Herpangina

9 min read

Herpangina is a common viral infection that affects children and is characterized by small, painful blisters in the back of the throat. It is caused by a group of viruses known as the Coxsackieviruses. Herpangina is highly contagious and is spread through contact with an infected person or through contact with contaminated objects. It is most common in the summer and early fall months.

Signs and Symptoms

The most common symptom of herpangina is the appearance of small, painful blisters in the back of the throat. Other symptoms may include fever, sore throat, headache, and swollen lymph nodes. Symptoms usually appear within 3-5 days of exposure to the virus and typically last for 7-10 days.

Diagnosis and Treatment

Herpangina is usually diagnosed based on the symptoms and a physical examination. In some cases, a throat swab may be taken to confirm the diagnosis. Treatment for herpangina is usually supportive and includes rest, fluids, and pain relievers. Antibiotics are not effective against herpangina as it is caused by a virus.

Prevention

The best way to prevent herpangina is to practice good hygiene and avoid contact with people who are infected. It is also important to wash your hands often and avoid sharing utensils, cups, and other items with an infected person. Vaccines are not available for herpangina.

Take the Herpangina Assessment

Symptoms

Symptoms of Herpangina

  • Fever
  • Sore throat
  • Painful blisters or ulcers in the back of the throat
  • Headache
  • Nausea
  • Vomiting
  • Swollen lymph nodes in the neck
  • Bad breath

Treatment for Herpangina

Herpangina usually resolves on its own within a week. Treatment is usually focused on relieving the symptoms. This may include over-the-counter pain relievers, such as ibuprofen or acetaminophen, to reduce fever and pain. Gargling with salt water may also help to reduce throat pain. It is important to drink plenty of fluids to stay hydrated and to get plenty of rest.

Causes

Risk Factors

The risk of developing herpangina is higher in children who attend daycare or school, as they are more likely to come into contact with other children who may be infected. Other risk factors include:

  • Living in a crowded environment
  • Having a weakened immune system
  • Being in close contact with someone who has the virus

Prevention

The best way to prevent herpangina is to practice good hygiene. This includes washing your hands often, avoiding contact with people who are sick, and avoiding sharing items such as cups and utensils. It is also important to keep your child away from daycare or school if they are showing signs of the virus.

Getting a Diagnosis

Physical Examination

During a physical examination, the doctor will look for signs of herpangina. These signs include red spots or blisters on the back of the throat, swollen lymph nodes in the neck, and fever. The doctor may also take a throat swab to confirm the diagnosis.

Throat Swab

A throat swab is a sample of cells taken from the back of the throat. The sample is then sent to a laboratory for testing. The laboratory will look for the presence of the Coxsackieviruses, which are the cause of herpangina. If the laboratory finds the virus, then the diagnosis of herpangina is confirmed.

Treatment

Once herpangina is diagnosed, treatment is usually not necessary. The infection usually resolves on its own within a few days. However, if the symptoms are severe, the doctor may prescribe antiviral medications to help reduce the severity of the symptoms. It is also important to drink plenty of fluids and get plenty of rest to help the body fight off the infection.

Questions for Your Doctor

Symptoms

Be sure to tell your doctor about any symptoms you or your child are experiencing. Common symptoms of herpangina include fever, sore throat, headache, and swollen lymph nodes. You should also mention any other symptoms that may be present, such as nausea, vomiting, or abdominal pain.

Treatment

Your doctor will likely recommend a course of treatment for herpangina. This may include over-the-counter medications to reduce fever and pain, as well as home remedies such as gargling with salt water or drinking warm liquids. Your doctor may also prescribe antiviral medications to help reduce the severity of the infection.

Complications

In some cases, herpangina can lead to more serious complications. These can include dehydration, ear infections, and even meningitis. Be sure to ask your doctor about any potential complications and what you can do to reduce the risk.

Prevention

The best way to prevent herpangina is to practice good hygiene. This includes washing your hands often, avoiding close contact with people who are sick, and avoiding sharing utensils or drinks. You should also make sure to get plenty of rest and drink plenty of fluids.

