibiting the effect of the drug on pathogenic microorganisms.
Treatment of stomatitis with antibiotics in children gives a rapid oppression of bacteria. Some drugs show good results after the first dose of the drug. For example, after using the first dose of Augmentin, in 3-5 hours, in almost all clinical cases, all pathogenic microflora was destroyed.
Drugs for adults
Antibiotics for stomatitis in adults are prescribed from a group that has a wide spectrum of action. Considering the clinical picture, the tendency to allergic reactions and the sensitivity of the pathogen, the doctor prescribes one of the following drugs:
- Sumamed prescribed for the treatment of severe forms of stomatitis in adult patients. Especially the drug is relevant when the probability of intoxication.
- Amoxiclav quickly and effectively destroys all pathogens during stomatitis. As in children, in adult patients, the result is achieved quite quickly. You can also predict no recurrence after taking this drug.
- Tetracycline with the disease in question prescribed in the form of ointment. The drug is recommended in the presence of aft in the oral cavity. Ointment gently and effectively suppresses the inflammatory process. Most often used in the treatment of adults only.
- Flemoxin contains the active component ammoxicillin. Prescribed adults are usually in tablet form for the treatment of severe forms of infections of the oral mucosa. Pure ammoxicillin may also be recommended.
- Lincomycin It is considered the most common antibacterial drug in dentistry. In the treatment of stomatitis, it is also often prescribed, provided that the pathogens have been found to be sensitive to this drug.
- Clarithromycin and Azithromycin refer to the same group as Sumamed. The action of drugs is similar. Usually in the form of a suspension, the medication is taken 5 days. But the tablet form allows to reduce the course of treatment. On average, it lasts 3 days. At its discretion, the doctor may change the duration of therapy.
It is important to understand that stomatitis after taking antibiotics is cured only when they have been correctly selected by the doctor. In most cases, the disease is treated with other drugs.
Tatyana Grosova, dental assistant,
specially for Karies.pro
Antibiotic for stomatitis
If stomatitis occurs in the light phase, it is quickly treated with a standard set of antiseptics, antibacterial therapy is not required.
Antibiotics for stomatitis is the last measure, when fungi, bacteria, viruses or other microorganisms resistant to the standard set of anti-inflammatory drugs became the root cause of the disease.
We are talking about severe or neglected forms of pathology with deep ulceration and suppuration of tissues, or the formation of necrotic masses. In these cases, antibiotic therapy should be carried out in conjunction with other powerful antiseptic agents.
Need to use
Antibiotics for adults and, especially, children, are prescribed in cases of failure of other methods of drug treatment.
Before their use, consultation with the attending physician is required, since each medical preparation has a number of side effects and contraindications.
To eliminate a causative agent of stomatitis, a certain dosage and course of treatment is required. A doctor can write a prescription for antibiotics for stomatitis in the following cases:
- when inflammation in the oral cavity occurred due to infection of the body with a bacterium, as if infected with a virus (for example, herpes), a fungus (for example, Candida), the drugs will not help,
- when the disease has passed into a weighted form,
- there is a risk of serious complications, as the bacteria are initially settled in the oral mucosa, and then penetrate into the circulatory system with further spread throughout the body,
- with systematic diseases that have developed in the internal organs or systems, occurring in acute or chronic form, and can cause the development of stomatitis.
Is it possible or not?
The feasibility of treating stomatitis with antibiotics can only be determined by the attending physician. Self prescribing is strictly prohibited due to the risk of side effects.
Treatment of stomatitis with antibiotics is prescribed only if the mucous membrane is infected with a bacterial infection. In other cases of infection, for example, with a fungus or a virus, the use of these drugs is not allowed due to the risk of exacerbation of the problem.
Special attention deserves stomatitis in infants.
A small body did not have time to adapt to aggressive environmental conditions, the immune system is only getting better, so the use of antibiotics can cause serious harm to the baby at this age.
Therefore, antibiotic therapy in infants, especially in newborns, is an extreme measure. Such drugs can be prescribed only if the threat to the health and life of the child is substantially higher than the risk of using an antibiotic.
Dangerous conditions for stomatitis in adults requiring antibiotic treatment are:
- large-scale lesion of the oral mucosa,
- running stage with the risk of blood poisoning
- development of secondary infectious pathologies.
