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What Causes Red Swollen Gums With White Patches With Fever?

My son has red swollen gums and has a couple white patches. When i brushed his teeth today his gums began to bleed heavily. He has had a fever between 101.6-103.2 since monday. The fever broke today. I brush his teeth everyday but have not been able to since monday morning when he start to complain of pain. He is 20 months old
Fri, 26 Jun 2015
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Dentist,  's  Response
Hi..
Can understand your concern..

Inflammation of gums during teething can also have the following symptoms but the fever more than 101 degrees is alarming and is not mostly caused due to teething..

Your kid may have teething symptoms as well as high fever can be due to viral infection while if the patches you described are in the form of small sores it can be Herpes virus infection causing cold sores..

Swollen gums along with white patches can occur due to fungal infection known as Thrush but mostly fever is not a common finding..

I would suggest you to consult a Paediatric Dentist and get evaluated as without a proper clinical evaluation diagnosis cannot be made and treatment plan can be advised accordingly..

You can give him Acetaminophen to reduce fever and ice packs over the gums can relieve inflammation but the complete treatment needs a thorough checkup..

Hope this information helps..

Thanks and regards..
Dr.Honey Nandwani Arora..
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Dentist,  Dr. Harry Maheshwari's  Response
Hi Dear,

Welcome to HCM.

Understanding your concern.

Thanks for your query . The symptoms you mention are clearly indicating condition known as ' ORAL THRUSH ' .

This is infection caused by fungi 'candida'. They appear as white patches . They occur due to low immunity of body which make it susceptible for infection of fungus it can also occur due to poor oral hygiene .

I would suggest you to :-

- Maintain proper oral hygiene , visit dentist every 6 moths .

- Do salt water rinses 2-3 times a day .

- Avoid hot and spicy food .

Consult oral pathologist for examination and to rule out cause like ' GINGIVITIS'

Doctor may prescribe anti fungal drug or drugs like amphotericin B .

Doctor may also perform oral prophylaxis (scaling) or prescribe antibiotics if gingivitis is there .

Hope your concern has been resolved.

Best Wishes,
Dr. Harry Maheshwari
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What Causes Red Swollen Gums With White Patches With Fever?

Hi.. Can understand your concern.. Inflammation of gums during teething can also have the following symptoms but the fever more than 101 degrees is alarming and is not mostly caused due to teething.. Your kid may have teething symptoms as well as high fever can be due to viral infection while if the patches you described are in the form of small sores it can be Herpes virus infection causing cold sores.. Swollen gums along with white patches can occur due to fungal infection known as Thrush but mostly fever is not a common finding.. I would suggest you to consult a Paediatric Dentist and get evaluated as without a proper clinical evaluation diagnosis cannot be made and treatment plan can be advised accordingly.. You can give him Acetaminophen to reduce fever and ice packs over the gums can relieve inflammation but the complete treatment needs a thorough checkup.. Hope this information helps.. Thanks and regards.. Dr.Honey Nandwani Arora..