The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
=Ulcerated Mouth.=--First, with reference to the _sore-mouth_ of
children. I have already noticed a form of inflammation and ulceration
of the gums sometimes met with during teething, but the sore-mouth of
which I am now about to speak is often quite independent of that
process; though it may sometimes be found associated with it, and is
indeed rarely met with after five years of age. In almost all instances
it is preceded and attended with symptoms of indigestion, during the
course of which the mouth becomes inflamed, hot and red, and small very
painful shallow ulcers with sharp-cut edges, and a little yellowish
deposit on their surface, appear at the edge of the tongue, on the
inside of the mouth, and especially on the inside of the lower lip, and
the adjacent surface of the gum. Successive crops of these little
ulcerations not unfrequently appear, so that for many weeks the child
may be kept by them in a state of extreme discomfort; swallowing, and
even speaking being the occasions of considerable suffering.
It is seldom that nursery remedies, and the so-called cooling
medicines, though often of some service, suffice to get rid of the
ailment, which for the most part needs judicious medical treatment, and
local as well as constitutional measures. Now and then this condition
comes on in the course of measles, and is then sometimes of serious
importance.
In the other form, the disease is usually limited to the gums, and
affects especially those of the front of the lower jaw, which become
swollen, ulcerated at their edges, where a very ill-smelling deposit
takes place of a dirty white or greyish colour, the surface beneath
being spongy, swollen, raw, and bleeding. The ulceration sometimes
extends so as to lay bare a large part of the sockets of the teeth; but
though loosened they seldom drop out. Coupled with this, the glands at
the angle of the jaw are swollen, and the child dribbles constantly a
large quantity of horribly offensive saliva. In the children of the
well-to-do classes the condition is seldom seen except in a slight
degree; but even when severe it is rarely accompanied by any grave
disorder of the general health. It seems to tend, whether treated or
left to itself, slowly to get well; but its progress to a natural cure
is extremely tedious, and the gums are left by it for a long time
spongy, bleeding easily, and only very imperfectly covering the teeth.
Anxiety is sometimes excited by this condition; it being supposed that
the white deposit on the edge of the gum implies some relation between
it and diphtheria. This is not so, for though this peculiar ulceration
of the gums has now and then been found associated with diphtheria, the
nature of the two diseases is essentially different. It is, however,
always wise to call in medical advice in order to settle this important
question, and the more so, since there is one remedy, the chlorate of
potass, which, in appropriate doses, acts upon the condition almost as a
charm.
Public-domain text, read in full here on John Shaqi.
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