What antibiotics should be used to cure stomatitis, only the doctor can decide.
When treating stomatitis with antibiotics, certain requirements should be observed that eliminate risks and minimize side effects from exposure to strong drugs:
- Antibiotics are taken against a background of large-scale lesions of the oral mucosa, severe pain and the ineffectiveness of other treatments.
- Self-treatment is dangerous, therefore it is strictly prohibited.
- Stomatitis is treated with antibiotics of a wide range of effects.
- Immediately appointed local antibacterial ointment, gels for the treatment of areas affected by the stomatitis of the oral cavity.
- For an accurate determination of the type and type of antibacterial drug, preliminary analyzes are carried out to determine the form of the pathogen and its sensitivity to a specific drug.
- Drugs that can suppress the microbe as much as possible are stopped, stopping its growth and development.
- The entire course of treatment is necessary to monitor the condition and degree of recovery of the body. This should be done by the attending physician, who is able to assess the progress in recovery, to prescribe / cancel the medication in a timely manner.
- In addition to antibiotics, patients are necessarily prescribed drugs that quickly restore the intestinal microflora and the whole body.
- The recipe states:
- form and types of stomatitis,
- stage of development
- height and age
- inspection data
- diagnostic and examination results,
- identified allergic reactions.
What drug, dose, course is suitable for the treatment of stomatitis, only a doctor can decide.
Types and doses
Most often, experts prescribe such medications:
For ease of use, medicines are available in different forms: capsules, tablets, suppositories, ointments, syrups. For each case, the type of drug is selected, based on the duration of its therapeutic effect, the ability to prevent relapse.
All antibiotics that treat stomatitis are endowed with a powerful effect, but have side effects. Therefore, it is necessary to observe exactly the daily dose, which is calculated according to gender, age, body weight, severity of pathology. Assign the type of medication and dosage can only be a specialist.
A remedy is used against stomatitis, which has fallen into a severe form with an increased risk of intoxication of the organism through blood. It is possible to treat “Sumamed” from infancy. Forms of medication:
- syrup - for kids,
- pills - for adults.
Therapeutic course and doses are selected by the doctor individually after examination and examination of the patient.
Dentistry try not to use antibiotics to cure stomatitis, as in most cases the disease is susceptible to babies. This opinion is based on:
- at high risk of using strong medicines at a young age,
- the difficulty of identifying the causative agent of stomatitis, therefore, the difficulty of accurately determining the type of pathogen due to the variety of viruses disguised as a bacterial infection against which the action of antibiotics is directed,
- Duality of the effect of the drug on the health of the patient: effective treatment of stomatitis with a negative impact on the digestive tract, urinary system or other internal organs.
Due to the fact that in childhood stomatitis is mostly mild, it is sufficient to use standard treatment methods with rinses with antiseptics and oral treatment with folk remedies. In patients from 12 years old, the illness often occurs in an acute, severe form, so antibiotics are needed, as they can be a good help in the fight against the bacterial infection that caused it.
Embedded video for stomatitis antibiotic
- ← Gels for stomatitis
- Talk with stomatitis →
The most important condition for recovery is the immediate refusal to take the antibiotic that caused the allergy. In addition, complex treatment is prescribed:
- antihistamines in pills or drops (for children),
- treatment of the oral cavity with antiseptic, sedative, anti-inflammatory agents (furatsilin, miramistin, chamomile and others),
- taking painkillers if necessary.
In case of an allergic form of stomatitis, the antibiotic should be stopped.
Treatment involves the following measures:
- Refusal to take antibiotics, reduce dosage or select other means.
- Treatment of the oral cavity with drugs with antimycotic action, among them Levorin, Candide, Hexoral.
- Systemic therapy involving the use of such agents as Fluconazole, Ketonazole.
- Rinse with soothing, anti-inflammatory infusions of chamomile, sage, oak bark.
Children are given a slightly different treatment, the features of which depend on the child’s age:
- The newborn is recommended local treatment of the oral cavity with a solution of soda, Candide.
- Babies older than a year are prescribed ointment - Clotrimazole, Pimafucin.
- After five years, rinse with furatsilinom, miramistinom, and the resorption of Imudon is recommended.
