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Stomatitis during pregnancy

 
, medical expert
Last reviewed: 23.04.2024
 
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Stomatitis during pregnancy is an insidious disease that affects not only adults and children, but also every other pregnant woman. Let's figure out how to treat stomatitis, and consider whether stomatitis can harm a future baby.

Pregnancy is one of the most beautiful conditions in a woman’s life. Life originated in your body, you are the whole universe for some small creature. And not just for some indefinite creation, but the one who is filled with your blood, your genes, is filled with everything that is in you.

Pregnancy is a miracle of nature, because a woman ceases to be what she was before conceiving a child. The body is updated, changing its usual state and sense of self. There is a hormonal surge and a change in hormonal levels.

Of course, during certain periods of pregnancy, a woman feels that everything is bad, that nausea, vomiting and pain in her entire body are unbearable, but you should always remember the end result - the birth of a little man who calls you mom and will look at you with your own eyes and faithfully be in love.

Sometimes it happens that during pregnancy, various diseases appear in women, some of which can adversely affect both the woman in childbirth and the course of pregnancy or, even worse, the unborn baby. However, most diseases that catch up during pregnancy, with proper treatment will not cause much harm.

The cause of stomatitis is quite predictable - these are changes in hormonal levels. And as a result of a decrease in immunity, its protective properties, the mucous membrane loses its ability to fight infection. In order to become a carrier of stomatitis during pregnancy there are quite a few effects of factors that contribute to the reproduction of infectious microorganisms on the mucosa. As a result - stomatitis, with inflammation and ulcers.

Stomatitis during pregnancy requires immediate treatment, this disease cannot be started. Therefore, at the first sign of stomatitis, immediately consult a doctor. Remember that stomatitis is not only painful wounds that do not allow to enjoy the pregnancy, but also an infection that can cause complications during the course of pregnancy or childbirth. Stomatitis during pregnancy always manifests itself in the same way: it is inflammation in the mouth, redness of the sky, lips and cheeks. Later on the site of redness, erosion and sores are formed. Ulcers look like white spots, with a bloom with a red border.

Statistics says that almost every second mom develops stomatitis. This is due to the fact that during pregnancy, as mentioned above, the hormones of a woman are disturbed, the immunity is often weakened and this contributes to the development and very fruitful development of diseases in the woman’s body. First of all, mucous membranes can suffer, which proves the frequent occurrence of stomatitis in pregnant women.

With stomatitis in pregnant women, sores and ulcers may appear on the mucous membrane of the mouth. They not only violate the comfort of the future mother, but can also have a rather negative effect on the course of pregnancy, since the spread of the infection threatens the fetus. But with timely and, what is much important, proper treatment of stomatitis, you can get rid of the dangers posed by stomatitis. Do not be afraid of the first symptoms of stomatitis, but you should not take the disease calmly. The attending physician can cope with stomatitis, he will select the correct course of treatment that will not harm the health of the mother and the future baby. With the manifestation of stomatitis in pregnant women should immediately consult a doctor and do not self-medicate so as not to harm the baby.

trusted-source[1], [2], [3], [4], [5]

Causes of stomatitis during pregnancy

Since stomatitis has many faces and pathogens, there are many reasons for its occurrence.

Many of the causes of stomatitis during pregnancy indicate an insufficiently well and carefully conducted oral hygiene. Also, the occurrence of this disease can be affected by the usual dental problems - the appearance and accumulation of plaque or stone. No less dangerous for a woman are mechanical damage to the oral mucosa - punctures, cuts, chemical or thermal burns of the oral mucosa. If products containing B vitamins and various minerals are rarely found in your diet, they can also contribute to the occurrence of stomatitis during pregnancy. With dysbiosis, or various diseases of the body's systems - cardiovascular, gastrointestinal, pulmonary, nervous - as well as diabetes and tuberculosis, the risk of stomatitis during pregnancy is very high. In addition to these reasons, there are still at least two - thrush of oral cavities or intoxication of the body.

