Gel "Cholisal": 4 features of use during teething

September 18, 2019

It’s good that the inventions of modern medicine make it possible not to resort to folk remedies, which are not always safe and effective. Innovation is especially helpful when it comes to children. Some medications help quickly solve the problem and calm the baby. For example, “Cholisal”, which numerous positive user reviews recommend using during teething. Journalists of the portal UltraSmile.ru believe that care and concern for their baby is a natural desire of parents, but any drug should be used only after carefully studying the information about it, so as not to cause harm. Therefore, we suggest that you familiarize yourself with the material presented below, in which we will consider “Cholisal” from all possible angles.

Teething gel

The drug has age restrictions

It is known that a baby’s first teeth cut at the age of 6-8 months, and by the age of two or two and a half years the child already has a whole set of 20 milk units. But it is also known that the worst teeth for well-being are the very first teeth, which appear before the age of 1 year.

, namely), indicates in the instructions that the gel at this tender age when the first teeth erupt, i.e. up to a year, should be used with caution1 and only after consulting a doctor. And you, as responsible parents, should not lose sight of this note. Indeed, side effects to the drug indicate the risk of allergic reactions and individual intolerance, burning of the mucous membrane. The younger the baby, the greater the chance of developing allergies.

The drug has an antiseptic effect and fights germs

When teething, the baby develops characteristic symptoms: he refuses to eat and shows restlessness, he has poor sleep, a runny nose may appear and the temperature may rise, constipation or, conversely, diarrhea is possible. Also, the baby constantly puts various objects into his mouth, he produces a lot of saliva and his gums become swollen. While breastfed, the baby may try to bite the mother painfully or refuse the breast.

How to help if you are teething?

Try this:

Don't get angry with your baby and don't yell, even if he doesn't let you sleep for several nights.
Rule out serious illnesses.
Spend more time with your child: rock him, play with him, distract him with toys.
Feed your baby on demand in a timely manner if he asks for breastfeeding or formula more often: he loses more water with saliva and diarrhea, which is detrimental to his body.
Buy a teether, preferably filled with water. You can keep it in the refrigerator for a while, and by cooling your gums, it will reduce the discomfort in them. Instead of a teether, you can use a pacifier, which can also be slightly cooled.
If the tooth is cutting for a long time - without fever, but with pain and itching, during which the baby gnaws on everything, go to the dentist. Sometimes the doctor only needs to make a small incision on the gum, this will be the answer to the question “when teeth are cutting, how to help.”
You can treat your gums with a 1% soda solution (1 teaspoon per 1 liter of boiled water). It alkalizes the local pH of the tissue, which has deviated to a more acidic side due to inflammation. Consequently, inflammation, and along with it pain, will decrease. To help your child with baking soda, take sterile gauze, wrap it around your finger, dip it in the solution and treat the gums. It is not recommended to rub either inflamed or healthy areas of the oral mucosa with soda crystals.

In order to understand how to anesthetize teething teeth, you should pay attention to two approaches - systemic and local.

Taking systemic medications

These are painkillers in the form of suspensions, injections and suppositories. In medicine, they are called non-steroidal anti-inflammatory drugs, or NSAIDs for short. They work as follows: when absorbed into the blood in the intestines, they suppress the production of the enzyme cyclooxygenase in the body. Since this enzyme helps in the synthesis of substances “responsible” for pain and inflammation, its inhibition reduces the severity of the inflammatory process and pain syndrome.

Non-steroidal anti-inflammatory drugs in the form of systemic drugs act on the entire body, providing positive effects. They not only reduce pain, but also lower temperature, and, due to inhibition of inflammation, somewhat reduce intoxication. NSAIDs existing in the form of a suspension can be taken by children from 1–2 months of age.

Of course, systemic anti-inflammatory drugs “know” how to relieve pain if teething, but some of them can cause the following side effects:

cause inflammation in the gastric mucosa, increasing the risk of formation of erosions and ulcers on it, which can bleed (acetylsalicylic acid);
affect blood cells (acetylsalicylic acid, paracetamol, metamizole sodium);
increase the risk of venous thromboembolism.

