Diagnosis of stomatitis in newborns is not difficult, and it should begin already at the stage of the appearance of complaints. Mom can not always examine the baby's mouth thoroughly, so at the first rise in temperature, she turns to the doctor. And it is very important to pay attention not only to complaints, but also to detail all the circumstances.
It is very important for the diagnosis, that the mother drew the doctor's attention to the fact that the child stops eating. He is at the same time capricious, because he remains hungry, because he can not normally suck his chest. When examining the oral cavity, you can see the elements of rashes in the form of white dots on the mucosa that rise above the surface. It is important to examine the oral cavity with a spatula or spoon, because at the beginning of the disease rashes can only be on the side of the cheeks or tonsils.
The data of an anamnesis which can testify on advantage or benefit of a stomatitis is a present treatment by antibiotics, glucocorticoids, invasive interventions after a birth of the child.
Analyzes that should be performed with stomatitis are most often used to determine the etiology of the disease. To choose the tactics of treatment it is very important to know what caused stomatitis. Therefore, first of all, it is necessary to take a smear from the mucous membrane and identify pathogenic bacteria or fungi that are there. For this, it is necessary to perform a cytological and bacteriological study of the smear. At the same time, they look at the sensitivity of bacteria or fungi that are sown to antibiotics or antifungal agents, which will determine the further treatment tactics.
Sometimes it is necessary to determine the state of the entire gastrointestinal tract of the baby for the prevention of dysbiosis, then it is necessary to pass an analysis for dysbiosis. This is also important for treatment, since if the child does not have a normal flora in the intestine, then with the oral cavity there may be problems. An analysis of dysbacteriosis is also necessary if the child has problems with a stool. Therefore, the analysis of dysbiosis in stomatitis can be considered mandatory, at least for the purpose of deeper diagnosis.
More often stomatitis occurs in children already previously compromised. But it also happens that stomatitis occurs in a newborn, and then repeats many more times without any reason. In this case, you need to think about what the child may have more difficult problems and it is about immunodeficiency. Then it is necessary to consult an immunologist and possibly an immunogram.
Instrumental diagnostics of stomatitis in most cases is not used, because the problem is "local" and is not bad diagnosed by external symptoms.