Traumatic stomatitis of the oral cavity - the result of soft tissue injury

Pharyngitis is an inflammatory process that forms on the back wall of the larynx and affects the mucous membrane, as well as deeper layers, tissues of the soft palate and lymph nodes. The acute form of pharyngitis can develop into chronic if the patient does not seek help from a doctor and self-medicates.

Since the pathological process in the larynx is caused by the spread of pathogenic bacteria, the risk of developing pharyngitis increases in people with a weak immune system and in those who suffer from ENT diseases or are predisposed to them.

How dangerous is pharyngitis and how does it manifest itself? Which doctor should I contact and how to treat the disease? We will answer these and other questions in this article.

Reasons for the development of pharyngitis

Experts believe that the peak development of pathology occurs at the end of winter and the beginning of spring, since at this time the human immune system is especially susceptible to colds. Often in the spring season, a lack of vitamins and microelements in the human body leads to the appearance of vitamin deficiency, the body weakens and creates an excellent environment for the development of pathogenic bacteria. Inflammatory processes are also possible: both separately and against the background of the underlying disease.

The first signs of pharyngitis and its further treatment may differ depending on the stage of the pathology, gender, age and general health of the patient.

We include the following as the main reasons for the development of pharyngolaryngitis:

• hypothermia, eating too cold foods;
• deformation of the nasal septum;
• strains of microorganisms that cause the development of chlamydia, candidiasis, whooping cough, scarlet fever, measles;
• adenovirus, influenza virus;
• streptococci, staphylococci, pneumococci;
• sinusitis, tonsillitis, caries, rhinitis;
• difficulty breathing through the nose;
• pathologies of the gastrointestinal tract: reflux, heartburn, hernia;
• abuse of bad habits;
• regular high loads on the vocal cords;
• polluted, toxic air;
• hormonal disorders and endocrine pathologies (diabetes mellitus, obesity, hypothyroidism, etc.);
• tonsillectomy, which was performed on the patient previously;
• infectious diseases in chronic form;
• weakened immunity.

How to treat red dots on the sky

Therapeutic prescriptions must be made by a doctor, because it is impossible to make a diagnosis on your own. If your throat hurts badly against the background of red rashes, this does not always mean the development of a sore throat. For example, scarlet fever, cancer, tonsillitis and other pathologies will also “show” such symptoms. First, the specialist finds out the true cause of the phenomenon in question and only after that makes prescriptions:

• antibacterial drugs, if the cause of red dots is the settlement of pathogenic bacteria in the oral mucosa;
• antiviral – when a herpes virus is identified as the causative agent of the disease;
• antifungal if fungi are found in the mouth during examination.

As part of complex treatment, local antiseptics are also used, which help eliminate acute inflammation and discomfort. The red throat becomes paler, and it hurts much less, which leads to the restoration of general condition and appetite. These products include solutions “Miramistin”, “Chlorhexidine”. Metrogil Denta, Kamistad (gel) and Solcoseryl will also be effective.

No folk remedies will help, and independent choice of medications will not give results. They, of course, will make the symptoms less pronounced, but without eliminating the main cause of the appearance of red dots on the sky, it will not be possible to solve the problem.

Symptoms of pharyngitis

The first signs of the disease may differ depending on the type of pharyngitis. They are both local and general in nature. But there are common signs that are characteristic of any type of pharyngitis: sore throat, bad breath, stuffy ears and difficulty swallowing. With an active inflammatory process, an increase in body temperature above 38° can be observed - this is how the body fights a foreign infection. General signs: sweating, poor appetite, weakness, dizziness, fatigue, fever, chills. Some complain of pain and noise in the ears, and discomfort when exposed to loud sounds.

• During acute catarrhal pharyngitis, swelling and redness of the mucous membranes of the larynx appears. Also, red follicles may form on the back wall of the throat, and clear and slightly cloudy mucus may accumulate. There is swelling and redness of the tongue.
• In the purulent form of acute pharyngitis, ulcers with an accumulation of purulent masses appear on the surface of the posterior pharyngeal wall.