Stomatitis on the background of antibiotics - a signal of a weakened immune system.
In the treatment of all types of the disease, it is necessary to adhere to a diet that involves the use of gentle rubbed food, drinking through a straw, refusing to aggressive, irritating the mucous membrane.
It is important hygiene, washing hands, avoiding the use of common dishes and towels. Stomatitis, occurring during treatment with antibiotics, signals a reduced immunity, therefore efforts should be made to strengthen it.
- Therapeutic dentistry. Ed. E.V. Borovsky. Moscow, 2004.
- Persin L.S. Pediatric dentistry. Moscow, 2003.
The relationship of antibiotic therapy and stomatitis
In fact, no one will deny that the use of antibiotics in people of different age groups is accompanied by a number of complications in the future. Most often, the result is an inflammatory process in the mouth.
The case when stomatitis from antibiotics develops cannot be called simple. It can be followed in two ways. This is due to the fact that the clinical manifestation differs in the time of development, as well as the degree of symptoms.
There is allergic stomatitis, it is also called medication and fungal, also candida. Consider each one of them.
Due to the fact that there is a decrease in the normal level of healthy microflora in the mouth. Against the background of these events are developing Candida.
Under them should understand a certain kind of fungi. When thrush inflammation is accompanied by a white coating on the mucous membrane.
It will look like a curd in appearance, and is accompanied by a very unpleasant smell.
Causes of pathology
Dentists identify several reasons why stomatitis from antibiotics occurs. One of them is the individual response of the body to the remedy, which is accompanied by atypical irritation and a rash on the epithelium.
Do not think that stomatitis after antibiotics is inherent only to those who often suffer from allergies.
It is not so, it is possible that stomatitis after taking antibacterial therapy in those who suffer from seasonal exacerbations does not appear at all.
Also, people who are familiar with food intolerance to certain foods are not at risk.
Dentists claim that allergic stomatitis from taking antibiotics can develop in healthy-looking adults or children.
Most often, such a reaction accompanies the reception in adults of various antibiotics of the “old” generation.
But even with the consumption of painkillers, serums or live-cell vaccines, pyrozonols, phenols can manifest as in adults, and the child has stomatitis.
Iodine and products based on it, as well as materials containing iron, lead and mercury, can provoke this kind of ailment.
It is only worth noting that allergies can occur in accordance with different signs. For example, it may occur at the end of a course of antibiotics, the treatment of which was associated with other pathologies.
There may be another situation when itching and a rash in the oral cavity appeared after a couple of hours after the consumption of the prescribed antibacterial therapy prescribed by the doctor.
On this occasion, it is recommended to undergo special tests before starting a course of treatment with antibiotics and analgesics to see if there is a negative reaction in the body to such treatments.
A lot of doctors do not follow these recommendations. They only conduct a survey of a person in order to understand what his state of health is and prescribe a drug.
Diagnosis of stomatitis
An experienced dentist is not able to correctly diagnose the dosage form of stomatitis without collecting all the information about the state of the human body, as well as with regard to the data on whether antibacterial courses were taken in the past, chemotherapy, or new biological supplements were consumed.
In order to make an accurate diagnosis, and after prescribing an effective treatment, the dentist must perform a blood test, saliva, and also make skin allergy tests.
It will also be necessary for the patient to undergo a procedure for identifying markers that give a reaction to certain drugs.
In adults, stomatitis on the background of antibiotic consumption resembles in its manifestation catarrhal gingivitis or erythema, which develops at the stage of serious complications.
You should not experiment with your health, it is better to immediately consult a doctor.
It is possible that the dentist will also recommend that the patient undergo a consultation with a therapist and an allergist.
After the strength of the immune system has been seriously affected by antibacterial therapy, the shell of the mouth does not have adequate resistance to viruses.
To eliminate stomatitis, you need to pass a course of antiviral drugs and immunostimulants.
Doctors often prescribe patients for these purposes, Zovirax, Acyclovir ointment. They provide for local use.
But it is worth noting that not all formulations can be used for oral mucosa. Before you start using, you should consult a doctor.
Apply them with a gauze pad on the affected area of the mouth. On the day you need to perform the procedure 4 times. As a rule, the course of treatment involves treatment for a full week.
