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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for mouth ulcers in a child

Hi I have a 6yr old girl who has mouth ulcers all in here mouth and over her tongue, she has a high temperature and smelly breath. Loss of appetite, discomfort, complains of pain and not sleeping overly well
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Fri, 13 Jan 2017
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Dentist 's  Response
Hi,

As per your complain it seems that your daughter is suffering from HERPATIC GINGIVOSTOMATITIS which is a viral infection and can lead to fever, mouth ulcers and bad breath and in a day or two there can be outbreaks of blisters in and around the mouth known as cold sores. 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.

The initial treatment is directed towards reducing fever and decreasing the discomfort caused due to inflammation in mouth. You should feed your daughter with a soft, cold and bland diet, a low spice vegetable soup, flavoured gelatin, bread soaked in milk 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. In case if there is an outbreak of sores or blisters antiviral medicines like Acyclovir can be advised by a Pediatrician to reduce the duration of the disease and prevent further outbreaks.

Hope this information helps. Let me know if I assist you further.

Thanks and regards,
Dr. Honey Nandwani Arora
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