Inflammation of the Mouth. Erythematic Stomatitis.
This is a simple inflammation of the mucous membrane of the mouth, and is very common during infancy. It may be confined to the tongue, or spread over the whole mouth. It is sometimes very severe, going clown into the gullet and stomach, and into the windpipe. It occasions redness and pain in the mouth and fretfulness of the infant, causing it to quit the nipple suddenly when nursing. A frequent result of this inflammation is the secretion and exudation upon the surface of a white, matter like curd. It appears in small points and patches. This is the thrush, or what nurses call children's sore mouth. It is commonly confined to the period of suckling.
Treatment. The first treatment to be tried in this trouble as well as the next two diseases to be described should be a saturated solution of boracic acid. This is practically a four per cent. solution and it may be made by putting a tablespoonful or so of the powder into a tumbler of water stirred thoroughly and let stand a little while, then pour the upper fluid proportion off, leaving the sediment. This fluid will be of four per cent. strength and may be diluted one half for use in young children. After washing your hands wrap a piece of soft linen about the little finger, and after immersing in the fluid gently swab out the mucous membrane of the mouth and cleanse out the upper and under side of the tongue. By following this treatment directly after each nursing the trouble will usually be cured and a recurrence will be prevented. A very good prescription is a teaspoonful of chlorate of potash dissolved in 2 ounces of distilled water. The dose for a child of one to two years would be 15 drops of this mixture diluted with a teaspoonful of water. Older children should have proportioned doses up to one teaspoonful.,
Follicular Inflammation of the Mouth. Apthae.
THIS disease attacks the little glands of the mouth, called follicles, and appears about the time of cutting teeth. Small white specks, a little elevated, first show themselves on the lips, insides of the cheeks, and under side of the tongue, etc. The specks enlarge, a whitish, curdy matter flows out from their centre, and ulcers are formed, with elevated edges, surrounded by a red, inflamed circle. Sometimes, instead of curdy matter, a bloody exudation takes place, and dark colored crusts are formed which are mistaken for mortification. In bad cases, there is great restlessness, with hot mouth, dry skin, thirst, and diarrhea, with green stools, and sometimes salivation.
Treatment. The milder forms of this disease are treated like simple inflammation of the mouth. If there is thirst, give several times a day, a spoonful of cold water, with a little gum arabic dissolved in it. If the child be weaned at this time, its food should be barley or rice water, sweetened with white sugar. An occasional dose of magnesia, with or without a little rhubarb, will remove the acid which abounds in the bowels. After ulceration has taken place, borax (274) will do well. When watery discharges from the bowels and griping pains appear, preparation (28) should be used. If the strength be reduced, give (69).
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