An overdose of, for example, acetylsalicylic acid can lead to acute renal failure with impaired function of the main working units of the kidney - its tubules. In addition, it can cause liver and brain damage - life-threatening Reye's syndrome.

Therefore, if the child is older than one year and teething occurs without fever, it is better not to resort to pain relief with systemic NSAIDs.

The gel does not contain sugar

This information is also very useful because... allows caring mothers not to worry about the fact that the baby will receive sugar that is unwanted at this age, which has a negative effect on the microflora of the oral cavity and contributes to the formation of plaque and the proliferation of cariogenic bacteria. The gel contains natural ingredients, namely anise seeds, which give it a natural sweetness and a light, unobtrusive aroma that will not scare away the baby.

Teething is a difficult period in a child’s life.

“Cholisal” during teething, as the instructions say, is applied to pre-treated clean fingers - the dosage for a child should not exceed 0.5 centimeters in length. Then the gel is distributed using light massage movements over the irritated mucosa. Such manipulations are allowed up to 3 times a day. Optimal time of use: before meals to reduce pain, as well as after meals and before bed.

Scheme for using gels during teething -

During teething, gels are applied to the gums 3-4 times a day (plus additionally before bedtime) - using a finger or a cotton swab, after which you rub the gel into the gums with gentle massaging movements. The gel will rub in better if you first dry the moist mucous membrane at the site where the gel is applied - using a dry gauze swab or sponge (otherwise the gel will slip off and be swallowed).

An important point is that the treatment of gums with gels should be carried out not before meals, but after meals and oral hygiene. In infants (especially if the treatment is carried out before the child goes to bed), it is advisable not to use gels with the anesthetic Lidocaine - to avoid swallowing problems and choking with saliva. Also, you should not use drugs that have a strong, pronounced taste (such as Cholisal gel), which will already increase the production of saliva in the child.

Also, if necessary, you can combine the use of a gel for topical use in the oral cavity with systemic drugs. These can be – 1) homeopathic medicines in dragees such as “Dantinorm Baby” or “Dentokind”, 2) a convenient form in the form of suppositories for the drug “Viburkol”. Starting from 3 months, with severe pain and/or temperature during teething, Panadol and Nurofen can also be used. Read about the effectiveness of systemic drugs at the link below.

→ Drugs for teething in children

The drug has an antimicrobial effect

The main active ingredient in the composition is choline salicylate. It is not only a local analgesic, but also relieves inflammation and has an antipyretic effect. The composition also contains cetalkonium chloride, which has an antiseptic effect and fights microbes and fungi that provoke an inflammatory process as a result of traumatic damage to the mucous membrane or from dirty objects, toys, and even fingers getting into the child’s mouth.

The gel has a beneficial effect for 8 hours in a row, so it leaves virtually no chance for bacteria to cause teething complications.

Holisal

Cholisal (choline salicylate + cetalkonium chloride) is a combination drug from a Polish pharmaceutical company that has antibacterial, antimicrobial and analgesic effects and is used in dental practice. Available in gel form. Quickly relieves pain and destroys pathogenic bacteria without having a negative effect on the saprophytic microflora. The complex effect of the drug is achieved through the combination of choline salicylate and tsetalkonium chloride. The first of the two substances belongs to non-steroidal anti-inflammatory drugs that suppress the release of mediators of pain and inflammatory reactions. The gel-like dosage form allows choline salicylate to quickly enter and remain in the inflammatory focus for a long time. Cetalkonium chloride is a disinfectant and antimicrobial agent that extends its effect to staphylococci, streptococci, E. coli, pseudomonas, Proteus, bacteroides, peptotreptococci, Klebsiella, clostridia, candida and herpes simplex virus. The characteristics of the dosage form ensure good penetration of the active substances, and the auxiliary ingredients potentiate the antimicrobial effect. The drug does not contain antibiotics, which can suppress both pathogenic and saprophytic microflora at the same time, thereby disturbing the bacterial balance in the oral cavity. Thanks to its disinfecting properties, the drug prevents secondary infections of the oral cavity. The analgesic effect of Cholisal develops within 3 minutes after application of the gel. The duration of action of the drug can reach 8 hours. A four-day course of medication is sufficient for complete healing of erosive lesions of the oral mucosa that arose as a result of wearing braces or dentures.

