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3 year old having chicken pox. What are the medications to soothe the soreness from lesions?

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Pediatrician, Infectious Diseases
Practicing since : 2005
Answered : 1528 Questions
My granddaughter is suffering severe chickenpox - she is covered from head to toe, it's in her ears, mouth and nose and she even has one on the white of her eyeball! However, the ones causing most problem are on her labia - is there anything we can do to help soothe this, it is red raw and causing her such distress... unable to sleep etc and crying constantly. She is 3yrs old. We obviously have calamine lotion but not sure whether to put it on; she is having oatmeal baths but please some help specifically for the one area.
Posted Mon, 11 Jun 2012 in Child Health
Answered by Dr. Hema Yadav 31 minutes later
Thanks for posting your query.
Chickenpox lesions are generally widespread and sometimes do involve mucosa if severe.
Though it is caused by a self limiting viral infection it's important to consult the child's pediatrician for supportive therapy. Such therapy though not curative , does help in faster symptomatic relief and avoidance of complications.
The treatment includes
1.analgesic anti inflammatory medicines like acetaminophen for pain relief.
2. Oral and local antiviral agents like acyclovir tablet and ointment to decrease the severity of lesions.
3. Oral and topical antibiotics to prevent complications like superadded bacterial infection and pneumonia .
Calamine lotion can be applied to skin for soothing relief but is best avoided for mucosal lesions . Topical anesthetic jelly like lignocaine can be prescribed by your doctor for mucosal lesions but does carry the risk of sideffects . Hence if oral analgesic has not been started , its advisable to start minimal strength ( 10-15 mg/kg/dose ) acetaminophen as per her doctors prescription
Only if pain persists despite such treatment then antiviral and anesthetic agents should be tried .
So kindly consult her pediatrician for a thorough evaluation of the severity, to rule out any complications and to start supportive therapy.
Meanwhile you can help in faster recovery of the child by keeping her well hydrated ( plenty of fluids) and well fed.
Hope I have answered your query.
Wishing her a speedy recovery.
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