The problem of stomatitis affects many patients, including very young children. According to statistics, about 93% of the population have suffered from stomatitis at least once in their entire life, and up to 65% of patients have chronic stomatitis.
There are many known drugs that can cure stomatitis even in newborns, but for many years the undisputed leader among drugs against oral ulcers has been sodium tetraborate.
General information
Sodium tetraborate is also known as borax.
It is a powerful antiseptic used for the therapeutic treatment of many diseases. The product is better known in dental practice as the best among all known in the treatment of stomatitis. A weak solution of sodium salts and glycerin has a beneficial effect on damaged areas of the mucosa, destroys pathogenic microflora, soothes, and quickly improves the clinical picture.
It is used as a treatment as follows:
- hygienic rinses;
- local treatment of ulcerative structures using a tampon;
- applications with solution.
The drug is known in gynecological practice as an effective drug for the treatment of diseases caused by the fungus Candida (thrush), in otolaryngology - for the treatment of otitis media, inflammation of the paranasal sinuses.
Borax is the main component of many drugs for the treatment of diseases of the upper respiratory tract; it has a depressing effect on fungal flora, destroying all ulcerative elements of the oral cavity.
The product prevents the development of new local inflammatory areas. The medicine is very quickly absorbed by the body, enters the esophagus, and is excreted in feces or urine (intestines/kidneys, respectively).
Pharmacological properties and effects
The use of sodium tetraborate for ulcerative stomatitis in children or adults is explained by the rapid elimination of external signs of the disease, as well as internal symptoms of the disease. Antibacterial properties make it possible to influence the appearance of candida fungus and prevent the reappearance of ulcers.
The product can be used along with other medications or in combination with herbal medicine, for example, rinsing the mouth with decoctions of medicinal herbs. When combining sodium tetraborate and other drugs, a significant increase in the effectiveness of the latter was noted.
Due to its high toxicity, it is important to take the drug only as prescribed by a doctor. This especially applies to pregnant or lactating women, children of early or school age, and adult patients with a burdened clinical history.
The instructions suggest only local use of the solution to treat affected areas of the oral mucosa.
Sodium tetraborate for stomatitis: use of the drug
Sodium tetraborate for stomatitis in children is used in the form of rinses, applications and spot application in areas of mucosal lesions. The dose of use is set by the doctor in accordance with the individual approach to the patient. Rinsing is indicated to eliminate the cause of the appearance and development of fungi in the mucosal tissues. Point application and applications to affected areas speed up the process of eliminating the disease.
Sodium tetraborate instructions for use for stomatitis:
- preparing the oral cavity for treatment - removing crusts;
- treating ulcers with a solution of borax on glycerin using a tampon;
- rinsing with an aqueous solution of borax.
To painlessly remove hardened crusts, they are lubricated with an oily solution of vitamin A. In addition to this drug, the cavity is also treated with other oils - rose hips, peach, flax.
The crusts do not need to be torn off - they are removed with a smooth movement after softening with oil. After this, tetraborate is applied to the area, which is easily absorbed into the tissue. Crusts must be removed: they prevent the penetration of borax into the mucous membrane.
Important! To relieve pain for infants when removing crusts, painkillers are used - with lidocaine.
Sodium tetraborate - use for acute stomatitis requires complex treatment of the entire surface of the mucous membrane. The technique is as follows:
- thoroughly sanitize hands before handling;
- soak the swab in borax;
- carefully treat the entire affected surface, starting from the root of the tongue and ending with the mucous membrane of the cheeks;
- Rinse your mouth thoroughly (for older children and adults).
The use of sodium tetraborate for stomatitis in children
Treatment of the surface of the mucous membrane in infants with medicine is carried out using a gauze swab (the gauze is wound on a finger and moistened with the solution); cotton swabs do not produce proper pressure on the membrane - the fungus remains on the surface.
Can the product be applied to a pacifier? Some mothers use this method to treat their infants for stomatitis, however, it is better to ask a pediatrician for advice. Firstly, you need to know the exact dosage of the drug, and secondly, the baby will swallow the medicine with saliva.
Important! Borax in glycerin is distinguished by its aggressive destruction of fungal pathogenic flora; to this day, there is no consensus among pediatricians about the safety of using tetraborate for infants. Borax is used only in severe cases of fungal infection of the oral cavity for spot treatment of individual ulcers.
