Diagnosis of vesicles in the mouth
The doctor will conduct a detailed anamnesis interview during which the patient will have the opportunity to describe the nature and duration of his or her complaints. Accompanying symptoms should also be mentioned in order to facilitate the diagnosis. A subsequent physical examination usually focuses on the head and neck area and includes an inspection of the oral mucosa with a flashlight and mouth spatula.
The location of the mucous membrane damage and the occurrence of any other abnormalities are checked. The condition of coatings can be checked with the mouth spatula. Most diseases in the oral area are a gaze diagnosis.
This means that the findings of the physical examination in combination with the patient’s descriptions are sufficient to make a diagnosis. A blood sample can provide information as to whether the organism is currently affected by an infection or whether a general immunodeficiency prevails. Further laboratory tests are usually not necessary.
Therapy of blisters in the mouth
The treatment depends on the disease. In the case of aphtae, treatment is usually not necessary. The damaged oral mucosa heals on its own after a few days.
In case of severe pain, local anti-inflammatory measures can be taken. These include the application of clove oil or camomile extract. Mouthwashes with anaesthetic ingredients can also relieve pain.
Appropriate solutions are also used for herpangina. In this disease there is no way to directly combat the virus that causes the disease. Gargling with camomile tincture can also contribute to the healing process.
High fever should be reduced with paracetamol, a drug that also helps to relieve pain. In the case of stomatitis aphthosa, virus-inhibiting drugs against the herpes simplex virus are available. These should be applied generously and in good time to shorten the duration of the disease.
Mouthwashes can also help to relieve the symptoms. Antivirals can also be used in severe cases of infection with chickenpox virus. In this case, treatment is carried out with the antiviral agent Aciclovir.
A so-called antimycotic is applied to oral thrush. Antimycotics are drugs that are directed against fungal infections. They are used locally as mouthwash for oral thrush.
Pain-relieving mouthwashes are also available here. Particularly in the case of the sporadic occurrence of aphthae, an analgesic ointment can be applied to the damaged mucous membrane. The preparations available without a prescription contain an anaesthetic active ingredient which quickly contributes to a temporary improvement of the symptoms.
However, this does not combat the triggering cause. Tinctures of cloves or camomile can be used additionally. They have an anti-inflammatory effect and contribute to rapid healing of the annoying mucous membrane ulcers.
Are bubbles in the mouth contagious?
Ordinary aphthae are generally not contagious. This also applies to intensive contact, such as when kissing. Of the diseases described so far, the herpangina (Coxsackie virus), the stomatitis aphthosa (herpes virus) and the hand-foot-mouth disease (Coxsackie virus) are contagious.
Contact persons should follow strict hygiene measures. These include washing hands frequently and disinfecting contact surfaces such as door handles or bathroom fittings. Although oral thrush is a fungal infection, there is no risk of infection. The triggering yeast fungus Candida albicans is also found on the skin of many healthy people and causes no symptoms if the immune system is intact.
