Traumatic stomatitis of the oral cavity - the result of soft tissue injury

Pharyngitis is an inflammatory process that forms on the back wall of the larynx and affects the mucous membrane, as well as deeper layers, tissues of the soft palate and lymph nodes. The acute form of pharyngitis can develop into chronic if the patient does not seek help from a doctor and self-medicates.

Since the pathological process in the larynx is caused by the spread of pathogenic bacteria, the risk of developing pharyngitis increases in people with a weak immune system and in those who suffer from ENT diseases or are predisposed to them.

How dangerous is pharyngitis and how does it manifest itself? Which doctor should I contact and how to treat the disease? We will answer these and other questions in this article.

Reasons for the development of pharyngitis

Experts believe that the peak development of pathology occurs at the end of winter and the beginning of spring, since at this time the human immune system is especially susceptible to colds. Often in the spring season, a lack of vitamins and microelements in the human body leads to the appearance of vitamin deficiency, the body weakens and creates an excellent environment for the development of pathogenic bacteria. Inflammatory processes are also possible: both separately and against the background of the underlying disease.

The first signs of pharyngitis and its further treatment may differ depending on the stage of the pathology, gender, age and general health of the patient.

We include the following as the main reasons for the development of pharyngolaryngitis:

• hypothermia, eating too cold foods;
• deformation of the nasal septum;
• strains of microorganisms that cause the development of chlamydia, candidiasis, whooping cough, scarlet fever, measles;
• adenovirus, influenza virus;
• streptococci, staphylococci, pneumococci;
• sinusitis, tonsillitis, caries, rhinitis;
• difficulty breathing through the nose;
• pathologies of the gastrointestinal tract: reflux, heartburn, hernia;
• abuse of bad habits;
• regular high loads on the vocal cords;
• polluted, toxic air;
• hormonal disorders and endocrine pathologies (diabetes mellitus, obesity, hypothyroidism, etc.);
• tonsillectomy, which was performed on the patient previously;
• infectious diseases in chronic form;
• weakened immunity.

Causes

The causes of traumatic stomatitis may be the following:

1. In children, this phenomenon is most often associated with active games and damage to the tooth or soft tissue as a result of a blow (for example, with a ball) or an unsuccessful landing on a hard object. However, this disease can also occur in infants as a result of injury to the gums by a protruding tooth.
2. In the everyday life of an adult, the main cause of the onset of stomatitis can be a simple burn from hot tea. And if a person consumes very hot food and drinks systematically, such a burn and, accordingly, stomatitis, become chronic. By the way, you can get burned not only by hot food, but also by chemicals and medications used not according to instructions, acids, alkalis, and even electric shock and fire. In addition to a burn, stomatitis can also be caused by frostbite.
3. Constant friction against the sharp edge of a chipped or broken tooth, poorly ground metal of braces, or poorly fitting dentures can also cause traumatic stomatitis. It is for this reason that you should not endure discomfort and pain due to the problems described above. The only correct solution would be to contact a dentist to eliminate the interference.

Another reason for the occurrence of this disease is bad habits, as a result of which the mucous membrane is injured:

• biting lips and inner cheeks;
• frequent consumption of seeds, which injures the tongue;
• haste in eating with frequent biting of the cheeks and tongue;
• the habit of holding sharp objects in the mouth and much more.

All these mechanical effects lead not only to permanent injuries to soft tissues, but also to the formation of swelling, inflammation and even ulcers.

Symptoms of pharyngitis

The first signs of the disease may differ depending on the type of pharyngitis. They are both local and general in nature. But there are common signs that are characteristic of any type of pharyngitis: sore throat, bad breath, stuffy ears and difficulty swallowing. With an active inflammatory process, an increase in body temperature above 38° can be observed - this is how the body fights a foreign infection. General signs: sweating, poor appetite, weakness, dizziness, fatigue, fever, chills. Some complain of pain and noise in the ears, and discomfort when exposed to loud sounds.

• During acute catarrhal pharyngitis, swelling and redness of the mucous membranes of the larynx appears. Also, red follicles may form on the back wall of the throat, and clear and slightly cloudy mucus may accumulate. There is swelling and redness of the tongue.
• In the purulent form of acute pharyngitis, ulcers with an accumulation of purulent masses appear on the surface of the posterior pharyngeal wall.