Follow-Up Appointments

Your doctor may recommend follow-up appointments to monitor your or your child's progress. Be sure to ask about any additional tests or treatments that may be necessary. It is also important to ask about any lifestyle changes that may help reduce the risk of herpangina in the future.

Treatment

Over-the-Counter Medications

Over-the-counter medications such as ibuprofen and acetaminophen can help reduce fever and pain associated with herpangina. It is important to follow the instructions on the package and not to exceed the recommended dosage.

Antiviral Medications

Antiviral medications such as acyclovir can help reduce the severity of herpangina symptoms. These medications are usually prescribed by a doctor and should be taken as directed.

Home Remedies

There are several home remedies that can help reduce the symptoms of herpangina. Gargling with salt water can help reduce pain and swelling in the throat. Drinking plenty of fluids can also help keep the throat moist and reduce discomfort. Eating cold foods such as ice cream or popsicles can also help soothe the throat.

Prevention

The best way to prevent herpangina is to practice good hygiene. Wash your hands often with soap and water, and avoid sharing utensils or drinking glasses with others. It is also important to avoid close contact with people who are sick.

Drugs & Medications

Treatment for Herpangina

The most common treatment for herpangina is rest and fluids. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help reduce fever and pain. Antibiotics are not effective against herpangina, as it is caused by a virus. In some cases, a doctor may prescribe antiviral medications to help reduce the severity of the infection.

Preventing Herpangina

The best way to prevent herpangina is to practice good hygiene. Wash your hands often with soap and water, and avoid sharing utensils, cups, and other items with someone who has the virus. It is also important to avoid close contact with people who have the virus, as it is highly contagious.

Diet

Drink Plenty of Fluids

Staying hydrated is important when you have herpangina. Drinking plenty of fluids can help soothe the throat and reduce inflammation. Water is the best choice, but you can also drink other fluids such as herbal teas, fruit juices, and vegetable juices. Avoid caffeinated and alcoholic beverages, as they can irritate the throat.

Eat Soft Foods

Eating soft foods can help reduce the pain and discomfort of herpangina. Soft foods such as mashed potatoes, oatmeal, yogurt, and applesauce are easy to swallow and can provide essential nutrients. Avoid spicy and acidic foods, as they can irritate the throat.

Avoid Dairy Products

Dairy products such as milk, cheese, and ice cream can increase mucus production and make it harder to swallow. If you have herpangina, it is best to avoid dairy products until your symptoms have improved.

Eat Foods Rich in Vitamin C

Vitamin C is an important nutrient that can help boost the immune system and reduce inflammation. Foods that are rich in vitamin C include citrus fruits, bell peppers, broccoli, and strawberries. Eating these foods can help reduce the symptoms of herpangina.

Get Plenty of Rest

Getting plenty of rest is important when you have herpangina. Make sure to get at least 8 hours of sleep each night and take breaks during the day if you need to. This will help your body recover and reduce the symptoms of herpangina.

Lifestyle

Tips for Reducing Symptoms

  • Drink plenty of fluids to stay hydrated and help reduce throat pain.
  • Gargle with warm salt water to reduce throat pain and inflammation.
  • Take over-the-counter pain relievers such as ibuprofen or acetaminophen to reduce fever and throat pain.
  • Eat soft foods such as yogurt, applesauce, and mashed potatoes to reduce throat pain.
  • Avoid acidic foods such as citrus fruits and tomatoes, as they can irritate the throat.
  • Avoid spicy foods, as they can also irritate the throat.

Tips for Preventing the Spread of Herpangina

  • Wash your hands often with soap and water, especially after using the bathroom and before eating.
  • Avoid sharing utensils, cups, and other items with someone who has herpangina.
  • Avoid close contact with someone who has herpangina, such as kissing or hugging.
  • Disinfect surfaces that may have been contaminated with the virus, such as doorknobs and countertops.
  • Stay home from school or work if you have herpangina to prevent spreading the virus.

By following these lifestyle tips, you can help reduce the severity of symptoms and prevent the spread of herpangina. If your symptoms persist or worsen, contact your doctor for further advice.