Five days is enough to eliminate increased bleeding and eliminate unpleasant odor in periodontal diseases. The small size of the tube ensures practicality and ergonomics. The drug is widely used in pediatric practice in patients over 1 year of age. The essential anise oil included in Cholisal improves organoleptic characteristics and enhances the anti-inflammatory and disinfecting effect (the aromatic ester anethole is “responsible” for this). A single dose of the drug is a gel “sausage” 1 cm long (for children – 0.5 cm). The gel is rubbed into the inflamed area with soft and light movements. Frequency of use – 1-2 times a day. Before using the drug, you must brush your teeth. You should refrain from eating or rinsing your mouth for half an hour after the procedure. The duration of pharmacotherapy for periodontitis is 10-14 days (for a mild form of the disease), 30 days (for a severe form). The optimal time to take it is after meals and before bedtime. Cholisal is not absorbed into the systemic bloodstream, and therefore has virtually no clinically significant side effects, with the exception of allergic reactions manifested by mild itching and burning at the site of application. The only direct contraindication to the use of Cholisal is hypersensitivity to the active or auxiliary components of the drug. Pregnant and lactating women may take the drug under medical supervision. Cholisal does not contain sugar and can be used in people with diabetes. Cases of drug dosage were not recorded.

Strengthen the effect of the gel by combining it with other products

In order for the baby to quickly stop being capricious, start smiling and playing, try to use other methods together with the Cholisal gel when teething. As reviews from experienced parents show, some are very effective:

massage: in addition to the gel itself, which parents rub into the child’s gums, you can massage using a cool teaspoon. Naturally, it must be clean and disinfected. Just gently touch the sore gums with its convex side. You can also massage the mucous membrane using silicone fingertips, which are commonly used to clean the oral cavity of babies or the first tooth that appears,
teethers: these are silicone devices in the form of rings, various figures, and they, like silicone finger guards, can be bought at the pharmacy. For safety, it is advisable that they be without liquid filler. Before giving the item to your baby, place the teether in the refrigerator for a while.

Silicone teethers will help your baby during this period
make your own teethers: for these purposes you can use hard, non-allergenic vegetables and fruits. For example, cut an apple into small slices, cool it and offer it to your baby. If the child is too small, then take care that he does not choke - wrap the fruit in special gauze or a mesh bag (these are again sold at the pharmacy).

If you use Cholisal, then know that it enhances the effect of antipyretic and anti-inflammatory drugs. Therefore, you can simultaneously give the baby Nurofen (or Panadol) and also apply the gel topically. But be careful, always strictly follow the instructions so as not to cause an overdose and worsen the child’s condition.

What symptoms indicate that teeth are being cut?

The first reason to pay attention to whether teeth are cutting, and how to help determine it, are the general symptoms:

Behavior change

The child either pushes his parents away or asks to be held. He often cries, refuses his favorite toys or pacifiers, and throws them on the floor.

In addition, the baby loses his appetite. When starting to eat, the child feels discomfort in the teething area, so the baby eats in small portions, and, having started to eat, cries after a short period of time. Sleep is disturbed: pain in the gum prevents him from falling asleep.

Most children indirectly show that they are teething, and every parent should know how to help. They:

chew any hard objects they can reach;
often reach for the breast or bottle, while hardly eating, but rolling (or gnawing) the nipple or pacifier in the mouth.

In general, it is worth considering that teeth are being cut and how to help with this if the baby has become “unbearable” for no apparent reason.

Please note: these symptoms should not last longer than two to three days and should end with the appearance of a small area of tooth above the gum.

Increased salivation, chin irritation and wet cough

These are interrelated symptoms:

Salivation increases as a result of three reasons:
physiologically - due to the baby adopting a new position for him - sitting, which coincides with teething;
difficulty swallowing saliva.
A wet cough is a consequence of a large amount of saliva. The baby still lies more often than sits, so saliva flows down the back wall of the throat and enters the respiratory tract. If the cough is caused specifically by teething, it occurs in the morning and is almost not observed during the day when the child is awake.
Redness and rash on the chin also occur due to the abundance of saliva that flows onto the skin.

If you see such signs of teething in your child, how to relieve pain, read on.