As an additional means, it is customary to use immunostimulants. They will allow to prevent the recurrence of pathology.
Due to the severity of the lesion with stomatitis, it is customary to choose between the local effect on the body or the general one.
Опытный врач определит, как и в какой дозировки стоит использовать лекарства. Самыми популярными считаются такие препараты, как Имудон и Амиксин.
They are able to provide the body with additional protection. A course of vitamin complexes is also shown, the emphasis should be on the C and B group.
Drug stomatitis is an inflammation of the oral mucosa caused by antibiotics. This pathology can develop in a patient for two reasons:
- As a result of an allergic reaction to the active or auxiliary components of the drug.
- Due to fungal infections of the mouth. It develops due to the fact that while taking antibiotics the natural flora of the oral cavity is disturbed, which contributes to the development of candidal stomatitis.
The first form of the disease usually develops several hours after taking antibiotics. The second occurs more often after a long course of treatment.
Both the first and second forms of stomatitis respond well to treatment.
Medical stomatitis may appear on the background of taking various medications. Most often, this disease is provoked by tetracycline and streptomycin. Less frequently, patients experience an allergic reaction to penicillin-type drugs, and even less so to macrolides (they are considered the safest). Causes of an allergic reaction to these drugs can be a violation of the dosage, individual sensitivity to the drug, the wrong combination of antibiotic with other drugs. In this case, irritation and redness in the mouth may appear.
Some patients may experience allergic reactions even to those drugs that they previously took without side effects. It all depends on the general condition of the body.
Medical stomatitis has a number of characteristic signs. Among them:
- the appearance on the mucous rash, in some cases there may be white spots on the tongue,
- itching and soreness in the mouth,
- increased salivation,
- hyperemia of the mucous membranes, bleeding gums and unpleasant odor. For more on what makes the gums bleed and smell, see below.
- some patients have increased dry mouth.
In the most severe cases, the patient may experience such common symptoms as fatigue, joint pain, urticaria, muscle pain. Perhaps a slight increase in body temperature. In the most difficult cases, patients after taking antibiotics may experience anaphylactic shock.
Conservative therapy for this type of stomatitis involves taking antihistamines for removing allergens from the body, as well as using general fortifying agents and local preparations - gels and ointments (for example, Holisal for stomatitis) - to alleviate the patient's condition. The duration of treatment is usually 2-3 weeks, while in most cases the symptoms of the disease go away within the first 3-5 days of treatment.
All medicines used in the framework of such therapy should be prescribed to the patient by the doctor. Unauthorized use of any drug can lead to undesirable consequences, including deterioration of the patient’s general condition and an increase in the intensity of symptoms.
This group of drugs is used to increase the effectiveness of treatment of the disease, as well as to prevent relapse. For this purpose, most often patients are prescribed Amiksin or Imudon. The period of taking such drugs is 2-3 weeks, with reduced immunity, it can be extended.
Also for more effective treatment of stomatitis, you can use vitamin complexes. Most often, multivitamin preparations or regular vitamin C are used for this purpose. They should also be used according to the recommendation of the doctor, after making sure that you are not allergic to such drugs.
After treatment with antibiotics, the body's immune system usually weakens. To protect the affected mucosa from viruses, you should take specialized drugs: Zovirax, Viferon, Acyclovir. You can use not only anti-inflammatory tablets, but also ointments. The course of taking such medications in the treatment of stomatitis is a week.
Before taking antiviral ointments, the patient needs to make sure that they can be used to treat the oral mucosa. Those drugs that are suitable for this purpose, you need to apply up to 4 times a day. Before applying the mucous is better to get wet with a cotton swab - this technique will enhance the effectiveness of drugs.
For the relief of stomatitis symptoms, a number of ointments are used, including Lidocaine, Kamistad, Istillagel, all of which have an antiseptic as well as anesthetic effect. In case stomatitis has a fungal nature, Hexoral, Mikozon, or Levorin can be prescribed to patients. Children for the treatment of pathology is recommended to apply the following ointments: Clotrimazole, Pimafucin, Metrogil Dent for stomatitis.
Drugs should be applied at least twice a day, with acute symptoms of the disease - up to 5 times a day. Ointments are recommended to be used after oral hygiene to increase the effectiveness of the drug.