Causes of stomatitis during pregnancy are infections that affect the weakened immune system of a pregnant woman. Causes of stomatitis can be viral, fungal or bacterial infections. Let's take a closer look at the causes of stomatitis during pregnancy:

  • Allergic reactions to food or hygiene items, such as toothpaste. Sometimes a pregnant woman may not even assume that it would seem that such ordinary things can cause such an unpleasant disease as stomatitis. 
  • Bacterial infection in the oral cavity, which occurs due to non-compliance with basic rules of hygiene. A weakened immune system due to smoking or improper positioning of dentures. 
  • Irritations of the oral mucosa when smoking or eating acidic foods. 
  • Chronic diseases such as Behcet syndrome, leukemia, vitamin deficiency, iron deficiency in the blood. All this can cause stomatitis during pregnancy. 
  • Viral infections of the oral cavity, as a result - herpetic stomatitis. 
  • Fungal infections of the oral cavity - thrush or candidal stomatitis. Small children most often suffer from this disease. 
  • Medication: antibiotics, drugs for radiotherapy, chemotherapy and treatment of malignant tumors.

All this can cause stomatitis during pregnancy. To avoid this disease, minimize the factors that can cause the development of stomatitis.

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Symptoms of stomatitis during pregnancy

What are the symptoms of stomatitis in pregnant women? In order to understand what is happening with your body, you must periodically examine the cavity of your own mouth. If you notice that you have some discomfort in your mouth, grope with your tongue or you see in the mirror some abnormal bulges for yourself, irregularities - perhaps you have found stomatitis during pregnancy. The first sign of the appearance of stomatitis is a slight reddening of the mucous membrane of the palate, the inside of the lips or cheeks, which is aggravated by an unpleasant burning sensation. However, initially these symptoms are always missed by women and are attributed to some other irritant. When the first sores appear in the mouth, this is a signal to action, namely, a call to go to the hospital. The doctor, in case of your disease with stomatitis, will see on the mucous membrane of the mouth small reddenings, erosion, white spots with a clearly defined contour and a red stripe, and around - for the first kind completely healthy mucosa. When diagnosing stomatitis in pregnant women, the main thing is to determine the cause of its occurrence, which will help to prescribe the most effective and safe treatment for the mother and child.

Symptoms of stomatitis during pregnancy are exactly the same as the symptoms of stomatitis in any other person or child. The first symptom of stomatitis is redness of the mucous membrane of the sky, lips, cheeks, severe burning and tingling in these places. After redness and burning, the erosion process begins, and ulcers appear. When examining the affected area, you can see a white spot with a patina that is bordered by a red stripe. If you are observing all of the above, then, unfortunately, you have stomatitis. It is necessary to immediately consult a doctor to select a course of treatment and to identify the cause of stomatitis.

The signs and symptoms of stomatitis are completely dependent on the cause of the disease. But almost all manifestations of stomatitis have common features.

The main symptoms of stomatitis during pregnancy are as follows: 

  • Discomfort and sharp pains during food. 
  • On the mucous membrane of the mouth, lips, tongue, inner surface of the cheeks and the sky appear painful sores. In the amount of ulcers can be from one to ten millimeters in diameter. 
  • The tongue becomes very sensitive, it hurts to even talk. 
  • Increased salivation and bad breath. 
  • Redness of the oral mucosa or its individual sections. 
  • Increased body temperature.

Sometimes, the symptoms of other diseases that are carried by a pregnant woman are connected to the main symptoms of stomatitis during pregnancy.

  • Let's look at how to recognize stomatitis in the manifestation of symptoms of other diseases. 
  • In addition to the above symptoms of stomatitis, you have inflammation of the mucous membrane of the nose and eyes. And also inflammation of the genital organs, which means that most likely you have Behcet syndrome with stomatitis. This is a serious disease that requires immediate treatment. The syndrome damages the blood vessels and is responsible for the inflammation of the mucous membranes and the appearance of ulcers. 
  • If you had fever, weakness all over your body and inflammation of the eyes, before the manifestation of the symptoms of stomatitis, then Stevens-Johnson syndrome is the cause. In other words - it is a complex allergic reaction to drugs and infectious diseases. 