For older children, rinsing is indicated in the following proportions:
- a cup of boiled chilled water;
- a tablespoon of salt;
- a coffee spoon of borax in glycerin.
How many times should the procedures be performed? The drug is not toxic, however, borax should not be used more than twice a day. In between uses, you can rinse with herbs or soda.
To prepare an aqueous solution of borax, adhere to the following scheme:
- 1 cup of boiled chilled water;
- 1 tablespoon of powder.
If stomatitis affects the mucous membrane of the lips, apply applications to the affected area. For infants, simply treat the surface of the lips with a swab.
Features of the drug use
Sodium tetraborate instructions for stomatitis in children do not limit the use of the drug for sore throat and damage to the throat mucosa. Enterprising mothers treat the surface of the skin of infants with diaper rash - for disinfection.
Features of release and form
Sodium tetraborate without impurities is a white crystallized substance, insoluble in alcohol solutions, but highly soluble in an aqueous medium or glycerin. As part of industrial production, the product is manufactured in finished form. For sale, sodium tetraborate is available in two forms:
- solutions in 30 ml bottles (ratio 20:80);
- tablet form for rinsing.
For more effective treatment, you can use the drug in two forms, but with caution. The solution is recommended for young children and adult patients with severe diseases of organs and systems , since with the help of spot application it is easy to control the penetration of the solution inside.
The tablets are recommended for rinsing, so they can be used to treat stomatitis in adults and older children.
Indications for use
Before use, it is important to consult a specialist. Assessing the potential risks of complications and side effects is necessary when treating stomatitis in patients of any age group.
The main indications include:
- stomatitis in chronic and acute course;
- ulcerative stomatitis;
- candidiasis in gynecological practice;
- acute laryngitis;
- pharyngitis and catarrhal otitis media;
- agranulocytic tonsillitis (including severe);
- diaper rash in babies and adults;
- bedsores in bedridden patients (as an antiseptic treatment).
When using the drug as directed with the correct dosage, you can quickly get rid of stomatitis, as well as achieve long-term remission in its chronic course.
Failure to follow the doctor's recommendations can result in serious consequences for the body.
Grounds for contraindications
Borax solution is a highly toxic drug (class 4), so therapy in children should be carried out under parental supervision, and in adults - with all precautions. Particularly important contraindications include:
- high sensitivity to active components;
- pathologically changed skin;
- the presence of cuts, abrasions and bruises at the sites of intended treatment;
- pregnancy and lactation period.
The duration of use of the drug ranges from 3 days to a week. The course of treatment depends on the severity of the disease. If any unpleasant signs appear, you should immediately stop taking the drug.
Oral sanitation in newborns
The remedy has been used for the treatment of stomatitis in newborns for quite some time. Borax solution is recommended for children due to its high effectiveness against fungal spores. The algorithm for applying the solution and sanitation of the oral cavity in infants consists of the following stages:
- wash your hands thoroughly and treat them with an antiseptic;
- take a sterile gauze swab;
- wrap it around the index finger of your working hand;
- moisten the bandage with the solution and squeeze a little to remove excess liquid;
- treat the mucous tissues of the mouth.
It is important to repeat the procedure after each feeding. The duration of treatment is completely determined by the neglect of the clinical situation.
With normal treatment, improvement occurs within the next day. When the mouth ulcers disappear, it is necessary to repeat the sanitization for a few more days to prevent the fungus from reoccurring.
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Precautionary measures
An adult’s body reports an overdose
- frequent loose stools;
- general weakness of the muscular system;
- causeless urge to vomit;
- spasms of the limbs and facial muscles;
- the appearance of dermatitis.
If the above symptoms appear, you must immediately perform gastric lavage and stop using this drug.
Sodium tetraborate solution is still used to treat severe cases of fungal stomatitis in newborns, but only for the treatment of ulcers.
This medicinal drug has pronounced side effects :
- menstrual irregularities in women;
- the occurrence of seizures in children of different ages;
- noticeable redness, burning, irritation at the site of application;
- manifestations of dermatitis;
- hair loss or impaired hair growth;
- anemia or anemia;
- intoxication from long-term use;
- gastrointestinal tract malfunctions;
- partial or complete lack of appetite.
When used correctly, this drug effectively affects only areas affected by infection and prevents the proliferation of fungal spores without any negative consequences for the body.