For regular treatment of the oral cavity used Stomatoidin, Furatsilin or Miramistin. To heal the mucous applied decoctions of bark of oak and chamomile, as well as decoctions of calendula. Treatment of the oral cavity with these drugs allows you to stop the defeat of the mucous infection, as well as accelerate the healing process.
To obtain the desired effect of such funds, the treatment of the oral cavity should be carried out at least 3 times a day. This is usually done directly after brushing your teeth, as well as after eating. If a patient after the use of such a remedy, the symptoms of stomatitis only worsened, he needs to stop taking the drug and immediately consult a doctor.
This group of remedies is used if a person has symptoms of fever. Most often, Aspirin, Ibuprofen, Nurofen are used as antipyretics for stomatitis. If a person also has body aches, he can take Nimesil. Means patient give symptomatic. If the patient’s body temperature did not rise the next day after they were taken, they should not be used.
With medical stomatitis, antipyretic drugs can be given only if the patient's temperature has risen above 38 degrees. Otherwise, it does not knock.
For temporary relief of symptoms of stomatitis (before going to the doctor) you can use folk remedies. The most effective among them are:
- Aloe. Used as a local remedy to eliminate the symptoms of the disease. Used as follows: A fresh leaf of aloe is cut in half, then applied to the gum to the sore spot for 15 minutes. The procedure is repeated up to 5 times a day.
- Means on the basis of potatoes. For its preparation should take a spoonful of raw finely grated potatoes and a spoonful of olive oil. All this needs to be mixed to get a homogeneous mass. The resulting slurry should be applied to the affected areas of the gums for 10-15 minutes.
- Ointment on the basis of honey. To prepare this product, you need to take a teaspoon of liquid honey, heat it in a water bath, then add a teaspoon of olive oil to it. Then you need to take the raw egg white, pour into it the honey mass and a vial of 0.5% novocaine, mix everything until a homogeneous mass. Apply the ointment on the affected area should be in the morning and evening. Keep the product in the refrigerator. More useful information about the treatment of stomatitis folk remedies, see here.
If you want to continue further treatment, taking folk remedies, consult on this issue with your doctor. He should make sure that they are compatible with other drugs used, and introduce them into the treatment regimen.
Complications and their prevention
If stomatitis caused by antibiotics is not treated promptly, it can lead to the formation of numerous erosions on the oral mucosa, as well as on the lips and on the skin around the lips. In the future, the formation of scars and granulomas at the site of ulcers. In addition, stomatitis can lead to allergic rhinitis, acne iodine, as well as an increase in sebum production.
If a person has developed dysbacteriosis while taking antibiotics, he may also experience blackening of the tongue, a change in its texture. In such cases, emergency medical care and even hospitalization are needed to effectively treat the patient.
In order to reduce the risk of developing drug-induced stomatitis in a person, it is necessary to carefully treat antibiotics, not to take such drugs without the recommendation of a doctor, to seek medical help if any adverse reactions to medications occur, to strictly observe the dosage of drugs. It is also important to take probiotics if you have been prescribed by your doctor.
For more details on stomatitis treatment for antibiotics, see the video.
Ways to prevent the development of stomatitis
To avoid complications, in particular, stomatitis, antibiotics should be taken only on the advice of a doctor. Experts prescribe these drugs only in the most necessary cases, when symptoms are observed:
- prolonged temperature rise
- purulent education,
- change in blood composition
When prescribing antibiotics, the doctor should be aware of previously taken drugs and their reactions to the body in the form of stomatitis.
It is necessary to remember about the reverse side of the medal of the use of antibiotics: the destruction of beneficial microflora. Therefore, to insist on prescription with an antibiotic means to destroy your health, undermining immune functions.
To the choice of antibiotic did not lead to the development of stomatitis, the doctor prescribes an analysis of bacterial culture. The result is detected within a few days (from 2 to 7). But recovery will go confidently and without harm to the body.
To maintain a constant level of the drug in the blood, it must always be taken at certain intervals: after 8 hours (3 times a day), after 12 hours (if it is recommended to use twice a day).
In order to prevent the occurrence of stomatitis, the duration of the course of treatment with antibiotics and the dosage, which must be observed strictly for medical purposes, are of great importance.
For effective treatment, the drugs are washed down with clean water only, mostly after meals. Exceptions to the rules are specified in the instructions.
