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Mouth infection
Sir/Madam, my daughter is 4.5 years old and weighs 16 kg.
She had fever, and during the fever she developed inflamed, painful white patches/sores on her tongue and yellow/white patches on her gums.she complains burning sensation in her throat.
The mouth pain is severe and she is unable to eat solid food due to pain.
She is taking fluids but eating is difficult.
What should be given to her?
Answers (32)
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Zytee mouth gel application
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I need to ask few more questions before answering your query.
Early consultations can prevent complications.
Kindly contact me on whatsapp chat
(84960595 six five)
Dr Faisal Zoheb
MBBS , MD PAEDIATRICS , PGPN (BOSTON), Neonatology fellow ( Newborn and vaccination specialist )
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It looks like acute stomatitis,kid can be given Syr.Paracetamol 5mL-5mL-5mL for 3 days ,for pain.Saline mouth wash can also be given.
Health Tips
avoid spicy diet.
for supplementation,you can give ORS,cold fluids,juices etc
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It appears as viral fever . Most probably viral in origin .
Next Steps
apply zytee gel over the ulcers twice a day
Health Tips
give soft diet ( semi solid )
plenty of water
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Based on history and images, this looks like acute stomatitis, most commonly viral after fever. It is painful but self-limiting. Antibiotics are not required unless secondary infection is suspected.
Rx:
Zytee RB Gel – apply locally on sores 3–4 times/day
Syp Paracetamol
If 120 mg / 5 ml syrup then 10 ml per dose
If 250 mg / 5 ml syrup then 5 ml per dose for pain & fever
Syp Benadryl 5ml at night (if throat discomfort)
Vitamin B-complex syrup once daily
Plenty of cold fluids, soft/bland diet
Avoid spicy, salty, hot foods
Pain usually improves in 5–7 days. If child refuses all oral intake, develops dehydration, or lesions worsen, in-person evaluation with a paediatrician is needed.
You may consult with me via Practo for further guidance.
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this looks like stomatitis
you can apply zytee gel for local relief of pain
If persistent please consult a doctor in person or you can do a video consultation
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According to history and images
It needs to be treated and seen in opd or on video consultation.
Need proper diagnosis
Give meftal ps 5 ml twice daily for fever and pain
It is only symptomatic treatment
Next Steps
consult pediatrician as soon as possible
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There are many diseases with fever and rash. So we have to rule out what exactly it is. For that proper examination has to be done.
Next Steps
Either take her to pediatrician or consult me on practo on video consultation so that I'll be able to see the lesion and come to conclusion
Health Tips
Meanwhile give her soft and bland diet. Give more water and liquids. Apply dentogel cream for gums
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Apply orasore ointment over ulcers, 3 times daily.
Give her soft food.
Consult a pediatrician physically.
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It is possibly hand foot mouth disease. You should ideally consult a paediatrician and start the treatment accordingly.
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Based on your description, this sounds like acute oral mucositis/stomatitis, commonly viral (like herpetic gingivostomatitis or hand-foot-mouth–related ulcers) following fever. The white/yellow painful patches, gum inflammation, and throat burning can cause severe pain and difficulty eating, especially in young children.
Next Steps
Ensure she continues to take adequate fluids to prevent dehydration. A pediatrician should examine her mouth to confirm the cause and may prescribe a topical oral gel (for pain relief), paracetamol for pain/fever, and if needed, a medicated mouth paint or syrup. Avoid giving antibiotics unless specifically advised after examination.
Health Tips
Give cool, soft foods like curd, mashed banana, porridge, or ice pops; avoid spicy, salty, or acidic foods. Maintain gentle oral hygiene using a soft brush or clean cloth. If she is not drinking well, drooling excessively, fever persists >3 days, or ulcers worsen, seek medical care promptly.
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Based on the history and images, this is most suggestive of acute viral stomatitis / gingivostomatitis, commonly seen in young children following fever.
It is usually caused by viral infections such as Coxsackie or Herpes virus and is not a bacterial infection.
Typical features include fever, painful white ulcers or patches on the tongue and gums, inflamed oral mucosa, burning sensation in the throat, and difficulty in eating due to pain.
This condition is common in children aged 3–6 years.
Treatment is mainly supportive :
• Paracetamol syrup as per weight for fever and pain relief.
• Lignocaine gel 2% – apply a small amount locally on ulcers 2–3 times daily, preferably before meals.
• Chlorhexidine oral gel/mouth paint once daily for oral hygiene.
• Encourage cool, soft foods such as curd, milk, porridge.