Caution and attention are the key to successful treatment.
Carrying out therapy in older children
Treatment of school-age and older children is carried out according to a certain scheme.
Infectious stomatitis is accompanied by the formation of hard scabs that prevent the normal penetration of the medicinal composition. Before local processing, the crusts must be removed.
Removal is carried out using a cotton swab and vitamin A, and only then a solution for hygienic rinsing is prepared:
- cooled boiled water (200 ml);
- rock salt 1 tbsp. spoon;
- 0.5 teaspoons of borax in a glycerin solution.
All components are thoroughly mixed and applied in the form of local lotions to the affected areas of mucous tissue.
Overdose during applications is practically impossible, but it is very important for parents to control the entire processing process.
Release forms and application
Sodium tetraborate is used to treat the disease if it was caused by the spread of a fungus, only as a supplement to eliminate symptoms .
There are two main types of drugs in wholesale sales:
- Rinse tablets : no more than 2 pcs. dissolve in water and rinse your mouth after eating. The child is not allowed to rinse, as there is a high risk of swallowing the solution, which is in no case recommended due to the risk of poisoning;
- A 20% solution of borax in glycerin , packaged in 30 gram bottles, is used for the local treatment of ulcers in children. This is safe, since using a cotton swab you can effectively treat all wounds without exposing the child to the risk of overdose.
One bottle lasts for a week if the disease was detected at an early stage of manifestation.
Stomatitis in its infectious form is characterized by a rash of ulcers with a hard crust, which prevent the medicine from penetrating deep into the mucous membrane. Before processing begins, these crusts must be removed.
Using a cotton swab soaked in an oil solution of vitamin A, they are softened and then carefully removed. The wounds themselves are moistened with a borax solution.
The sooner you start treatment with sodium tetraborate, the faster you will achieve the desired effect , the extinction of symptoms and the elimination of the infection itself.
Read our recommendations on how to treat stomatitis in a child in the next publication.
In this article, we will talk about ways to treat mouth ulcers at home.
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Use for adults
The tactics of medical treatment of stomatitis in adults depends on the form of the disease (chronic or acute), the severity of the course and the stage of development of the disease.
In any case, treatment with sodium tetraborate should only be prescribed by the attending physician due to the presence of multiple side effects in case of overdose.
Chronic ulcerative stomatitis
Therapy for the chronic form of the disease in adult patients is carried out with the use of restorative and antibacterial agents. Sodium tetraborate is often included in the main treatment.
Herpetic rashes on the oral mucosa are treated only with antiviral drugs. The therapeutic treatment scheme has two directions:
- Local. Treatment consists of destroying bacterial microflora and healing ulcer fragments.
- General. Therapy brings relief while taking general restorative medications.
Treatment of chronic stomatitis with sodium tetraborate in adults is justified due to the ease of use of the drug, its relative cheapness and high efficiency. Many patients noted significant improvements within 24 hours.
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Acute form in adults
In acute forms of stomatitis, treatment of the oral cavity with a disinfectant composition must be carried out daily for a week or more, if there are other instructions. Use a gauze swab with borax to blot problem areas of the mucous membrane about 6 times a day.
In case of transformation of the disease into a chronic form, treatment is continued for up to 3 weeks. It is important to combine treatment of acute stomatitis with sodium tetraborate with other healing agents, for example, sea buckthorn oil and special healing gels.
For the entire period of therapy, foods that are aggressive to the mucous membrane (spicy, salty, hot, too cold) should be excluded from the diet.
Recommendations for adults
It must be remembered that only a doctor can prescribe the correct treatment based on the diagnosis, and the course of therapy itself depends on the causes of stomatitis and its form:
- Treatment of the chronic form of the disease in adults is carried out with the help of antibacterial, restorative drugs, including the use of borax in glycerin;
- Treatment of herpetic stomatitis is carried out with antiviral drugs.
The treatment regimen consists of two directions: general and local.
Local treatment fights various harmful bacteria, while the natural microflora is normalized, ulcers heal, pain is reduced, and soft tissue swelling is eliminated.
For acute stomatitis, similar therapy should be carried out every day: the mucous membrane of the oral cavity, larynx and visible part of the throat is treated with a gauze or cotton swab moistened with a solution of borax in glycerin, up to 6 times a day for a week.
If necessary, such wiping continues after the specified period, but after consultation with the attending physician.
