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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do The Lip Sores With Bleeding Gums Need Further Medical Attention?

I have a three year old refugee child that was just placed in my home we took her to the dr and she was diagnosed with strep. she has about five sores on mer bottom lip and her gums are bleedling like crazy. I have given her he prescribed medicine, motrin, and ora gel. Do we need to go back to the dr?
Wed, 17 Jan 2018
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Dentist 's  Response
Hi.
Thanks for the query..

As per your complain it seems that your child is suffering from HERPATIC GINGIVOSTOMATITIS which is a viral infection and can lead to outbreaks of blisters in and around the mouth known as cold sores and along with it painful, bleeding swollen gums,..
All the symptoms that you explained are completely pointing towards herpes virus infection..
It is a contagious infection and the child may get it from kissing , eating or coming in contact with people who have active infection..

You should feed your son with a soft ,cold and bland diet, a low spice vegetable soup, flavoured gelatin, bread socked in milk etc can be given..
Avoid citrus juices like orange juice and can give him fresh apple juice..
For fever you can give him Tylenol or Acetaminophen ..
Application of a numbing gel like Lignocaine over the gums and other sore areas of mouth can provide relief, but care should be taken not to involve large areas of mouth as when being numb the child can accidentally bite the tongue and also damage other areas of mouth unknowingly..
Sucking ice pops or a frozen apple juice popscicle can help in reducing inflammation and discomfort...
Maintain a good oral hygiene and use an ultra soft toothbrush for brushing can help by preventing trauma and pain to gums..
Antiviral medicines like Acyclovir can be advised by a Paediatrician to reduce the duration of the disease and prevent further outbreaks..

Hope this helps..

Regards..
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Do The Lip Sores With Bleeding Gums Need Further Medical Attention?

Hi. Thanks for the query.. As per your complain it seems that your child is suffering from HERPATIC GINGIVOSTOMATITIS which is a viral infection and can lead to outbreaks of blisters in and around the mouth known as cold sores and along with it painful, bleeding swollen gums,.. All the symptoms that you explained are completely pointing towards herpes virus infection.. It is a contagious infection and the child may get it from kissing , eating or coming in contact with people who have active infection.. You should feed your son with a soft ,cold and bland diet, a low spice vegetable soup, flavoured gelatin, bread socked in milk etc can be given.. Avoid citrus juices like orange juice and can give him fresh apple juice.. For fever you can give him Tylenol or Acetaminophen .. Application of a numbing gel like Lignocaine over the gums and other sore areas of mouth can provide relief, but care should be taken not to involve large areas of mouth as when being numb the child can accidentally bite the tongue and also damage other areas of mouth unknowingly.. Sucking ice pops or a frozen apple juice popscicle can help in reducing inflammation and discomfort... Maintain a good oral hygiene and use an ultra soft toothbrush for brushing can help by preventing trauma and pain to gums.. Antiviral medicines like Acyclovir can be advised by a Paediatrician to reduce the duration of the disease and prevent further outbreaks.. Hope this helps.. Regards..