Brief Answer:
Please upload 1-2 pictures of the lesion, a bit more information is needed

Detailed Answer:
Hello and welcome to 'Ask A Doctor' service,

Problems with the gums are common in children and several conditions can cause gum pain. To better assist you, I would kindly ask you to upload a picture or two in case there is a lesion or visible changes in the gumms of your son.

Also, some more information on his symptoms would be helpful in determining the potential diagnosis:

- for how long has he had these symptoms?
- any other complaints such as fever, low appetite, skin rash, diarrhea, etc?
- anyone at home has similar symptoms?
- does he use any medications regularly (even over the counter)?

I am waiting to hear from you soon related to the answers to the above questions. Also to evaluate some available pictures of the lesions.

Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician

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Brief Answer:
The infection he is having is very likely the cause- further details below

Detailed Answer:
Hello and welcome back,

Thank you for the reply and the extra information provided, it is very helpful. Unfortunately, I still cannot access any images.

Because the gum lesions are in the terrain of fever, diarrhea and sore throat, very likely they are due to the infection he is having at the moment and will gradually subside in the next few days.Aphtous lesions are common in similar situations and they are usually very painful but self-limiting.
Local lignocaine (included in some teething ointments that can be accessed over the counter) can be used for the pain. Oral ibuprofen and paracetamol can be used as well.

Please ask for technical assistance so you can upload the image for further medical assistance.

I wish quick healing to your son,

Kind regards,
Dr. Antoneta Zotaj, General and Family Physician

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Brief Answer:
This is an aphtous lesion- further explanations below

Detailed Answer:
Hello and welcome back,

This seems like an aphtous lesion. It is due to the infection he is having now. Should be better in 1-2 weeks. Pain medications are needed such as local viscous lignocaine and oral ibuprofen and paracetamol.
He should avoid spicy, hit and very salty food and tomatoes and other acidic food.
Other treatments such as local antibiotics (tetracycline or minocycline) and local steroids (triamcinolone) may be used if no improvement.

I hope I have answered your query. I remain at your disposal in case further medical assistance is needed.

Regards,
Dr. Antoneta Zotaj, General and Family Physician

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