When the disease becomes chronic , a similar treatment is done every other day for 3 weeks, but it must be remembered that an advanced disease quite often leads to negative complications.
Ulcers must be healed completely; sea buckthorn oil or Solkoseril gel are suitable for this purpose. During treatment, you must avoid hot and spicy foods that irritate the wound.
Handling precautions
Due to the high degree of toxicity, it is important to store borax in glycerin out of reach, especially if there are children in the house. It is necessary to wash your hands before and after applying the drug, to avoid ingestion of sodium tetraborate, which can lead to serious intoxication, including death of the patient.
Treatment of the oral mucosa in children should be carried out in the presence of older family members to avoid swallowing large volumes of the product. If it gets into the stomach, rinse it with plenty of water (make the patient drink a lot and induce vomiting), and then notify an ambulance.
Description of the medicine
Sodium tetraborate is a salty-tasting powder that is easily soluble in water or glycerol (glycerol). Crystals of sodium tetraborate (borax) are also found in nature. The solution is applied locally to the affected tissue areas. Another name for the medicine is borax in glycerin. Tetraborate is also included in the composition of medicinal substances intended for the treatment of infectious diseases of the upper respiratory tract.
Borax in glycerin (20% solution) is available in 30 g glass bottles. This amount of substance is enough for 7 days of treatment. Usually the ulcers disappear after a week. Sodium tetraborate is also produced in the form of powder packages.
The action of the substance is aimed at eliminating the symptomatic and internal manifestations of the disease. The antiseptic properties of borax destroy harmful fungi and bacteria, and the antibacterial properties of borax block the growth and reproduction of pathogenic flora in the oral cavity.
Exceeding doses
The lethal dosage of borax orally is about 20 grams. The maximum concentration in blood plasma is about 40 mg/l, and the lethal concentration is 10 units higher - 50 mg/l or more. Symptoms of overdose include the following:
- loss of appetite and complete refusal to eat;
- confusion , general weakness;
- pain in the epigastric region;
- loose stool , vomiting, constant nausea;
- dehydration (including acute);
- arrhythmia condition;
- pronounced hyperemia of damaged areas;
- renal failure;
- convulsions , twitching of limbs;
- liver dysfunction;
- menstrual irregularities (in women).
In case of clinical symptoms of overdose, it is important to take a number of emergency measures, which refers to resuscitation actions:
- lavage and taking diuretics;
- hemodialysis (artificial kidney) and parenteral administration of plasma substitutes;
- intramuscular injections of riboflavin mononucleotide (up to 10 mg per day);
- dextrose-procaine mixture for intravenous administration;
- injections of platiphylline , atropine or promedol (if pain is noted in the abdominal area).
When the first symptoms of intoxication are detected after ingestion of sodium tetraborate or its accidental ingestion, it is necessary to call emergency help and begin to empty the stomach yourself before the team arrives.
Overdose
In practice, it is impossible to get toxic poisoning from the drug. However, if the drug is abused, the following complications may occur:
- headache;
- stomach ache;
- attacks of nausea/vomiting;
- arrhythmia of the heart;
- decreased appetite;
- convulsions;
- loss of consciousness.
In more serious cases, disruption of important body systems may occur.
Are there any side effects after using borax in glycerin? The body may react to tetraborate in the following ways:
- swelling of the mucous membrane;
- irritation at the localization site;
- slight itching.
However, these reactions are typical for children prone to allergies. The drug should be discontinued.
Side effects
The drug is highly toxic, and therefore has not only numerous contraindications, but also side effects even when used correctly. Among these are:
- itching in the localization of the treatment site;
- swelling of mucous areas;
- irritation and hyperemia of the mucous membranes in the sanitization area.
With proper use and precise dosage, side effects are more common in patients with a severe allergic reaction to the components of the drug.
If the treatment of stomatitis with borax solution in children cannot be controlled, then alternative treatment methods with safer drugs should be chosen.
Reviews
Sodium tetraborate is considered the most effective remedy in the fight against stomatitis. Reviews from many parents of young patients and adult patients about the drug are only positive.
Despite the toxicity of the drug to the human body, no fatal cases have been reliably identified while taking borax. If you have experience using sodium tetraborate in the treatment of stomatitis, you can leave your feedback in the form below.
To learn how to properly approach the treatment of stomatitis, watch the video.