Before the onset of stomatitis symptoms, you had a digestive system disorder, diarrhea, abdominal pain or blood in the stool, the cause of stomatitis is Crohn's disease. This is a chronic inflammation of the intestines.

Remember that the symptoms of stomatitis during pregnancy may indicate more serious problems than just a weakened immune system. In any case, if during pregnancy you have symptoms such as: 

  • Heat.
  • Inflammation of the genitals and eyes.
  • Bubbles with fluid appear on the skin.
  • Frequent manifestations of stomatitis.

You need to immediately consult a doctor, as complications during the course of pregnancy and health problems of the future baby are inevitable.

Stomatitis in the tongue during pregnancy or catarrhal glossitis indicates inflammation of the oral mucosa, which is localized in the region of the tongue. The main causes of stomatitis on the tongue during pregnancy can be:

  • Lack of necessary oral hygiene.
  • Disease of the teeth (caries, periodontitis, periodontitis).
  • Dysbacteriosis.
  • Tartar
  • Diseases of the gastrointestinal tract.
  • Duodenitis.
  • Gastritis.
  • Colitis.

Stomatitis on the tongue during pregnancy is characterized by yellow-white spots on the tongue. In a very severe form of stomatitis, there may be swelling of the tongue, thickening of the tongue, painful, cutting sensations when moving the tongue.

Symptoms of stomatitis on the tongue during pregnancy:

  • The tongue has a red painful appearance, sometimes pigmentation of the tongue is noted. 
  • Loss of taste. 
  • The appearance of grayish spots on the tongue.

Remember that sometimes during stomatitis in the tongue, the infection can spread to the oral mucosa. In this case, stomatitis is called geographic stomatitis.

During treatment of stomatitis in the language of pregnant women, it is necessary to eliminate the causes of the disease. The cause may be: tartar or dental disease. The affected areas must be treated with antiseptic solutions: furatsilin and chlorhexedini. For the prevention and treatment of rinsing with aminocaproic acid. At home, stomatitis on the tongue can be treated with calendula and chamomile solutions. These plants have antiseptic properties.

In addition, when stomatitis on the tongue during pregnancy, you must follow a diet. Diet involves eating warm food that does not irritate the mucous membrane. If at the time of embarking on the treatment of stomatitis, the disease can go away after a week and a half.

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Where does it hurt?

What's bothering you?

Is stomatitis dangerous during pregnancy?

An unequivocal answer to this question is impossible. But it's worth knowing that this disease does not have the best effect on the health of the future mother. Therefore, when the first symptoms of stomatitis is necessary to visit a doctor.

Women carrying a baby may be interested in the question of whether stomatitis is dangerous during pregnancy. Stomatitis during pregnancy, no matter how insignificant or unhealthy it may seem, can be dangerous for mother and baby. However, with proper and timely treatment, you can get rid of the threats that it carries. Note that fear of the symptoms of stomatitis is still not worth it. A much more effective fear of stomatitis during pregnancy will be a calm attitude to the disease and a properly prescribed course of treatment, which can only be selected by a doctor.

Pregnant women very often ask their doctors about the problem of stomatitis during pregnancy? Many experts in the field of infectious diseases claim that stomatitis will in any case negatively affect the health of the mother during pregnancy and childbirth. That is, stomatitis is a potential danger to the child.

trusted-source[11], [12], [13]

The consequences of stomatitis during pregnancy

The consequences of stomatitis during pregnancy can adversely affect the health of the future mother and baby. Remember that late access to a doctor contributes to the rapid and active reproduction of microorganisms that cause infectious disease of the oral mucosa. Because of this, inflammation and ulcers form in the mouth. It is impossible to start stomatitis during pregnancy, since apart from the painful sensations, stomatitis can harm the fetus.

