1. Early Intervention
Trying to treat the mouth ulcers that characterize gingivostomatitis won't work, and it may worsen the pain and delay healing. Because these sores are caused by the herpes simplex type 1 (HSV-1) virus and not mouth or foreign bacteria, you cannot treat them with antibiotics. The only medication that is proven to work is called acyclovir, and then only in initial cases.
The catch is that the ulcers must have been present for less than 72 hours, and you must obtain a diagnosis and prescription within that time. Since children are at the highest risk for the condition, a parent's examination for mouth ulcers is the first course of action.
2. Proactive Hydration
Because gingivostomatitis symptoms can be severe and painful, patients may not feel like eating or drinking. While starvation probably won't set in, dehydration is more subtle and insidious. You or your child might not notice he is thirsty or not urinating until it is too late. Keep the patient hydrated with nonacidic liquids like water, milk, apple juice or sports drinks. If fluid intake and urination become very infrequent, consult an advice nurse or doctor.
3. Pain Reduction
Since the herpes simplex virus will run its course with or without intervention, not exacerbating the situation and treating the pain are about all you can do to help. Don't serve food that will burn or scrape the sensitive sores, which may bleed. Pizza and pretzels are out. Cold, juicy foods such as ice cream, Popsicles, yogurt and applesauce feel good on painful lip and mouth areas. The patient may also appreciate soft foods such as cheese, mashed potatoes and cool oatmeal.
A fever may accompany the pain. You can manage these symptoms with a regimen of acetaminophen or ibuprofen. Dose them according to directions for continuous relief, and then as needed as healing progresses and the pain dissipates. Aspirin or topical analgesics are not recommended for children due to the increased risk of developing Reye's syndrome.
