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Stomatitis, Pediatric

Cara L. Biddle, MD, MPH Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Inflammation of the mucous membranes of the mouth including the cheeks, gingiva, tongue, lips, hard palate, and soft palate

  • Also called gingivostomatitis when the gums are specificall...

DIAGNOSIS

HISTORY

  • History of present illness:

    • Onset and duration

    • Mouth pain or sores in mouth

    • Drooling

    • Fever

    • Intake of liquids and food

    • Urine output

    • Activity level

    • Close contact with similar symptoms

  • Review of ...

TREATMENT

GENERAL MEASURES

  • Maintain hydration. Offer small amounts of cool, nonacidic liquids frequently. Use a syringe to continue giving liquids when children are refusing to drink. Try popsicles as ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Most children with stomatitis can be cared for at home with pain control and maintenance of hydration.

  • Providers should ensure that parents and c...

ADDITIONAL READING

  • Chattopadhyay A, Shetty K. Recurrent aphthous stomatitis. Otolaryngol Clin North Am.  2011;44(1):79–88. [View Abstract on OvidInsights]

  • Faden H. Management of primary herpetic g...

CODES

ICD9

  • 528.00 Stomatitis and mucositis, unspecified

  • 054.2 Herpetic gingivostomatitis

  • 074.3 Hand, foot, and mouth disease

  • 528.2 Oral aphthae

  • 523.10 Chronic gingivitis, plaque induced

  • 074.0 Herpangina

  • 101 ...

FAQ

  • Q: My child is refusing to drink any liquids. How can I keep her hydrated?

  • A: Mouth sores can be very painful. Even if your child is not having fever, give regularly scheduled doses of ibuprofen or...

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