Runny nose

The appearance of light, watery discharge from the nose is possible due to teething. This type of runny nose may be accompanied by sneezing, but ends within 3-4 days without complications. If the snot becomes yellow or green, or the cough gets worse and the child becomes lethargic, check with your pediatrician. In such a situation, the question “how to numb teething teeth”, as a rule, does not arise.

Changing the appearance of your gums

2–3 weeks before the eruption of a canine, incisor or molar, an enlarged blue area (hematoma) may appear on the gum. This is not accompanied by unpleasant symptoms, and the child behaves as usual.

A change in the appearance of the gums when the symptoms described above appear helps to understand that teeth are being cut and how to help - this is the most important question at the moment. In this case, the gum becomes reddish and swollen; touching it causes discomfort in the child and a desire to bite the object being touched. These local signs disappear after the tooth appears above the gum. Sometimes teething is accompanied by the release of a small amount of blood.

Controversial symptoms

Often, against the background of the eruption of incisors, canines or molars, the child experiences symptoms that are very reminiscent of some kind of infection - respiratory or intestinal:

temperature rise above 37.5°C
diarrhea;
vomit;
pain in the ear or maxillary sinus;
lethargy.

Both the parents themselves and the pediatrician can associate these signs with teething. But in fact, the child needs examination. Because teething often coincides with ARVI or intestinal infection.

This is justified: immunological studies prove that immunity decreases physiologically during this period. That is, if previously a child could easily cope with a pathogenic microbe, now it is difficult to resist it.

To understand whether it is an infectious disease or teething and how to help, an examination by an ENT doctor is often enough. After examining the throat, nose and ears, he will tell you whether there are signs of inflammation there or not. If the ENT organs are in order, perhaps such symptoms are still associated with a dental problem.

Diarrhea that occurs against the background of teething requires consultation with an infectious disease specialist. Especially if loose stools are observed more than 3 times a day or are accompanied by an increase in temperature.

A few facts about teething

ideally, when the first milk teeth appear at 6 months: but if their eruption is delayed by a couple of months, i.e. falls at eight months of age, then there is no need to worry either - this situation is within normal limits. There is also no need to worry when the first milk units appear a little earlier, for example, at 4-5 months,
If the baby is 10 or more months old, and the first teeth are not pleasing with their appearance, then it’s time to see a dentist, because this may indicate a violation of the formation of the jaw system,
In most cases, the central incisors appear first on the lower jaw, then their antagonists erupt on the upper jaw. Afterwards, the lateral incisors delight with their appearance, then the fangs, which are also called “eye” ones. If the order is broken, then there is no need to panic, because... This process can be individual for each person. But it is still necessary to pay close attention to this point. For peace of mind, visit your dentist.

The photo shows the timing of the eruption of baby teeth.
Read the article on the topic: the main causes of cough and snot during teething.

Reviews about the drug

“But Cholisal gel for teething did not help us at all. And in general, the gel form is not suitable for all children. Our son resisted so much, screamed, spat and squirmed when he cut his teeth, that there was no way to apply it properly. Only Vibrukol suppositories helped us alleviate the condition. So I think it’s better to give gels to older children.”

Sonya, review from baby.ru

“Come on, all these Kholisaly, Kalgeli, Kamistady - the effect from them is exactly half an hour, or at most, for a few hours. I gave Cholisal to older children under one year old on the recommendation of a doctor; I have twins, and there was no effect. I don’t even experiment much with the youngest anymore, we save ourselves with cool water before bed and sleep more or less.”

Natalie, review from the forum deti.mail.ru

“In our family, Cholisal teething gel was initially purchased for the little one, but it helped not only our son, but also our granny. She had problems with her gums, they used to bleed all the time and were sensitive. Once I started using the drug on a regular basis, everything went away. But the only thing is that the instructions say that you need to use it for as long as the doctor prescribes. But grandma didn’t go to a consultation and doesn’t want to. How can you persuade her?”

TinaL, fragment of review from otzovik.com

“I’m an adult, but I used Cholisal for stomatitis. It's good that it is available without a doctor's prescription. On the plus side, I can say that after 3 days the illness and pain were almost gone. And the downside: the drug is expensive, about 400 rubles for 10 grams in a tube, and more than 500 for 15 grams. And I thought it completely eliminated the pain, but it only dulled it slightly. I expected more for the money, to be honest.”

