Sore gums and mouth, bleeds while brushing, white coat on tongue, swollen lips, fever, head and stomach sore
Patient: Hello Doctor My 4 year old son has sore gums which bleed when brushed, and a white coating on his tongue . His lower lip is slightly swollen with a few blisters on the inside. His mouth is so sore that he has eaten or drunk very little today. He had a fever from Saturday night until yesterday, but his temperature is now back to normal and his energy was better today. He mentioned a few times that his head and stomach had been sore, but not today. Thanks Doctor: Hello, as per your description ur son might be suffering from soft tissue infection of mucosa(most common-primary herpetic gingivostomatitis), its common in 3-5yr age group children.. .. give him proper rest.. and regulate the body temperature by giving NSAID- like paracetamol..This disease usually go in 7 days by body immune process only symptomatic treatment is given.. If it persists later then that investigations are performed..  our body defense mechanism is sufficient to cope up with disease if we are in healthy stage.. The pain in lesions might had been causing him difficulty in eating and swallowing.. so use a anaesthetic oral gel 15 mins prior to his eating or drinking schedule let him use antiseptic mouthwashes after eating to prevent secondary bacterial infection in the erosive lesions meanwhile..