Other reasons for the appearance of red dots in the sky

In addition to stomatitis, there are many diseases that manifest themselves as small rashes on the oral mucosa:

1. ARVI (acute respiratory viral infections). This is a rare case, but if the patient suffers from a runny nose and is forced to breathe through the mouth, then excessive dryness of the mucous membrane leads to the appearance of a small red rash.
2. Herpetic sore throat. A characteristic symptom of this pathology are vesicles - formed bubbles with white contents. Over time, they burst and painful ulcers form in their place. Vesicles spread throughout the oral mucosa, so red dots on the palate may be the primary symptom of the disease. Additionally, the patient complains of severe sore throat, high body temperature, and enlarged regional lymph nodes.
3. Diseases of the cardiovascular system. High blood pressure and fragility of blood vessels sometimes lead to the formation of small red rashes. And not only on the skin! The periodic appearance of the syndrome in question on the oral mucosa may be accompanied by headache, dizziness, shortness of breath, which means pressure instability. You should contact not only a dentist, but also a cardiologist regarding the problem.
4. Allergic reaction. It is difficult to determine what exactly caused the appearance of red dots in the mouth. The fact is that the allergen first accumulates in the body and only after a few days can it manifest itself as symptoms. If you suspect an allergy, you need to examine the whole body: rashes will definitely be present on the elbows, behind the ears, and under the knees.

Adults and children sometimes develop a red rash in the mouth due to cancer with localization of the malignant process in the mouth, vitamin deficiency and tuberculosis. But such causes are recorded extremely rarely, although it is worth undergoing a full examination to exclude serious diseases that occur without typical symptoms.

Acute pharyngitis

Acute pharyngitis can occur independently, and can also be accompanied by acute inflammation affecting the upper respiratory tract: rhinitis or inflammation of the mucous membranes of the nasopharynx.

Depending on the cause of development, acute pharyngitis occurs:

• Viral – most often caused by rhinovirus;
• Bacterial – caused by streptococci, staphylococci and pneumococci;
• Fungal – source of the inflammatory process – Candida;
• Traumatic - caused by damage to the pharynx and larynx: the throat was scratched by a sharp bone or burned by boiling water, severe stress on the ligaments;
• Allergic – occurs when inhaling allergens or irritants, such as tobacco, exhaust fumes or dusty air.

Chronic pharyngitis

According to the depth of damage to the pharyngeal mucosa, chronic pharyngitis is divided into: catarrhal, hypertrophic and atrophic forms.

1. Chronic catarrhal pharyngitis - there is slight swelling of the tissue layers of the pharyngeal mucosa. Individual areas are sometimes covered with clear or slightly cloudy mucus. It develops as a result of acidic gastric contents entering the throat, for example, in the case of a hiatal hernia. Therefore, catarrhal chronic pharyngitis is a consequence of the development of diseases of the gastrointestinal tract.
2. Chronic hypertrophic pharyngitis is a significant severity of swelling of the mucous membrane. Additionally, thickening of the uvula and swelling of the soft palate are observed.
3. Chronic atrophic pharyngitis is characterized by some thinning of the lining of the pharynx. They are usually pale pink, sometimes shiny varnished. Some of their areas become covered with crusts, viscous mucus and pus.

Any type of chronic pharyngitis develops due to the fact that the acute form of the disease was not cured in time and developed into a more serious form. Chronic pharyngitis also appears as a consequence of rhinitis, sinusitis, deviated nasal septum, nasal polyps - that is, when nasal breathing is difficult for a long time. In addition, long-term use of vasoconstrictor drops also leads to the appearance of chronic pharyngitis.

How does pharyngitis manifest and progress in children?

Children suffer from pharyngitis more severely than adults. This especially applies to babies under one year old. Swelling of the mucous membrane can cause signs of suffocation; the pain that accompanies the disease reduces the child’s appetite. Often, a baby’s body temperature can reach 40°. The most difficult thing in this situation is that a small child cannot say what hurts.

Incorrect treatment can lead to irreparable consequences for a small, fragile organism. Therefore, at the first signs of pharyngitis, consult a doctor immediately.

Possible consequences

After tooth extraction, did a hematoma appear on the gum? This is a common consequence of surgery. The accumulation of blood in soft tissues occurs due to a violation of the integrity of the capillaries during surgery or during anesthesia of the jaw. The doctor cannot determine where the patient's blood vessels run, so the risk of damage cannot be ruled out.

A small bruise on the gum is a clot of coagulated blood that resolves within a few days. With a hematoma, moderate pain and swelling of the oral mucosa are also possible.

