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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Toddler With Red And Swollen Gums, Ulcers In Mouth, Blister On The Lip With Fever. What Could Be The Cause?

I have a 17 month old whos gums in the front are very red and swollen and he has ulcers in his mouth and has run a fever for 4 days. He also has a blister on his lip on the outside. Any idea what this could be?
Sat, 30 Mar 2013
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Pediatrician,  's  Response
Thanks for your query.
He most likely suffers from "herpetic gingivo stomatitis" a common infection at this age caused by herpes simplex virus . There is inflammation of the gums and lips caused by the herpes virus. The same virus causes cold sores. These ulcers are painful and often lead to drooling and refusal to eat or drink. The blisters usually take between10 -14 days to go away. The blisters never leave scars.
Regarding management you should use panadol or crocin every 4-6 hrs for pain & do all you can to encourage your child to drink. Antibiotics and antiviral medications do not work and have no role in this condition.
hope you find the information useful.
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Toddler With Red And Swollen Gums, Ulcers In Mouth, Blister On The Lip With Fever. What Could Be The Cause?

Thanks for your query. He most likely suffers from herpetic gingivo stomatitis a common infection at this age caused by herpes simplex virus . There is inflammation of the gums and lips caused by the herpes virus. The same virus causes cold sores. These ulcers are painful and often lead to drooling and refusal to eat or drink. The blisters usually take between10 -14 days to go away. The blisters never leave scars. Regarding management you should use panadol or crocin every 4-6 hrs for pain & do all you can to encourage your child to drink. Antibiotics and antiviral medications do not work and have no role in this condition. hope you find the information useful.