What are the treatments for herpetic stomatitis

Herpes is a virus with many subtypes. Almost all parts of the human body can be infected with different herpes symptoms, causing different symptoms and pain manifestations. Among them, oral herpes is a type with a very high incidence rate. This type of herpes is also called herpetic stomatitis, which is very harmful to people's oral health. Let's take a look at how to treat herpetic stomatitis?

Herpetic stomatitis is an infectious disease of the oral mucosa caused by the herpes simplex virus. It is clinically characterized by the appearance of clustered small blisters, is self-limited, and is prone to recurrence.

Treatment principles:

1. Systemic antiviral treatment: nucleoside antiviral drugs and ribavirin. For primary herpetic stomatitis, acyclovir 200 mg/time, 5 times/day, or ribavirin 200 mg/time, 3-4 times/day can be taken orally.

2. Local treatment: Topical medication for the oral mucosa. Commonly used preparations include solutions, pastes, powders and lozenges, such as compound boric acid solution, 0.1% to 0.2% chlorhexidine solution for gargle, phthalamide ointment, acyclovir ointment for local application, tin powder, Yangyin Shengji powder for local use, chlorhexidine gluconate tablets for sublingual use, etc. For recurrent herpes labialis, local irradiation with helium-neon laser can also be used.

3. Symptomatic and supportive therapy: Patients with severe conditions should rest in bed. Those with difficulty eating can receive intravenous infusion and supplement with vitamins B and C, etc.

4. Treatment with traditional Chinese medicine.

Differential diagnosis:

1. Stomatitis type aphthous ulcers: They are scattered small ulcers with repeated course and no blistering stage. The ulcers are mainly distributed in the mucosa with poor keratinization in the oral cavity. They do not cause gingivitis and are rare in children. There is no skin damage.

2. Trigeminal herpes zoster: caused by varicella-zoster virus. The blisters are arranged in a band along the trigeminal nerve, not exceeding the midline. The pain is severe and generally does not recur after healing.

3. Hand, foot and mouth disease: caused by Coxsackie A16 virus, scattered blisters and papules appear on the oral mucosa, palms, and soles of the feet in varying numbers. The blisters in the mouth are easy to break and form ulcers.

4. Erythema multiforme: a group of acute inflammatory skin and mucosal diseases involving the skin and mucous membranes, with target-shaped or iris-shaped erythema as typical lesions. The oral mucosa is congested and edematous, and erythema and blisters are sometimes seen. The blisters are easily broken, leaving behind erosive surfaces, and there is a large amount of exudate on the surface to form a thick pseudomembrane.