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Aphthous ulcers - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   Our 17 month old baby girl has really bad tongue ulcers, which she has had for a few days now. She has been dribbling a lot which we thought may be teething as she is putting her fingers in her mouth. I don't think its thrush as she doesn't have any rash near her bottom, and her tongue isn't coated white. There must be about 15 of them on her tongue. We were given some oral fungal cream but it doesn't seem to be doing much. Help?
Doctor :   Hi
User :   hi
Doctor :   I am Dr AAAAAAA
Doctor :   I have gone through the query.
User :   Any ideas?
Doctor :   May I ask you a few more questions about your baby girl ?
User :   sure
Doctor :   May I know how she is fairing in her mile stones and is she having proper weight and does she take nutritious diet ?
User :   Yeah the're all fine. Weights good and her diet is good
Doctor :   Ok.
Doctor :   Doe she have any Cheliosis or ulcers at the corners of her mouth ?
Doctor :   Apart from the tongue ?
User :   no
User :   just the tongue
Doctor :   Ok
Doctor :   Does she bleed through the ulcers ?
User :   no, they are just a yellow colour, but dont look like they will burst or anything
Doctor :   Ok
Doctor :   Does she have any fever ?
User :   No
Doctor :   Ok.
Doctor :   May I know if she properly slept in the past one week ?
Doctor :   Or if she had any disturbe dsleep ?
User :   We live in sydney and it has been very hot the last week or so, including nights, but she has been sleeping
Doctor :   Do you suspect any foods with lots of preservatives like cinnamaldehyde ?
User :   I think I only have a few minutes left
User :   no her food is very natural, lots of veg
Doctor :   Ok.
Doctor :   That is very good.
Doctor :   I can give you a differential diagnosis as I could not examine the ulcers nor the baby.
User :   thats fine
Doctor :   Hope you understand my constarint.
Doctor :   1. The most common cause is Vit.C and Vit.B defficiency.
Doctor :   So please give her a weeks regimen with Vit.b and Vit.c Medication.
User :   what kind of medication can i give her
Doctor :   2. I suspect Apthous ulcers due to any maajor stressful situation like Hot climate, Dehydratin or Lack of proper sleep.
User :   ok best way to get vit.c and b into her?
Doctor :   B & c complex or Multivitamin tablets or syrup As the generic name.
User :   can you get those for 17month old
Doctor :   Like Berocca tabs. or Mega B syrup for kids.
User :   can i give berocca to a child
Doctor :   Please make a powder and mix it in a fruit juice , only half a tablet or the best would be Mega B syrup or Vit B + C syrup for kids.
User :   Thank you for your help
Doctor :   3. Not to worry, I strongly feel it must be a vitamin defficiency coupled with Apthous ulcers.
Doctor :   Thank you for consulting me.
Doctor :   Do you have anything else to ask ?
User :   no thats been a great help. Thanks again
Doctor :   Take care, Bye for now.
Doctor :   Hope the baby girl gets well soon.
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