There are such consequences of stomatitis during pregnancy: 

  • Discomfort and increased negative impact on a weakened immune system. 
  • Inflammation of the mucous membrane of the mouth, and sometimes the genitals. 
  • High fever, which causes dehydration and adversely affects the course of pregnancy. 
  • Perhaps the manifestation of stomatitis and the baby, immediately after birth, if the mother could not cure the disease before giving birth.

To prevent the negative effects of stomatitis during pregnancy must be treated. Independently, it is impossible to choose a suitable course of treatment, the doctor must do this. Do not forget that taking any medication during pregnancy is dangerous, as this can cause miscarriage or premature birth. Therefore, for the treatment of stomatitis, doctors prescribe a course of antifungal drugs that are completely harmless to the baby.

Diagnosis of stomatitis during pregnancy

Stomatitis is, first of all, a fungal disease that is manifested due to the activation of an infection. In medical practice, to determine stomatitis, the doctor must examine the oral cavity of the intended patient, and also examine the medical record of this person. Special tests for the determination of stomatitis in pregnant women (such as biopsy or studying bakposev) yet.

The main indicator of the presence of the disease in the body - the nature of the location and appearance of wounds on the mucous membrane, as well as the fact that stomatitis is a recurring disease.

When stomatitis in pregnant women, a small amount of ulcers occurs on the mucosa, but the rest of the mucosal surface looks normal, not damaged. Symptoms indicating the presence in the body of the disease, such as fever or a general deterioration of health, do not appear. General deterioration is observed when the disease becomes more advanced.

Diagnosis of stomatitis during pregnancy involves an examination by a doctor who examines the history of the disease and conducts a full examination of the affected areas of the stomatitis. Only visual inspection allows you to diagnose stomatitis. To date, there are still no tests that dentists could conduct in order to diagnose stomatitis or to determine the disease by any signs before the onset of symptoms. The doctor is obliged to study the history of the disease, as this allows you to diagnose stomatitis and prevent the recurrence of stomatitis.

When diagnosing stomatitis in pregnant women, special attention is paid to the symptoms of the disease. The first and most sure sign of approaching stomatitis is redness of the oral mucosa. Sometimes the onset of the course of the disease can be accompanied not only by redness, but also by light swelling and burning. If you do not start treatment at this stage, then painful sore ulcers will appear very soon. The ulcers hurt a lot and turn the process of eating into a real test. Diagnosis of stomatitis during pregnancy takes into account the location of redness, that is, places for future sores. As a rule, it is the inside of the cheeks, tongue, sky and the inside of the lips.

As a rule, in a healthy person, stomatitis passes in one to two weeks, but during pregnancy, stomatitis can be a concern for all nine months. In addition, stomatitis can cause complications and scars. Remember that stomatitis is a recurring disease, so it is important to treat not only the symptoms of stomatitis, but also the cause of its occurrence.

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What do need to examine?

How to examine?

Who to contact?

Stomatitis treatment during pregnancy

  1. If stomatitis is caused by a fungal infection, then treatment involves the use of antifungal drugs. Many of these drugs are harmless to the future baby, but not all. To protect yourself as much as possible, use a rinse solution that can be prepared at home. For the solution you need: a teaspoon of soda and a glass of warm boiled water. Rinse your mouth every hour and a half, during the day. 
  2. When the cause of stomatitis is bacterial diseases that are caused by trauma to the mucous membrane, then you need to resort to the use of antibacterial drugs. Damage occurs due to the bite of the tongue or the inner surface of the cheeks, a hot drink burn, or tongue piercing. When treating stomatitis with antibacterial drugs, there is a risk of premature termination of pregnancy in the first trimester of pregnancy. 
  3. If stomatitis during pregnancy is caused by allergies, the treatment involves the identification and elimination of the allergen. For the treatment using antihistamines.