Sore throat and pharyngitis: what is the difference?

The general condition of the patient with acute tonsillitis or tonsillitis can be confused with the symptoms of pharyngitis. If the disease is diagnosed incorrectly, then treatment of pharyngitis in adults will not have any effect. And the acute form of the pathology can develop into a chronic one.

Unfortunately, many patients self-medicate and start using medications without a doctor’s specific prescription. This is extremely contraindicated! It is better to take care of your health in time and seek help from an experienced otolaryngologist.

It is important to remember that during pharyngitis, the larynx becomes inflamed, and during tonsillitis, the tonsils become inflamed. During a sore throat, it is always painful to swallow, and the pain intensifies even more when eating food. With pharyngitis, the opposite happens - while eating warm food or warm drinks, the sore throat decreases.

During the development of a sore throat, there is no cough or sore throat, only a sore throat and sometimes the formation of a white coating. With pharyngitis, there is a sore throat, as well as noise, pain, or congestion in the ears. The difficulty in distinguishing between these two diseases is further complicated by the fact that one patient can simultaneously develop both pathologies, since they are caused by the same pathogen.

Diagnosis of pharyngitis

Detection of all types of pharyngitis begins with a visual examination of the larynx using a special device and taking an anamnesis. A throat swab is also taken for examination to test for diphtheria.

Other types of diagnostics:

• Cultural examination - inoculation of taken materials on a nutrient medium.
• Rapid diagnosis - identification of streptococcal antigen in throat swabs.
• Immunoserological diagnosis - the method is used in case of streptococcal infection.

Laboratory research:

• Complete blood count – exclusion of blood diseases, infectious mononucleosis;
• A general urine test helps rule out kidney disease (glomerulonephritis).

Depending on the symptoms of the disease, as well as the condition of the larynx, the presence or absence of cough, fever, plaque on the tonsils and soreness and increased size of the lymph nodes, additional consultations with other specialists may be necessary: ​​an endocrinologist, a cardiologist, an allergist.

Symptoms

Traumatic stomatitis can be distinguished from other types only by knowing the background of its occurrence, since the manifestations of symptoms of the disease are quite typical for all types:

• At the site of injury, a slight swelling or bruise first appears, the skin turns red, swells, and slight tissue hyperemia may appear;
• gradually the painful sensations increase, over time it becomes difficult to open the mouth and chew food;
• ulcers, wounds, ulcers, blisters, erosions appear;
• with severe lesions, irreversible soft tissue necrosis may occur;
• as a result of an acid burn, a dense film forms over the damage;
• until the cause of injury is eliminated, the manifestation of symptoms of stomatitis can be wave-like;
• Severe cases of traumatic stomatitis may be accompanied by suppuration or fungal infection.

Treatment methods for pharyngitis

Treatment must be comprehensive. The patient is prescribed medications that will relieve pain and reduce inflammation. It is also important to adhere to a special diet and exclude from the diet foods that irritate the mucous membrane of the throat and bring even more discomfort: alcoholic beverages, spicy and salty foods, sour foods, carbonated drinks.

Drug therapy

Depending on the clinical picture and general condition of the patient, the doctor may prescribe antihistamines, antitussives and antiviral medications. Lozenges/lozenges are used to relieve pain.

In some cases, they resort to the use of antibiotics. They can only be taken as directed by a doctor.

Local impact

Rinsing with special solutions also has a good effect on the inflammatory process and redness of the larynx. They have a gentle effect, relieve pain and improve the general condition of the patient.

To diagnose and identify the disease, you need to consult an otolaryngologist. At the city clinic, you can contact your primary care physician, who will issue a referral to an ENT specialist. However, this takes time. You often have to wait 2 weeks for an appointment with a doctor. In some cases, this is simply impossible, since it is necessary to quickly conduct an examination and prescribe treatment before the situation becomes critical.

Therefore, we recommend contacting the Medunion medical clinic. We employ practicing otolaryngologists, and you don’t have to wait several weeks for appointments. Sign up today for a time convenient for you, and get tested tomorrow.

Patients choose us because we provide the service of a specialist coming to your home if you cannot come to the clinic on your own. You can also take samples directly at home.

The cost of an initial consultation with an otolaryngologist in Krasnoyarsk at the Medunion clinic starts from 1,300 rubles. You can sign up on the website or by calling 201-03-03.