Mouth rot in the child

Mouth rot in the child and toddler


The mouth rot in the child is a very painful inflammatory disease of the oral mucosa. The mouth rot (too Gingivostomatitis herpetica usually occurs between the ages of 10 months and three years and is the first contact of the child with the Herpes Simplex Virus Type 1 triggered.

It usually occurs during the illness fever and – due to the painful inflammation in the mouth – to Refusal to eat. Especially on the gums and on the palate, many small ones are formed canker sores and yellowed wounds, the inside of the lips and tongue can also be affected.

General information can be found here: The mouth rot

Causes of mouth rot

The mouth rot in children is the cause first contact with the herpes simplex virus type 1, this is transmitted from person to person. Most adults carry the herpes virus, but a strengthened immune system does not always lead to the onset of the disease, but they can still transmit the herpes virus.

It is different with children: for the first time they come into contact with the herpes virus and her Immune system is still under construction, so it quickly comes to a infection and the spread of oral decay in the oral cavity. The disease is highly contagious and is transmitted through saliva.

The herpes virus becomes very common transferred from the parents to the child. everyday situations are not infrequently the triggers, it is enough Licking the pacifier, on sharing the cutlery or a simple one Peck, to transmit the herpes virus.

Especially in the case of acute cold sores in a parent, all mouth contact with the child should be avoided. Sometimes there is transmission from child to child toy, which is put in the mouth by the children.

Read also: Herpes in the baby

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That is the route of infection

Herpes simplex viruses are transmitted via a contact infection, which includes Lubrication and droplet infection. Most of all, the virus gets over the saliva transfer. Children with mouth rot excrete the viruses into the environment via saliva, the viruses survive and can be absorbed by other people. Depending on the state of the immune system, there is an initial infection or secondary infection, the latter is shown in Lips – herpes, whereby the initial infection usually develops into a mouth rot. During the period of the illness one should increase to sufficient hygiene respect, think highly of.

Find out more about this here: Contagion with mouth rot

So is the course of the mouth rot

Mouth rot in children often starts with fever, which can sometimes be quite high. The fever usually lasts up to five days on.

After the first two to three days, it usually happens blistering and Formation of canker sores on the oral mucosa. Mainly located on palate and gums, however, even those insides the lips and the tongue to be affected. The gums can also swell.

In the first few days there is usually no pain until the mouth rot has spread and small open wounds appear in addition to the increasingly vesicles. Then it happens burning persistent pain, So that the Ingestion is only possible to a very limited extent.

It can also Bleeding gums come and the gums turn darker red. Since the tongue is also inflamed, they can Tongue papillae whitish appear. The inflammation can also cause the tongue to swell, which can lead to additional ones difficulties swallowing can lead.

Also the cervical lymph nodes can swell during this time. After about a week, the vesicles dry out and the wounds heal. Only then will the pain subside and the acute risk of infection no longer exists.

Find out more at: Course of the mouth rot

This is how dangerous the mouth rot can be

By the fever and the severe pain in the mouth the children feel very bad and often refuse to eat, especially the regular and sufficient Drink is very important. It is not uncommon for Dehydrate (dry out) of the child and thereby dangerous conditions.

If the toddler does not want to eat and drink, one should immediately pediatrician attention. Babies and toddlers are particularly at risk. With them it can lead to a severe course of the mouth rot and even to one Inflammation of the brain come. The disease is then called Herpes simplex encephalitis.

If there is an additional one Infection of the skin near the eye, in the worst case it can turn into a Infection of the cornea come in the eye.

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Oral decay is a common and relatively easily recognized disease for medical professionals. The relationship between initial fever and the course of the disease, which leads to blistering and burning pain, is a typical one characteristic indication for mouth disease.

Nevertheless, a pure visual diagnosis is not 100 percent reliable and above all for severe courses the mouth rot is recommended laboratory examination. This can be done using a saliva test or a mouth swab respectively. There are numerous other oral diseases, especially Oral thrush may show similar symptoms.

This doctor treats the mouth rot

The mouth rot in the child should first be from one pediatrician to be examined. The pediatrician can make a diagnosis relatively quickly. Medicines are only needed in exceptional cases and used differently depending on the severity of the course of the disease. First the fever is gone antipyretic drugs (e.g. Paracetamol juice) treated. The pain can be relieved by applying gel or tincture.

Also a dentist can make the diagnosis and prescribe the appropriate medication if necessary. Homeopathic medicines and home remedies also often help, but a visit to the doctor for a diagnosis should always be made.

You can recognize the mouth rot by these symptoms

Typical symptoms of mouth rot are initial high fever, which can last up to five days. Externally palpable and possibly visible swollen lymph nodes on the neck and mouth swollen gums. The gums are colored in a darker red and it can too Bleeding gums come. In addition, the entire oral mucosa may be swollen.

One also discovers on the oral mucosa, especially on the palate and gums Liquid filled vesicles and aphthous ulcers, which often have small open wounds. There is an increase in food especially pain and therefore often to refuse to eat. Add to that Sore throat, difficulties swallowing and increased salivation. The children feel overall chipped and weak and often have sour bad breath.