Possible consequences

After tooth extraction, did a hematoma appear on the gum? This is a common consequence of surgery. The accumulation of blood in soft tissues occurs due to a violation of the integrity of the capillaries during surgery or during anesthesia of the jaw. The doctor cannot determine where the patient's blood vessels run, so the risk of damage cannot be ruled out.

A small bruise on the gum is a clot of coagulated blood that resolves within a few days. With a hematoma, moderate pain and swelling of the oral mucosa are also possible.

Acute pharyngitis

Acute pharyngitis can occur independently, and can also be accompanied by acute inflammation affecting the upper respiratory tract: rhinitis or inflammation of the mucous membranes of the nasopharynx.

Depending on the cause of development, acute pharyngitis occurs:

• Viral – most often caused by rhinovirus;
• Bacterial – caused by streptococci, staphylococci and pneumococci;
• Fungal – source of the inflammatory process – Candida;
• Traumatic - caused by damage to the pharynx and larynx: the throat was scratched by a sharp bone or burned by boiling water, severe stress on the ligaments;
• Allergic – occurs when inhaling allergens or irritants, such as tobacco, exhaust fumes or dusty air.

Causes and risk factors for palate cancer

Malignant tumors of the oral cavity occur under the influence of the following provoking factors:

• Irritating effects of aggressive substances contained in cigarettes, alcohol, smoking mixtures;
• Constant consumption of too hot dishes, which burn the mucous layer and change the structure of cells;
• Chronic injury to the palate due to poorly installed dentures.

A tumor in the palate develops against the background of precancerous conditions of the oral cavity - leukoplakia, papillomatosis. They often degenerate into a cancerous tumor under the influence of provoking factors.

Risk factors for the development of malignant neoplasms of the palate include hereditary predisposition, periodic inflammatory diseases of the oral cavity, vitamin A deficiency, which occurs with poor nutrition or in smokers due to a disruption in the process of its absorption in the body. Palate cancer can be a secondary disease - metastases of malignant neoplasms of the neck and head.

Chronic pharyngitis

According to the depth of damage to the pharyngeal mucosa, chronic pharyngitis is divided into: catarrhal, hypertrophic and atrophic forms.

1. Chronic catarrhal pharyngitis - there is slight swelling of the tissue layers of the pharyngeal mucosa. Individual areas are sometimes covered with clear or slightly cloudy mucus. It develops as a result of acidic gastric contents entering the throat, for example, in the case of a hiatal hernia. Therefore, catarrhal chronic pharyngitis is a consequence of the development of diseases of the gastrointestinal tract.
2. Chronic hypertrophic pharyngitis is a significant severity of swelling of the mucous membrane. Additionally, thickening of the uvula and swelling of the soft palate are observed.
3. Chronic atrophic pharyngitis is characterized by some thinning of the lining of the pharynx. They are usually pale pink, sometimes shiny varnished. Some of their areas become covered with crusts, viscous mucus and pus.

Any type of chronic pharyngitis develops due to the fact that the acute form of the disease was not cured in time and developed into a more serious form. Chronic pharyngitis also appears as a consequence of rhinitis, sinusitis, deviated nasal septum, nasal polyps - that is, when nasal breathing is difficult for a long time. In addition, long-term use of vasoconstrictor drops also leads to the appearance of chronic pharyngitis.

How does pharyngitis manifest and progress in children?

Children suffer from pharyngitis more severely than adults. This especially applies to babies under one year old. Swelling of the mucous membrane can cause signs of suffocation; the pain that accompanies the disease reduces the child’s appetite. Often, a baby’s body temperature can reach 40°. The most difficult thing in this situation is that a small child cannot say what hurts.

Incorrect treatment can lead to irreparable consequences for a small, fragile organism. Therefore, at the first signs of pharyngitis, consult a doctor immediately.

