News for May 21st 2009

CHILD’S DISORDERS: HERPES SIMPLEX MOUTH INFECTION (STOMATITIS)

Cause

As well as causing cold sores on the lipss, the herpes type I virus can infect the inside of the mouth.

Clinical features

Your child may complain of a sore mouth, and the lips, gums and throat may also be involved. Younger children may simply refuse food or drink, and drool a lot. The lining of the mouth may be swollen and red, with multiple tiny blisters or ulcers visible. Your child may be irritable and cry a lot.

When to see your doctor

• if your child is generally unwell or has a fever;

• if your child refuses food and liquids, and has passed urine less often than usual.

Treatment

There is no cure for herpes infections and the mainstay of treatment is the alleviation of symptoms. Paracetamol may help to ease the pain, but should only be given according to directions. Encourage your child to drink as much as possible, and if he is refusing food, give him high calorie drinks (such as milkshakes, lemonade or glucose drinks). A good way of providing additional fluid is to give your child flavoured ice blocks, ice cream or jelly. If your child is used to a bottle, it may be easier to feed him with a cup and spoon until the infection passes. Herpes mouth infections usually clear up within 7-10 days. If you have any concerns, you should see your doctor.

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Edited: May 21st, 2009