Keratitis, commonly known as rotten mouth, often occurs on one or both sides of oral mucosa. Due to different etiology, it can be divided into malnutrition keratitis, coccic keratitis and fungal keratitis.
Malnutritional angular stomatitis often occurs in people with nutritional deficiency and vitamin B deficiency, and angular stomatitis caused by vitamin B deficiency is the most common. At first, the oral cavity is red, swollen and itchy, and then the epithelium falls off, forming erosion, impregnation or cracks, and it is easy to tear and bleed when opening the mouth, which affects eating and speaking.
This disease is not what people call "getting angry". In particular, children have poor diet or partial eclipse habits, or are prone to chronic diarrhea and dysentery. It is easy to get this disease in winter, because the climate in winter is relatively dry, vegetables and fruits are eaten less, and vitamins C and B2 are often lacking, which leads to dry and chapped mouth.
After the lips are dry, people like to lick their lips with their tongues, so as to make the lips and oral area moist and get temporary comfort. However, saliva will evaporate quickly when it comes into contact with dry air, which will not only solve the problem of dryness, but also bring microorganisms in saliva into cracks, causing bacterial infection and aggravating oral inflammation.
If you have angular stomatitis, you can apply some grease or anti-cracking oil on it. You can take vitamin B2, 1-2 tablets three times a day, and apply ice boron powder or Yunnan Baiyao locally. If it has been eroded and inflamed, you can apply 1% gentian violet liquid to your mouth twice a day.
After these simple treatments, most angular stomatitis can be cured quickly. In order to prevent the occurrence of angular stomatitis in children, children should be allowed to eat rice flour, green fresh vegetables, beans, millet, meat, milk and so on. Do a variety of eating methods, match the thickness, and educate children not to be partial to food.
Children with gastrointestinal diseases should be actively treated. In addition, if the quarrel is not timely, don't lick it with your tongue, so as not to make the quarrel drier and more prone to rupture and bleeding. Coccoid angular stomatitis is caused by streptococcus and staphylococcus infection, which is more common in elderly toothless patients.
It is characterized by wet white, erosion or ulcer on both sides of the mouth, and it can also fester, bleed and scab. After local cleaning, the treatment should be coated with antibiotics (such as erythromycin ointment), and broad-spectrum antibiotics can be taken orally. Fungal keratitis is caused by fungal (mainly Candida albicans) infection.
It is characterized by wet and white corners of the mouth, erosion or ulcer, often accompanied by cheilitis and lip erosion. PAS staining showed candida hyphae. Treatment should be washed and dried locally with nystatin solution, and then applied locally with nystatin, clotrimazole and miconazole. Note that broad-spectrum antibiotics are not suitable for this disease.