During antibiotic treatment, the balance of bacteria in the body is supported by probiotics (Acipol, Bifiform, RioFlora-Immuno, Linex) and dairy products.
Antibiotics are powerful drugs that overload the liver. In order not to harm this organ, it is necessary to follow a diet with the inclusion in the diet of vegetables, non-acidic fruits and abandon fatty, fried, smoked and canned foods.
To get rid of stomatitis, you need to stop taking antibiotics and undergo antiviral treatment (Zovirax, Viferon). The doctor prescribes an immunostimulant (Imudon, Amiksin) and vitamins (group B, ascorbic acid) as additional drugs. In addition, it is necessary to do the rinsing with sage, chamomile, and St. John's wort.
If the body temperature exceeds 38 0 С, a febrifuge should be taken.
Prevention of stomatitis in adults and children
To prevent the disease from returning, it is necessary to observe preventive measures. These include:
- washing hands before eating
- brushing your teeth 2 times a day,
- timely dental treatment and removal of tartar,
- proper nutrition.
Immediately after the patient recovers, the doctor prescribes acyclovir, miconazole or cholisal to prevent it. If the body has fungal bacteria, but the disease does not develop, Levorin is discharged.
To protect the child from stomatitis requires careful hygiene of bottles, pacifiers, nipples, toys. Mouth infants need to wipe several times a day with a swab dipped in chamomile broth. Older children should brush their teeth regularly.
The pediatrician prescribes Kalgel, Acyclovir, Kamistad prophylactically.
Stomatitis is a very unpleasant disease that interferes with full nutrition, causes pain, temperature. This disease is easy to prevent, taking care of oral hygiene.
Types of pathology
Doctors distinguish the following types of stomatitis:
- Aphthous - a severe form of the disease with the formation of ulcers on the mucous membrane. It occurs as a result of viral infections, allergic manifestations (including antibiotics), and diseases of the gastrointestinal tract.
- Herpetic - infectious form - the causative agent of the herpevirus.
- Fungal - the causative agent of the fungus Candida, most often the disease occurs with a decrease in immunity.
- Allergic - the cause of - various allergens.
- Bacterial - develops in the event that bacterial microflora gets on the injured mucous membrane.
- Catarrhal is a mild form of allergic stomatitis.
- Ulcerative is a severe and extremely painful form. In most cases, occurs in people with chronic diseases of the stomach, heart, blood vessels, as well as poisoning.
Connection of stomatitis with antibiotics
Antibiotics are a serious group of drugs that, in addition to their effective therapeutic effects on the body, can cause various side effects. Stomatitis is one of these side effects. But if we analyze the connection of antibiotics with this disease in more detail, then in reality everything turns out to be not so simple. The development of stomatitis after antibiotics can occur in two ways. In this case, the symptoms will have differences.
Allergic stomatitis (medication). In this case, the drugs will act as allergens (antigens), and when they are ingested into the human body, atypical reactions are triggered, which are commonly called allergic. In this case, the patient will experience swelling and redness of the mouth.
Fungal stomatitis (candidal). This form is due to the fact that antibiotics destroy the beneficial microflora in the body, and, consequently, fungal agents of the genus Candida can easily multiply. In this case, a white plaque will be observed in the patient's oral cavity, which has a rather unpleasant specific smell.
Causes and symptoms of medical stomatitis
When using strong antibiotics in both an adult and a child, various eruptions may appear on the mucous membrane. There is no difference exactly how you took the antibiotic, not orally, intramuscularly or topically. It is also impossible to say which group of drugs will cause a similar reaction. Each person may have an individual sensitivity to certain antibiotics.
Such reactions can occur not only on antibiotics, but also on many other drugs. It is noteworthy that when you first take the drug, the reaction may occur both immediately and after some time, but when you take it again, a persistent allergy develops. To avoid such troubles, before you begin to apply any medication (especially strong antibiotics), you must conduct a subcutaneous test or use a small dose of the drug. In this case, the reaction (if it will be) will not be so strong, and you can replace the drug with a more suitable one for your body.
