The child has fever and oral herpes, this disease has reached the peak of infection...

*The professional part involved in this article is only for medical professionals to read for reference.
When a child has fever and oral ulcers, parents should learn how to identify and master family management.

The prevalence of some common viral infectious diseases in children has certain seasonal distribution characteristics.

For example, viral gastroenteritis (mainly rotavirus infection) is often epidemic in autumn and winter, influenza is often epidemic in winter and spring, and the peak of enterovirus infection is at the turn of spring and summer to summer, which can cause children to suffer Herpetic angina and hand, foot and mouth disease.

Enterovirus infections are characterized by fever, oral herpes, ulcers, and herpes on part of the skin.

These symptoms (such as fever, mouth pain) and physical signs (oral herpes, ulcers, and skin herpes) are easy to identify, and diagnosis is not difficult.

However, the infected children often have severe symptoms (such as repeated fever, mouth pain, refusal to eat), and very few children will have serious complications (encephalitis, myocarditis, etc.
).
Parents and doctors are very worried, so they suffer from this type of self-limiting.
Children with illnesses are often over-examined and treated.

Therefore, when a child has fever and oral ulcers, parents should learn how to recognize and master the corresponding family management.

This is to focus on answering some of the questions that parents often ask about such diseases, and hope that parents can treat such self-limiting diseases rationally, focusing on usual prevention, and avoid excessive intervention in the case of children becoming ill.
, To avoid secondary damage caused by panic.

01What diseases can cause fever and oral ulcers in children? The common ones are herpetic angina and hand, foot and mouth disease caused by the above-mentioned enterovirus infection.

In addition, primary herpes simplex virus infection can also cause fever and oral mucosal ulcers, which we call herpetic gingivostomatitis.

02Fever and oral ulcers occur in these three diseases.
How to distinguish? Fever is usually a common symptom, and oral lesions have their own characteristics.

Oral herpes and ulcers in patients with herpetic angina are usually located in the palatoglossal arch, soft palate, tonsils and uvula, and the number of herpes is usually no more than 10.

Rarely, herpes can also be found on the hard palate, tongue or buccal mucosa.

(Figure below) ▼Source: https://mp.
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com/s/qPv3Q9YoJtjSfRi9_p0bxg And oral ulcers of hand, foot and mouth disease are located in front of the palatal arch, tongue and buccal mucosa, and a few are located in the lip-gingival sulcus, soft palate and hard palate Upper, occasionally on the uvula, lips, and tonsils.

(Figure below) ▼Source: https://mp.
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com/s/qPv3Q9YoJtjSfRi9_p0bxg In addition, the most notable feature of patients with hand, foot and mouth disease is the appearance of herpes on the hands, feet and other parts of the body (such as the perineum) .

(Figure below) ▼Source: https://mp.
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com/s/qPv3Q9YoJtjSfRi9_p0bxg Patients with herpetic gingival stomatitis not only have herpes and ulcers in the mouth and lips, but also the gums are often red and swollen.

There are blisters on part of the mouth.

(Figure below) ▼Source: https://mp.
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com/s/qPv3Q9YoJtjSfRi9_p0bxg So for these three diseases with similar symptoms, it is often not difficult to make according to the characteristics of the children’s oral lesions and the presence or absence of skin herpes Identify.

03 How to protect our children during the peak season of the epidemic? If you want to protect your children from being infected, you must first understand how these three diseases are spread.

The enteroviruses of hand, foot and mouth disease and herpetic angina are often transmitted through the fecal-oral route.

Therefore, it is very important to manage the feces of children and pay attention to hand hygiene.

However, enteroviruses can also be spread through contact with oral and respiratory secretions (such as saliva and nasal mucus), and the virus that causes hand, foot and mouth disease can also be spread through contact with blisters in skin herpes.

Therefore, keep a distance from the sick child and strictly pay attention to hand hygiene (because the hands of healthy people can carry the virus through contact with the patient's secretions or excrement).

It should be noted that patients with hand, foot and mouth disease are most likely to spread during the first week of illness.

Even after the symptoms subsided, the virus can still survive in the patient for weeks or even months.

Therefore, although these children have no symptoms, their feces may still spread the virus.

Therefore, parents must be careful when changing diapers.
One is to avoid changing diapers in public places; in addition, the changed diapers should be sealed and stored (the plastic bag should be tied up, do not throw away); finally, the hands should be strictly washed after the change.

The herpes simplex virus that causes herpetic gingivostomatitis can be spread by direct contact with infected oral secretions or perioral blisters.

Family members suffering from herpes labialis, if you do not pay attention to isolation, it may cause herpetic gingival stomatitis in children who have not previously been infected with herpes simplex.

Children with herpetic gingivostomatitis can usually excrete the herpes simplex virus to the outside world for at least 1 week, and occasionally for several weeks.

