Stomatitis is the pathology of the oral mucosa. Often the inflammatory process is localized on the surface of the tongue. If stomatitis has affected only the tongue, then the disease is called glossitis.
The disease is manifested by the appearance of plaque and ulcers in the tongue, which causes the patient a lot of inconvenience.
Contents of
- Possible causes - lots, identify specific - difficult
- Possible types of violation
- How does the disease manifest itself?
- Diagnostic methods
- Therapeutic measures package
- Anesthetics are a priority task
- Anti-inflammatory and antiseptic agents
- Other recommended medications
- Home care assistance
- Possible complications
- Preventive measures
Possible causes - a lot, identify specific - difficult
The doctor often assesses the state of the languagegeneral health. Stomatitis can occur as an independent disease or be a symptom of a serious pathology( abnormalities in the digestive tract, oncology and other diseases).
Various factors can cause disease:
- bacteria and viruses;
- mechanical or chemical damage to the mucosa;
- dental diseases( caries, periodontitis);
- improper diet( excessive consumption of acute or solid foods);
- incorrect or insufficient oral hygiene;
- fungus Candida;
- decreased immunity;
- defective prosthesis or improper installation;
- taking medications;
- drinking alcohol;
- smoking and other bad habits;
- allergic reactions;
- hormonal changes( especially in women during pregnancy and lactation);
- helminthic invasion;
- of the GI tract;
- blood diseases and other pathologies.
Independently to find out the reason of a stomatitis in language in most cases it is impossible. To do this, you need to see a doctor and get a check-up, take the necessary tests.
If you have painful ulcers on the surface of the tongue, you need to contact your dentist or therapist.
Possible types of violation
Depending on the cause of occurrence, stomatitis is classified into the following types:
- Bacterial .The cause of the appearance are streptococci and staphylococci. This form of the disease is manifested by the rapid formation of pustules, which are quickly opened and transformed into ulcers and erosion.
- Viral or herpetic .It is caused by the herpes virus that for a long time can be in the human body without
manifestations. Characterized by the appearance of bubbles with a clear liquid on the surface of the tongue, cheeks and gums. After opening, the bubbles turn into erosion.
- Fungal or candidal .It is caused by the reproduction of Candida type fungi that are present in the body of each person. The impetus for the development of the disease is a decrease in immunity against the background of taking antibiotics, serious pathologies, frequent stresses and other factors.
- Traumatic .Develops after damage to the mucous membrane by mechanical means, as well as after burns or exposure to chemicals( alkali or acid).
- Allergic .It occurs due to an allergic reaction to braces, prostheses, hygiene products for the oral cavity, food and so on.
- Radial .It may develop in patients that radiotherapy was underway. Characterized by the appearance of large or minor ulcers.
- Catarrhal stomatitis is considered to be the mildest form of the disease. Characterized by superficial lesions of the oral mucosa. With the right approach, it is easily and quickly cured.
- Ulcerous stomatitis is characterized by deep penetration into the tissue. It is accompanied by large or deep ulcers and erosions, as well as severe pain. It occurs in the absence of treatment of catarrhal stomatitis or peptic ulcer of the stomach.
- Aftoznyi stomatitis. A feature of this form of the disease is the appearance in the tongue of deep ulcers with even edges. Above the aphthae are covered with a white or yellow coating, around the reddening of the tissues. May occur in acute or chronic form.
How does the disease manifest itself?
The manifestation of stomatitis of the tongue depends on the stage and type of the disease. Among the main symptoms that occur most often, it is worth noting:
- appearance of white plaque on the tongue;
- formation of ulcers, erosion or aphthae( with aphthous stomatitis);
- redness;
- unpleasant odor;
- edema of the tongue;
- pain;
- discomfort and burning sensation.
Sometimes there may be increased salivation, and with candidal stomatitis, on the contrary, dry mouth occurs. This type of disease is also characterized by a waxy coating.
The acute form of aphthous stomatitis may be accompanied by an increase in temperature and a decline in strength.
A person with a lesion of the mucous tongue because of pain and discomfort is difficult to talk, chew and swallow food. Scars appear on the site of deep ulcers.
In most cases, stomatitis affects not only the tongue, but also other parts of the oral cavity: the inside of the cheeks, the gums, the surface under the tongue and so on.
Diagnostic methods
The diagnosis of the disease begins with the collection of anamnesis of the patient, which tells the doctor about the symptoms and features of the course of the disease.
In order to prescribe effective treatment, a doctor needs to determine the cause of stomatitis in the tongue. To do this, take smears for tests. You also need to take a blood test.