As for the symptoms of medical stomatitis, it is very individual, and it is not only about different drugs, but also about the different features of each particular organism. Most often, drug-induced stomatitis manifests itself as follows:
- swelling of the soft tissues of the mouth,
- sore gums and sometimes bleeding
- the oral cavity dries out and becomes extremely sensitive,
- the temperature rises
- in severe cases, anaphylactic shock develops.
There is a subspecies of medical stomatitis, which is called fixed medicinal stomatitis. In this case, the manifestations do not cover the entire oral cavity, but are observed in the form of separate spots, in the center of each spot there is a vial with liquid contents. Most often, the bubble opens immediately after the occurrence.
Treatment of drug stomatitis
Quickly cure stomatitis, which arose against the background of an allergic reaction, it is possible. First of all, it is necessary to stop the intake of the allergen in the body, that is, to stop taking the drug, which provoked the reaction. Then, antihistamine medications and vitamin C are shown. Rinsing and application with soothing herbs and herbs that have an antiseptic effect are recommended to relieve painful symptoms.
Children with medical stomatitis are most often hospitalized, since it is impossible to predict the further development of the body's reaction.
How much does the temperature hold during medical stomatitis? A fever suggests that a reaction occurs in the body. The temperature will last as long as the antigens will come in contact with the antibodies. As soon as the allergen is removed from the body, the temperature drops.
Causes and symptoms of fungal infection
It now remains to deal with the causes and symptoms of candidal lesions, and find out how to quickly cure stomatitis of this form.
The cause of fungal stomatitis are Candida fungi, these microorganisms are constantly present on the mucous membranes of humans. While their numbers are not significant, they are considered conditionally pathogenic microflora, which does not cause any harm to the body. And their numbers are restrained by the beneficial microflora, which die under the influence of antibiotics. When the beneficial microorganisms become smaller, the pathogenic flora begins to actively proliferate and occupy the mucous membranes. This is the development of candidal stomatitis, which was triggered by the use of antibacterial drugs.
The symptomatology of candidal stomatitis is different from the symptoms of an allergic disease. First, dryness and burning sensation is observed in the oral cavity, then swelling and redness gradually develop. Very soon, the mucous membrane becomes covered with white bloom, during scraping of which the inflamed mucous becomes visible. A person has an unpleasant smell from the mouth, discomfort and even pain when talking or chewing. The coating on the mucosa can be solid, and can cover only some areas. The temperature rises to subfebrile marks, but sometimes higher.
How long does the temperature last for stomatitis of fungal nature? In this case, the temperature indicates that there is an increased production of interferon in the body, which is necessary to fight the fungal infection. Therefore, it can hold out as long as the fungus will increase its number. As soon as the beneficial microflora again takes control of the reproduction of the fungus, the temperature drops.
Treatment of candidal stomatitis
How to quickly cure fungal mold stomatitis? It depends how hard you will resist the spread of the fungus. It is known that any fungi like an acidic environment, so in order to quickly cure stomatitis it is necessary to create an alkaline environment in the oral cavity. For this you can use regular baking soda. It is necessary to wipe the mucosa and teeth with soda solution, which is prepared at the rate of a tablespoon on the floor of a glass of boiled water.
In addition to soda, you can use borax with glycerin. There are a large number of folk remedies that have anti-inflammatory and antiseptic action.
From drugs used the following drugs:
Summing up about the medical treatment of stomatitis, you can bring the following scheme:
- Antifungal agents - Mikozon, Levorin, Nystatin ointment.
- Antivirals - Interferon ointment, Zovirax, Serol.
- Anthistamines - Claritin, Suprastin, Tavegil.
Means that will speed up the healing process of mucosal epithelial tissue - Solcoseryl, Karotolin, sea buckthorn oil.
How to quickly cure stomatitis with the help of folk remedies? There are many recipes for treating folk remedies. As a rule, they are all based on medicinal herbs. Lotions, compresses, solutions for rinsing the mouth can be prepared from chamomile, sage, calendula, oak bark, aloe juice, yarrow, eucalyptus, St. John's wort and other herbs. Effective treatment is provided by vegetable oils - sea buckthorn and tea rose oil. There are various recipes based on bee products.
All of them certainly have a healing effect and are well to remove unpleasant symptoms, however, the treatment of stomatitis (especially allergic) should be carried out under the supervision of a physician and with the mandatory use of traditional means of treatment.