Herpetic sore throat in children

Children usually become infected at school or kindergartens2,3. Due to pain and fever, they are restless, tearful, and often refuse to eat and drink because food irritates erosions on the mucous membrane and causes discomfort. But due to refusal to drink water or juices, children often develop dehydration. At the same time, the child’s tongue becomes dry, and the elasticity of the skin decreases1. Convulsions may occur due to high temperature1.

Blistering rashes in children can appear not only on the mucous membrane of the throat, but also on the hands and feet, and even on the buttocks and forearms. This manifestation of enterovirus infection is called viral pemphigus of the oral cavity and extremities or mouth-hand-foot syndrome. The disease is contagious in 100% of cases, is often mild, and can affect nails3.

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Sore throat and pharyngitis: what is the difference?

The general condition of the patient with acute tonsillitis or tonsillitis can be confused with the symptoms of pharyngitis. If the disease is diagnosed incorrectly, then treatment of pharyngitis in adults will not have any effect. And the acute form of the pathology can develop into a chronic one.

Unfortunately, many patients self-medicate and start using medications without a doctor’s specific prescription. This is extremely contraindicated! It is better to take care of your health in time and seek help from an experienced otolaryngologist.

It is important to remember that during pharyngitis, the larynx becomes inflamed, and during tonsillitis, the tonsils become inflamed. During a sore throat, it is always painful to swallow, and the pain intensifies even more when eating food. With pharyngitis, the opposite happens - while eating warm food or warm drinks, the sore throat decreases.

During the development of a sore throat, there is no cough or sore throat, only a sore throat and sometimes the formation of a white coating. With pharyngitis, there is a sore throat, as well as noise, pain, or congestion in the ears. The difficulty in distinguishing between these two diseases is further complicated by the fact that one patient can simultaneously develop both pathologies, since they are caused by the same pathogen.

Diagnosis of pharyngitis

Detection of all types of pharyngitis begins with a visual examination of the larynx using a special device and taking an anamnesis. A throat swab is also taken for examination to test for diphtheria.

Other types of diagnostics:

• Cultural examination - inoculation of taken materials on a nutrient medium.
• Rapid diagnosis - identification of streptococcal antigen in throat swabs.
• Immunoserological diagnosis - the method is used in case of streptococcal infection.

Laboratory research:

• Complete blood count – exclusion of blood diseases, infectious mononucleosis;
• A general urine test helps rule out kidney disease (glomerulonephritis).

Depending on the symptoms of the disease, as well as the condition of the larynx, the presence or absence of cough, fever, plaque on the tonsils and soreness and increased size of the lymph nodes, additional consultations with other specialists may be necessary: ​​an endocrinologist, a cardiologist, an allergist.

Symptoms

Traumatic stomatitis can be distinguished from other types only by knowing the background of its occurrence, since the manifestations of symptoms of the disease are quite typical for all types:

• At the site of injury, a slight swelling or bruise first appears, the skin turns red, swells, and slight tissue hyperemia may appear;
• gradually the painful sensations increase, over time it becomes difficult to open the mouth and chew food;
• ulcers, wounds, ulcers, blisters, erosions appear;
• with severe lesions, irreversible soft tissue necrosis may occur;
• as a result of an acid burn, a dense film forms over the damage;
• until the cause of injury is eliminated, the manifestation of symptoms of stomatitis can be wave-like;
• Severe cases of traumatic stomatitis may be accompanied by suppuration or fungal infection.

Treatment methods for pharyngitis

Treatment must be comprehensive. The patient is prescribed medications that will relieve pain and reduce inflammation. It is also important to adhere to a special diet and exclude from the diet foods that irritate the mucous membrane of the throat and bring even more discomfort: alcoholic beverages, spicy and salty foods, sour foods, carbonated drinks.

Drug therapy

Depending on the clinical picture and general condition of the patient, the doctor may prescribe antihistamines, antitussives and antiviral medications. Lozenges/lozenges are used to relieve pain.

In some cases, they resort to the use of antibiotics. They can only be taken as directed by a doctor.