Katerina@31, review from woman.ru

“I always have Cholisal gel on hand as the most indispensable product in the first aid kit, but I used it not only for teething in infants. As a mother of three children, I can only give the most positive reviews about it. I used it to treat my son’s stomatitis. I applied it when the younger two children had mucosal injuries and scratched their gums - the effect is amazing, my children slept perfectly after such procedures. I know that my sister was prescribed it for gingivitis. In general, the instructions contain a very large list of indications: periodontitis, candidiasis, lichen ruber. The gel can also be used by adults, for example, our grandmother used it when wearing dentures, when she rubbed the mucous membrane.”

MamaAnn, review from babyblog.ru

“Cholisal gel should not be used at all for children under one year of age!!! The doctor prescribed it to us, so she gave it to us without thinking and without reading the instructions. As a result, my child developed terrible irritation, for which we treated for a very long time. I don’t argue, maybe this is an isolated individual reaction, but it doesn’t make it any easier for us. So I give this drug a two!

VeneraKarimovna27, review from gidpozubam.ru

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According to the official website of the manufacturer holisal.ru

Comments

Are there any other gels on sale besides Cholisal that you would recommend for teething?

Alena (02.10.2019 at 10:14) Reply to comment

Editorial staff of the portal UltraSmile.ru (04.10.2019 at 09:24) Reply to comment

Tell me, can Cholisal gel be used for a six-month-old baby who has started teething? The fact is that the child is very restless due to teething and I would like to help him somehow.

Vika (10/14/2019 at 6:07 pm) Reply to comment

How often can you use Cholisal gel for children under one year old whose first teeth have just begun to emerge? Is there any dosage and can this gel be used at night?

Elena (10/14/2019 at 6:15 pm) Reply to comment

The child just turned 5 months old and his teeth began to come out. Became restless and refuses to eat, we heard that Cholisal gel can help cope with problems such as pain and swelling of the gums. How often should a five month old baby use it?

Alisa (10/14/2019 at 6:17 pm) Reply to comment

Can Cholisal gel cause an allergic reaction in a child? It should be used correctly initially, in order to observe the baby’s reaction, the teeth are being cut, but I would also like to avoid the consequences.

Masha Archipenko (10/14/2019 at 6:19 pm) Reply to comment

Please tell me whether Cholisal gel will harm the child’s health? Why am I asking, because it contains chemical components... what effect do they have on the child’s body?

Anna (11/02/2019 at 12:44 pm) Reply to comment

How long can a child use Cholisal gel? During the examination, the doctor said that the upper two teeth were about to erupt, and the lower ones right behind them. Perhaps, immediately after these ones erupt, others will begin to erupt. My daughter is already acting restless, but if I start using Cholisal now, won’t it turn out that at the very peak of the pain I will have to stop using it?

Daria (11/11/2019 at 12:19 pm) Reply to comment

Today I purchased Cholisal, but have not used it yet. Tell me where is the best place to store this product after opening so that it does not lose its properties in the future? Thank you in advance for your answer.

Zhanna (11.11.2019 at 16:52) Reply to comment

I recently had my wisdom teeth cut out. I was periodically very sick, I made an appointment with the dentist, but I still have to live to see the dentist! A friend gave me this same Cholisal, if it helps children, then why don’t I try it, we are all children at heart. The pain was relieved. I would like to know for the future, since I have another tooth about to come out, what good analogues are there for adults?

Alice (11/11/2019 at 07:46 pm) Reply to comment

Cholisal helps not only children, but also adults with stomatitis. It stings slightly when you apply it to your gums. Can you recommend an analogue of this gel? Otherwise, it works fine for children, but for adults it is sometimes weak.

Nata (11/27/2019 at 10:42 pm) Reply to comment

How long does Cholisal last and how often can it be used? I didn’t use anything at all with my first child, the second one is very restless, there is no peaceful life without the gel!

Anna (11/28/2019 at 12:06 pm) Reply to comment

4 secrets of Cholisal gel that helps with teething