To cure stomatitis during pregnancy, you should pay attention to oral hygiene. Since this is one of the most important factors that will quickly get rid of stomatitis. Choose a paste that disinfects, that is, has an antibacterial and anti-inflammatory effect and contributes to the healing process of wounds. Particular attention should be paid to nutrition during pregnancy. Sometimes, due to the lack of any substances or vitamins, stomatitis appears. You need good nutrition, which includes eating fish, fresh vegetables, meat.

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Nutrition and diet of pregnant women with stomatitis

Pregnant women are also extremely important to monitor their own diet, since some types of stomatitis may appear due to the lack of any vitamins and minerals. In addition to eating healthier and more saturated foods, you should also pay attention to the fact that spicy foods, citrus fruits, cereals, sweets and other foods can provoke the appearance of stomatitis in pregnant women.

When stomatitis during pregnancy, you need to pay attention to your diet and stick to a diet. Firstly, it is necessary to eat small non-rough food, which does not injure even the affected mucosa. Secondly, there is something that contributes to the healing of ulcers on the mucous membrane, because if you do not pay attention to it, then stomatitis can turn into a chronic form.

It is best during the stomatitis to refuse dishes with a pronounced taste - sharp, salty, sweet - because they irritate the mucous membrane. An exception may be honey, the solution of which is to rinse the mouth to accelerate healing processes.

When choosing vegetables and fruits, pay attention to those that have a neutral taste. Use them as a slurry or juice. It is also possible to rinse the mouth with these juices.

If you want to eat meat, then grind it, make the stuffing or pate. Meat dishes are best steamed, however, protein food during stomatitis during pregnancy is better not to abuse. Moreover, the meat is almost tasteless, and during stomatitis it is better not to use salt and seasonings. Perhaps the use of broth, however, also without seasoning. An exception may be the bay leaf, which has quite good medical properties.

Pay close attention to dairy and lactic products. The use of yoghurts, sour cream, kefir, yogurt and other products is not only useful, but also has the right consistency, in order not to injure the mucosa with ulcers. In addition, these products have their own characteristic taste and do not need to add seasoning and salt. You can select the percentage of fat content at your discretion, since this diet is not aimed at reducing weight.

The best solution would be to use a large amount of porridge - rice, manna, oatmeal, and so on. They not only help to saturate the body without injuring the affected mucosa, but also have a very positive effect on the body in general and on the work of the gastrointestinal tract in particular.

It is recommended to drink black and green tea, water and broth hips. From carbonated, alcoholic beverages, milkshakes, coffee, as well as citrus juices should be abandoned for a while.

From any berries should also be abandoned. If you really want them, you can make a compote out of them and drink it, after a very thorough process.

And in conclusion, the description of the diet should be noted that food and drink should be at room temperature, because too hot or cold foods can only irritate the mucous and aggravate the disease.

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Stomatitis prevention during pregnancy

In order for you not to have stomatitis during pregnancy, you should pay attention to some rules, compliance with which will protect you.

First, it is always necessary to carefully observe the hygiene of the oral cavity, if possible, in addition to toothpaste, use dental floss and mouth rinses.

Secondly, it is worthwhile to eat only thoroughly washed vegetables and fruits, since a large number of microbes and bacteria are collected on them during collection, transportation and sale.

Thirdly, it is advisable to drink not cold water, but one that is at room temperature, so as not to chill the oral mucosa.

Fourthly, in order that pregnancy does not leave an irreparable imprint on your health, you should take vitamin complexes for pregnant women and carefully approach the choice of products in the diet, as well as the daily regimen.

In general, stomatitis during pregnancy is not as scary as it seems. However, do not underestimate the extent to which it can turn and the consequences to which it can lead. Stomatitis during pregnancy is not a reprimand, but only an obstacle, overcoming which, you become stronger and more selective.

Dear future moms, be healthy and love your kids!

trusted-source[21]

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