Sometimes additional clinical studies are required. For example, if a patient has allergic stomatitis, it is necessary to determine the allergen. In rare cases it is necessary to examine the gastrointestinal tract, upper respiratory tract and other systems and organs.
Complex of therapeutic measures
Treatment of stomatitis in the language requires an integrated approach. The main goals of therapy are to eliminate the symptoms and the causes of of the onset of the disease.
In addition, the doctor can prescribe drugs that accelerate the healing of ulcers and repair of the mucosa. A prerequisite for the treatment of stomatitis is compliance with the diet.
The patient should give up acute, acidic, salty and solid foods. Also, avoid eating too hot or cold food.
Anesthetizing is the paramount task
Since stomatitis is accompanied by pain, which causes a lot of discomfort to the patient, the doctor prescribes local anesthetic preparations:
- Anestezin;
- Lidocaine Asept;
- Lidochlor;
- Geksoral tabs and others.
Medicaments with anesthetic are available in the form of gels, ointments, tablets for resorption, sprays. Some of them not only anesthetize, but also have an antiseptic or anti-inflammatory effect.
Anti-inflammatory and antiseptic agents
To get rid of stomatitis, which is manifested by ulcers in the language, it is necessary to take anti-inflammatory and antiseptic drugs regardless of the cause of the disease.
The doctor can recommend the following drugs:
- Holisal;
- Ingalypt spray;
- Stomatidin;
- Eucalyptus M;
- Cameton;
- with Eucar;
- Hexoral spray and others.
Anti-inflammatory and antiseptic medicines used to treat stomatitis are available in the form of sprays, ointments, tablets or lozenges, mouth rinses and so on.
Other recommended medicines
Depending on the form of the disease, the following can also be prescribed:
- If the patient has herpetic stomatitis, the doctor necessarily prescribes antiviral agents( Acyclovir, Zovirax, oxolinic or interferon ointment).
- To eliminate fungal form of the disease requires the intake of antifungal drugs( Mycosone, Levorin, Daktarin).
- In case of occurrence of an allergy it is necessary to take antihistamine medications( Cetrin, Tavegil, Loratodin).
Also prescribed drugs that accelerate the healing process of wounds( Solcoseryl, Shostakovskiy's balm and so on).
Sometimes it is necessary to strengthen immunity( with herpetic or fungal stomatitis), so immunomodulators, complexes of vitamins and minerals, soothing are prescribed. Sometimes it is necessary to treat concomitant diseases.
Assistance at home
The principle of treatment of stomatitis in the language at home is not different from the drug. If you treat ulcers mucosa at home, then use rinses, as well as lotions and home ointments.
For rinses use herbal medicinal herbs:
- calendula;
- chamomile;
- sage.
These plants have anti-inflammatory, antiseptic and analgesic properties. To reduce inflammation and restore the mucosa, the affected areas of the tongue are smeared with aloe or calanchoe juice.
You can also rinse the mouth with a solution of furacilin, a weak solution of potassium permanganate or iodine, an alcoholic tincture of propolis.
You can treat stomatitis at home only if it runs easily and without complications. If the temperature rises, ulcers increase or the disease shows up with new symptoms, a visit to the doctor should not be postponed.
Possible complications
Many people believe that stomatitis is not a dangerous disease. But, like any other disease, stomatitis in the tongue, can cause complications that occur with advanced treatment or its absence.
Complications of catarrhal stomatitis is its overflow into a heavier form - ulcerative-necrotic. If the disease is not treated, then the lesion of the mucosa extends to soft tissues and bones. The defeat of gums is fraught with the development of periodontal disease and loss of teeth.
Also, the disease can acquire a chronic form, become complicated by the appearance of abscesses or gangrenous inflammation.
Preventive measures
To reduce the risk of developing the disease, it is necessary to follow simple preventive measures:
- Carefully monitor the oral hygiene of .You need to brush your teeth twice a day, and after each meal, rinse your mouth with .
- Choose quality oral care products , including toothpaste and toothbrush.
- To install quality braces and prostheses, as well as to comply with all the doctor's recommendations for the care of them.
- In case of allergic stomatitis , exclude contact with allergens .
- Follow the correct power supply of .
- Maintain the immunity of .
Stomatitis on the tongue delivers a lot of inconvenience to a person. In addition, if the disease is not treated, it will flow into more severe forms and complications will arise.
Treatment requires an integrated approach. Please note that it is only the doctor who can determine the cause of the disease and prescribe effective treatment after the examination and clinical studies.