During their lifetime, asymptomatic virus reactivation and virus excretion may occur intermittently, which is contagious.

Ways to prevent these three diseases: Except for hand, foot and mouth disease vaccine that can prevent hand, foot and mouth disease caused by EV71 virus infection to a certain extent, there is no vaccine to prevent hand, foot and mouth disease, herpes angina and herpes angina caused by other types of virus infection.
Herpetic gingival stomatitis.

In theory, avoiding contact with patients and their secretions, excreta, etc.
can avoid infection.

However, it is very difficult to identify patients who have no typical symptoms but are infectious (in the incubation period or recovery period).

In order to avoid contact with patients as much as possible, it is recommended to avoid taking children into crowded places as much as possible during the peak season of infection (such as the turn of spring and summer and summer), especially when going to early education institutions and playgrounds where children enter and exit intensively.

Try to avoid repeated visits to hospitals with poor control due to minor illnesses.

Parents of children should avoid taking their children to crowded places and need to be isolated at home (you can go to the open outdoors).

Strictly pay attention to hand hygiene, and wash your hands strictly with hand sanitizer after going home.

Source: https://mp.
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com/s/qPv3Q9YoJtjSfRi9_p0bxg04 Is there any medicine to treat this type of disease? There are currently no effective drugs to combat enteroviruses.

Therefore, herpetic angina and hand, foot and mouth disease do not require antiviral treatment.

And herpetic gingival stomatitis is caused by herpes simplex virus infection.

For children with herpes gingivostomatitis with normal immune function within 72-96 hours of onset, if the pain is so severe that they cannot drink or eat, try oral acyclovir treatment.

Some children cannot take enough fluids by mouth due to oral pain (especially herpetic angina and herpetic gingival stomatitis), and there is a risk of dehydration.
They can take acetaminophen or ibuprofen orally to relieve the pain before trying to eat.
.

(Even if you don’t have a fever, you can also take acetaminophen or ibuprofen, and the dosage and interval of the medication must still comply with the instructions.
) For children with herpetic gingivostomatitis, apply medical petrolatum to the lips to prevent adhesions on the ulcerated wound.
.

Because of the weak domestic drug supervision, many useless "drugs" flooded pharmacies and hospitals, and many children were given various so-called "drugs".

These "drugs" lack sufficient treatment basis, and will only increase the pain of the child's medication and the burden of liver and kidney.

Source: https://mp.
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com/s/qPv3Q9YoJtjSfRi9_p0bxg here is a special emphasis on avoiding the use of the following drugs to children (there are still some useless "drugs" not listed here) 05 Children during illness can eat some what? Because oral herpes ulcers are accompanied by severe oral pain, which can cause difficulty in swallowing, children often face eating disorders.

Among them, herpetic gingivostomatitis has the longest pain intensity and duration, followed by herpetic angina, and oral pain symptoms of hand, foot and mouth disease are not serious although they are present.

Avoid sour foods, hot foods, and foods that require prolonged chewing.

Eating cold foods (such as cold drinks, popsicles, and ice cream) may help relieve pain.

(As shown below) ▼Source: https://mp.
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com/s/qPv3Q9YoJtjSfRi9_p0bxg These cold foods will not aggravate the disease.
In this extreme case, it can ensure that the child has enough fluid, calorie and nutrition intake Into.

If you are unable to take in enough fluids due to severe oral pain, and you have obvious signs of dehydration, intravenous fluids can be used.

06 What should I pay attention to when my child is sick? Although these are self-limiting diseases caused by viral infections, although the symptoms and signs usually disappear completely within 7-10 days (the oral symptoms of herpetic gingival stomatitis may last for a long time), a very small number of patients may Serious complications (involving the heart, brain, and lungs) occur.

Therefore, it is very important to observe the daily performance of children.

If the child is in a good state of mind and interacts well with his family, although there is some discomfort and pain, but there is no symptoms of infection, poisoning, and dehydration, he can observe at home.

Source: https://mp.
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com/s/qPv3Q9YoJtjSfRi9_p0bxg Award-winning research ↓↓↓The editor is sending benefits~ We are conducting research on the concept of HPV vaccine, and valid questionnaires can get 50 yuan Jingdong shopping card , It is expected to be issued before April 20, the specific information is subject to SMS notification, first come first served~ How to enter the questionnaire: 1.
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Click on the bottom of the article to read the original text and enter (choose one ) Source of this article: Pediatrics Doctor Yan Responsible Editor: CiCi, Li Xiaorong Recommended reading Sun exposure = calcium supplement? The 1-year-old boy died after a drip! When infusion encounters these situations, resolutely say no! The child "stands without standing, sits without sitting" and must be wary of scoliosis that will destroy the whole life! How much do you know about body fluid metabolism (3) Copyright declaration This article is reprinted and welcome to Moments of Friends-End -Submission/Reprint/Business cooperation, please contact: yxj_ek@yxj.
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