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Stomatitis, ulcer on the lips - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
1 year old girl with sores on her lips how to relieve pain and tongue has white shade to it...
Doctor :   Hi
User :   Hello
Doctor :  
how can i help you?
User :   my grand daughter sores show up on both her lips with mild fever and a white shade on her tongue
Doctor :   ok

User :   she is very disturbed because of her lips sores
User :   how can the pain be relieved
Doctor :  
since when this has appeared?
User :   yesterday
Doctor :  
fever since when?
User :   yesterday
Doctor :   which appeared first fever or the ulcer on the lips?
User :   I have given her motrin liquid for infants since yesterday every 8 hours
User :   lips
Doctor :  
Doctor :   is there any lymph node swelling around neck or under the jaw?
User :   wait please
Doctor :  
User :   no swelling
Doctor :  
User :   because of her lips she hasn't eaten since 2 days
User :   much drooling
Doctor :   the reason for the ulcer seems to be viral infection
Doctor :   and it is probably secondarily infected with bacteria
Doctor :   continue the mortin syrup every 8 hourly
Doctor :  
also give her warm saline gargle every two hours
User :   she is only 1 year old she can not gargle
Doctor :   yeah i know she is 1 year, but the mouth needs to be cleaned
User :   how many days can she have motin
Doctor :  
and it cannot be done by using hand
Doctor :  
mortin can be continued for the next 7 to 10 days
User :   what about swap mouth and tongue with saline on Q-tip?
Doctor :   that will be painful to the kid.
Doctor :  
but any ways with gentle care it can be attempted
User :   how else can we do it without her swallowing saline water?
Doctor :   nothing happens with swallowing of saline water
Doctor :  
not to worry about the swallowing of saline
Doctor :  
avoid touching the sores
User :   I understand but I don't think it is possible for her to use saline water to clean mouth without swallowing too soon
Doctor :   i think an attempt can be made
Doctor :   the funda here is
User :   does she need to have an antibotic?
Doctor :   right now no
Doctor :  
only oral hygeine
Doctor :  
and mortin syrup
User :   ok good,,, the white tongue is from?
User :   ok we will try something,
Doctor :  
it is because of the accumulation of the dead cells of the sore of the tongue
User :   ok thank you
Doctor :  
that needs to be removed so only mouth wash is important here
Doctor :   also avoid solid food stuff
Doctor :  
warm liqiuid diet for the next 7 to 10 days
User :   ok thank you
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