Local impact

Rinsing with special solutions also has a good effect on the inflammatory process and redness of the larynx. They have a gentle effect, relieve pain and improve the general condition of the patient.

To diagnose and identify the disease, you need to consult an otolaryngologist. At the city clinic, you can contact your primary care physician, who will issue a referral to an ENT specialist. However, this takes time. You often have to wait 2 weeks for an appointment with a doctor. In some cases, this is simply impossible, since it is necessary to quickly conduct an examination and prescribe treatment before the situation becomes critical.

Therefore, we recommend contacting the Medunion medical clinic. We employ practicing otolaryngologists, and you don’t have to wait several weeks for appointments. Sign up today for a time convenient for you, and get tested tomorrow.

Patients choose us because we provide the service of a specialist coming to your home if you cannot come to the clinic on your own. You can also take samples directly at home.

The cost of an initial consultation with an otolaryngologist in Krasnoyarsk at the Medunion clinic starts from 1,300 rubles. You can sign up on the website or by calling 201-03-03.

Treatment of herpetic sore throat

Patients with complications require hospitalization in an infectious diseases hospital and treatment under the supervision of specialized specialists - a neurologist and a cardiologist. If the doctor has recommended treatment at home, it is necessary to closely monitor the patient's condition2.

The sick person should be isolated and stay in a clean, well-ventilated area so as not to infect other family members. Quarantine must be observed until symptoms subside1.

For herpangina you should 1,3,4:

• Wash your hands as often as possible, including after feeding and changing a sick child’s diaper.
• Disinfect surfaces and objects with which the patient has been in contact.
• Drink enough fluids to avoid dehydration. At the same time, pay attention to the temperature of the drink: hot, warm drinks irritate the mucous membranes and cause additional discomfort. You can drink cool drinks.
• Consume food in liquid or mushy form. Spicy, salty, sour foods, including fresh fruits even in the form of puree, are not suitable for a patient with herpetic sore throat.
• Rinse your mouth with a saline solution after every meal to maintain oral hygiene and prevent bacterial infections from erosions.
• Use a soft toothbrush to reduce trauma to the mucous membrane.

Currently, there is no proven antiviral drug to treat herpangina by acting on its causative agent. Sometimes a doctor may prescribe medications that support local immunity of the pharyngeal mucosa1. Antibiotics are not prescribed for herpangina6.

The goal of treatment for herpangina is to relieve the symptoms of the disease4.

If the body temperature is above 38.5°C, physical methods such as cold compresses and ice packs may be used. Your doctor may also recommend anti-inflammatory and antipyretic medications1. Local treatment includes agents with anti-inflammatory, analgesic, enveloping and antiseptic effects1.

For the symptomatic treatment of herpetic sore throat, the doctor may prescribe the drugs HEXORAL®7,8,9,10,11. It is convenient to use HEXORAL® spray to irrigate the pharyngeal mucosa. The active substance of the spray is hexethidine. It acts against the main bacteria found in the oral cavity and pharyngeal mucosa8. The drug is also active against some viruses and fungi of the genus Candida8. Thanks to the local anesthetic effect of hexethidine, HEXORAL ® spray helps reduce pain8. HEXORAL®7 solution is suitable for rinsing. The use of HEXORAL ® spray and solution is allowed in children over 3 years of age7,8.

If herpangina causes severe pain and discomfort, adolescents over 12 years of age and adults can benefit from HEXORAL ® TABS EXTRA lozenges, which contain the anesthetic lidocaine10. For children over 4 years of age, HEXORAL ® TABS lozenges may be suitable. The anesthetic benzocaine in their composition helps reduce pain in the throat and mouth9.

All medications for herpetic sore throat should be used only after consultation with a doctor. In case of severe erosions, HEXORAL ® solution and spray are contraindicated7,8, and lozenges can only be prescribed by a specialist after examining the pharynx9,10.

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The information in this article is for reference only and does not replace professional advice from a doctor. To make a diagnosis and prescribe treatment, consult a qualified specialist.