How to treat a child with recurring fever and white blisters on the tongue? What are the treatment methods for a child with recurring fever and white blisters on the tongue?

Apr 10, 2023 Source: Cainiu Health
Dr. Ma Yan
Introduction
Caused by oral ulcer with infection: maintain good oral hygiene, drink plenty of water; for fever below 38.5℃, apply physical cooling methods; for fever above 38.5℃, treat with ibuprofen suspension. Herpetic gingivostomatitis caused by herpes simplex virus infection: treat with acyclovir tablets and chlorhexidine gluconate solution. Herpangina: treat with ribavirin granules and ibuprofen suspension.

Fever refers to an elevated body temperature. When a child repeatedly develops fever accompanied by white blisters on the tongue, treatment should be directed at the underlying cause responsible for these symptoms. Possible causes include oral ulcers, herpetic gingivostomatitis, and herpangina. It is recommended to seek medical evaluation at a hospital to determine the exact cause.

1. Oral Ulcers

Oral ulcers may result from consuming excessively spicy foods or vitamin deficiencies, and secondary infections can occur. It is advised to maintain good oral hygiene and increase fluid intake. For fevers below 38.5°C, physical cooling methods such as wiping the forehead and neck with a warm, damp towel can be used. For fevers exceeding 38.5°C, antipyretic medications such as ibuprofen suspension, acetaminophen granules, or acetaminophen suspension should be taken as directed by a physician.

2. Herpetic Gingivostomatitis

This condition is caused by infection with the herpes simplex virus. Under medical guidance, antiviral medications such as acyclovir tablets, valacyclovir hydrochloride tablets, or ganciclovir capsules may be prescribed to combat the virus and alleviate symptoms. Additionally, anti-inflammatory and analgesic treatments such as chlorhexidine gluconate solution, acyclovir ointment, or compound boric acid solution may be used as directed by a doctor to relieve pain and promote healing.

3. Herpangina

Herpangina is caused by infection with enteroviruses. Under medical supervision, antiviral treatments such as ribavirin granules, Pudilan anti-inflammatory oral liquid, or Lanqin oral liquid are recommended. When body temperature exceeds 38.5°C, antipyretics such as ibuprofen suspension, acetaminophen granules, or acetaminophen suspension may be administered as prescribed.

In addition, other conditions such as hand, foot, and mouth disease may also cause similar symptoms. A thorough medical evaluation at a hospital is necessary, and active treatment should be pursued under a physician's guidance.