From the Research
Herpangina in children is best treated with interferon α-2b spray, which has been shown to be effective and safe in reducing fever and relieving oral herpes. According to the study by 1, interferon α-2b spray was found to be more effective than ribavirin in reducing fever and relieving oral herpes in children with herpangina. The treatment is mainly symptomatic, and supportive care focused on pain relief and hydration is also essential. Give your child acetaminophen (Tylenol) or ibuprofen (Motrin, Advil) at age-appropriate doses to reduce fever and pain, as both have been shown to be effective in relieving pain and reducing fever in children, with similar efficacy and safety profiles 2. Offer cold, soft foods like popsicles, ice cream, or cold milk to soothe throat pain and maintain hydration. Avoid acidic, spicy, or rough foods that may irritate mouth sores. Magic mouthwash (a mixture of liquid diphenhydramine and liquid antacid in equal parts) can be swished in the mouth for temporary pain relief, but ensure your child doesn't swallow excessive amounts. Ensure adequate fluid intake to prevent dehydration, which is the main complication. Since herpangina is caused by enteroviruses, antibiotics are ineffective. The illness typically resolves within 7-10 days without specific antiviral treatment. Contact a doctor if your child shows signs of dehydration (decreased urination, dry mouth, lethargy), has a high fever lasting more than 3 days, or is unable to drink fluids due to pain.
Some key points to consider when treating herpangina in children include:
- The use of interferon α-2b spray as a first-line treatment option
- The importance of supportive care, including pain relief and hydration
- The need to avoid acidic, spicy, or rough foods that may irritate mouth sores
- The effectiveness of acetaminophen and ibuprofen in relieving pain and reducing fever
- The importance of monitoring for signs of dehydration and seeking medical attention if necessary.
It's also worth noting that while other treatments, such as acupuncture, may be effective in some cases, the evidence is not as strong as it is for interferon α-2b spray, and therefore should not be considered as a first-line treatment option 3. Additionally, some cases of herpangina may be accompanied by other symptoms, such as erythema multiforme, and should be monitored and treated accordingly 4. However, the primary treatment for herpangina remains focused on relieving symptoms and supporting the child's overall health.