Symptoms on the tongue

The papillae can develop mouth sores ignite and appear as whitish dots. The inflammation of the tongue can also be very painful and too difficulties swallowing to lead. Swelling of the tongue is also possible, which additionally complicates swallowing and should be closely observed. The pain in the tongue often makes it difficult to speak.

Treatment and therapy

The therapy is usually symptomatic, which means that you fight the symptoms and not the cause. A visit to the pediatrician is important to make an accurate diagnosis and to choose the appropriate therapy accordingly. Most of all is on one adequate hydration be careful to avoid dehydration of the body.

to lower fever often becomes the antipyretic drug paracetamol used. Often in the form of a child juice or one suppository.

You might also be interested in: Fever in the toddler

In addition, a numbing gel (e.g. Zahnungsgel) are applied to the sore spots. It is recommended to drink cold chamomile tea, this should have a healing effect and at the same time alleviate the pain caused by cooling.

The children should rest and during the time until the mouth is completely healed not in kindergarten go. There are also other homeopathic remedies such as clove oil, which is said to have an analgesic effect.

Soft, low-salt and cool dishes make eating more bearable and a portion of ice cream is said to alleviate pain and cool inflammation.

You can find more on the subject at: Duration of mouth rot

When does my child need antibiotics?

Since the mouth rot is a viral disease due to the herpes simplex virus, no antibiotics are used for therapy. Antibiotics only work with bacterial infections. One option would be to use antivirals, such as acyclovir. However, these are only used in very serious cases and use in children is only indicated in exceptional cases.

Home remedies for mouth rot

A proven home remedy for mouth blight is Camomile tea. This should be allowed to cool well before drinking and is also best cooled in the refrigerator. It has a calming effect and by cooling it also has an analgesic effect. Since that too adequate hydration is very important can drinking straw make drinking easier.

Soft cool dishes and even ice lead to pain relief. Not suitable are hot, spicy or sour dishes, also salty Food should be avoided. In addition, fruit juice can through the fruit acid trigger additional burning.

supportive antipyretic help cold envelopes how Wadenwickel.

Learn more about the topic at: Home remedies for mouth rot


There are homeopathic alternatives to treating mouth rot in children Clove oil, colloidal silver or a myrrh tincture. For treatment, soak the clove oil or myrrh tincture with the cotton swab and dab the vesicles with it. The colloidal silver is used undiluted as a mouthwash, it should be kept in the mouth for as long as possible and then spit out. A concentration of 10 ppm or 25 ppm (parts per million) is completely sufficient in this case. The myrrh tincture, on the other hand, has a bitter taste and can also burn on the wounds. Although it is said to have a good healing effect, it is not very popular with children due to its taste and the additional burning sensation.

Mouth rot is so contagious

The mouth rot in the child is one Lubrication and droplet infection and is highly contagious. It is transmitted through the saliva. Especially in kindergarten, children can quickly become infected with toys that are often put in their mouths. First contact with the herpes simplex virus type 1 leads to an outbreak of mouth rot in children.

When can my child go back to kindergarten??

The mouth rot is highly contagious and only with complete healing and drying of the blisters is the Contagion phase over. Only then can the child have contact with other children again. Therefore, the complete healing should be awaited when visiting the kindergarten. In addition, the affected children feel very weak and battered due to fever and mouth pain, so that a visit to kindergarten is not possible.

Test canker sores

They suffer canker sores?
Answer to this 15 short questions and find out possible causes and treatment options for your canker sores.
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incubation period

The incubation period is the time between Contact to the herpes virus and the actual outbreak the disease. It usually lasts for mouth rot 1- 26 days and is different from child to child.

The relatively long period of time makes it difficult to find out exactly what triggered the infection, but it is usually found in the immediate vicinity of the child. The incubation period depends on the physical condition and the Strength of the immune system of the respective child. Especially in very young children, the immune system is still developing and infection is faster.

First, the disease begins with high fever and if the first vesicle occur on the oral mucosa, the typical begin Pain and accompaniments the mouth rot.


The mouth rot in the child is usually through fever accompanied, this lasts up to five days After the first 2-3 days, the typical blisters usually form on the oral mucosa. The acute phase of oral decay lasts depending on the severity and course of the disease a week or two then the blisters and wounds dry out and heal slowly, this can up to three weeks last.

After healing is this acute risk of infection is overcome, however the herpes viruses remain in the body and can cause another infection later, even in adulthood. This secondary infection usually occurs with a weakened immune system or stress and shows through cold sores, the so-called Lips – herpes.

at Babies the disease may last longer and be more severe. Most of the time, the mouth rot in the baby in acute condition lasts about two weeks until there is an improvement and the entire course of the disease can last up to six weeks in the baby. This should be the case with babies Check up by a pediatrician Already at the first signs, there is often a refusal to eat and can be dangerous Dehydrate (dry out) come.

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Test herpes

Suffer from one herpes or another illness?
Answer to this 16 short questions and find out whether you have herpes and what treatment options exist.
Here it goes directly to Test herpes

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