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Herpes infections in young children - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   hi my 5 year old suffers from herpes simplex 1 virus, she has an enlarged incisive pallipe behind top front teeth it is covered in small white ulcers what should i do? she also has a horrid cold too?
Doctor :   Have you checked her temperature?
User :   no other ulcers in her mouth at all they usually effect bottom gums if she has a break out
User :   no high temperature
User :   im treating with saltwater rinse and mouth gel today
Doctor :   When was the herpes infection detected?
User :   june 2010 via viral swob
Doctor :   Was she treated then?
User :   they wouldnt treat her with anything no antivirals as side effects
User :   do you think that it is this again?
Doctor :   Does she report of any other symptoms such as sorethroat, discomfort or pain while swallowing?
User :   no
User :   she has mucus nose and cough
Doctor :   Ok
Doctor :   Short duration, cold, nasal congestion, cough, oral mucosa ulcerations are all features of upper respiratory infection.
Doctor :   The most common infection being virus.
User :   treatment?
Doctor :   It is difficult to predict what type of viral infection is the cause.
Doctor :   In the presence of previous herpes simplex 1 infection, chances of recurrence cannot be ruled out, though the symptoms are not classical.
User :   so just symptomatic saltwater, gel etc?
Doctor :   Most viral infections are self limiting and so are herpes infections.
Doctor :   however if the symptoms are severe, doctors may suggest the use of anti viral drugs to avoid complications.
Doctor :   Now sitting at one end of the computer without physically examining your daughter, it is hard to determine if antiviral medications are necessary.
Doctor :   As she needs close monitoring, if herpes infections are proved, I suggest that you consult a doctor can perform a physical examination
User :   she is very active only hurts when she eats over it and tiny ulcers just around the incisive pallipae
Doctor :   get the necessary swab tests to rule out herpes infection.
Doctor :   As far as the symptomatic treatment goes,
User :   what would be classed as servere?
Doctor :   you can continue the salt gargling and local gel/glycerine applications and so on.
Doctor :   Herpes infections are also self limiting one, initially presenting with symptoms of cold, fever, sorethroat and so on.
User :   so it should clear up in week to 10 days?
Doctor :   After these prodromal symptoms they can cause ulceration. And neurological symptoms of burning, facial and other cranial nerve palsy may follow
Doctor :   If not treated adequately complications such as respiratory infection, intracranial infections can develop.
User :   she is perfectly well in herself no fever etc just snotty nose and slight cough is hopefully on its way out
User :   what do you suggest as gp will not give anything (i know that)
Doctor :   Yes, she is fine now.
Doctor :   However, I do suggest that you see a doctor
Doctor :   who based on physical examination and swab test may diagnose the condition appropriately.
Doctor :   If swab test reveal herpes infection again,
Doctor :   she may need either close monitoring or the use of antiviral drugs.
Doctor :   Hope it is clear to you.
Doctor :   Do you have any other query?
User :   thankyou
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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