• Avoid spicy, salty, or hot foods.
• Ensure adequate fluid intake to prevent dehydration.
Antibiotics are not required unless there are signs of secondary bacterial infection.
Symptoms usually improve within 5–7 days.
Seek medical care urgently if the child refuses fluids, shows signs of dehydration, persistent fever, or worsening oral pain.
⸻
Dr. Shameerh Basha, MBBS, CPCDM
General Physician & Diabetologist
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Consult a pediatrician to rule out viral exanthems
Syp pct 4ml tds for 7 days
Rest
Fluid
Pt might go into dehydration.will be needing iv fluids.
Syp cetrizine 5ml hs for 5 days
Need to do elisa igm and igG blood count and tc hb platelet count
Lymphadenopathy shud be ruled out
Antibiotic injecction too is needed
Look for any bleeding manifestation
Fever regulation needed iv pct needed.
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Gingivostomatitis
Locally apply zytee gel before food two times with ear bud.
Meftal plus syr 2.5 ml three times after semiliquid Khichdi porridge poha Upma idali.
Candid lotion locally after food with ear budtwo times.
Cefexim dt100 two times a day after food for 3to5 days
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Based on your symptoms and image, most probably it is viral stomatitis/ herpangina
It is self dissolving condition , in most of the cases.
Next Steps
maintain proper hydration
avoid hot and spicy food items
Health Tips
Give Syrup paracitamol accordingly
if fever persists, consult to paediatrician
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Based on the history and photos, this looks like an acute viral infection most probably herpes gingivostomatitis causing painful ulcers and throat pain.
For a 4.5-year-old child (≈16 kg):
• Paracetamol syrup: 250 mg (10 ml of 125 mg/5 ml) every 6–8 hours for pain/fever
• Lignocaine oral gel: apply a very small amount locally on ulcers before meals for pain relief
• Give plenty of fluids, cold/soft diet, avoid spicy/hot food.
⚠️ I strongly advise you to consult a pediatrician/doctor in person as soon as possible for proper examination and further treatment.
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Based on your description (fever followed by painful white sores on tongue, yellow/white patches on gums, burning throat, difficulty eating), this is most likely acute viral stomatitis / herpetic gingivostomatitis or severe mouth ulcers related to viral infection.
This is common in young children, very painful, but usually self-limiting.
The main problem is pain and poor oral intake, not the infection itself.
Next Steps
A pediatric consultation is strongly advised to:
• Confirm the diagnosis
• Prescribe proper pain control and oral medication
• Decide if antiviral treatment is needed (in some cases)
Health Tips
Pain relief (very important):
• Paracetamol as per weight (for pain and fever)
• Avoid ibuprofen if child is dehydrated
Local mouth care:
• Topical oral gel (lignocaine + antiseptic) applied gently before meals
• Glycerin + honey (if advised by doctor) to soothe mouth
• Do NOT scrub or force cleaning of sores
Diet:
• Continue fluids frequently
• Soft, cool foods only: curd, yogurt, porridge, mashed banana
• Avoid spicy, salty, hot, or citrus foods
⸻
What NOT to Do
• Do not give antibiotics unless prescribed
• Do not force solid food
• Do not apply home remedies like salt, turmeric, or strong mouthwashes
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Take her to Dentist and ENT consultant.
Take treatment with proper local examination for better result.
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Based on your symptoms and image. It appears to be Viral mouth infection (viral stomatitis/herpangina), it is common in children and resolves own its own in 5-7 days.
There is no need for antibiotics as it is viral infection.
Next Steps
-hydration is important, give her fluids, encourage frequent sips of water.
-give her soft and mild foods
-avoid hot and spicy food
Health Tips
if pain is severe and the child is unable to drink and eat at all. fever persists for more than 3-4days consult the pediatrician in person.
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This is viral stomatitis,it is very common after fever and is usually resolves on its own.
Next Steps
Warm saline gargles 2–3 times/day
Plenty of fluids (water, ORS)
Give Soft, bland foods
Avoid spicy, sour, very hot foods
Avoid touching or biting the tongue.
Health Tips
Kindly consult on practo so we can follow up
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This is viral infection,this is most consistent with Acute Herpetic Gingivostomatitis (primary HSV-1 infection).Gentle mouth cleaning with soft cloth,
Normal saline or sodium bicarbonate mouth rinse (if child can spit),Avoid spicy, salty, acidic foods.this is child also so you need to consult me on practo for antiviral therapy prescription and further management and evaluation. It's completely reversed in 5 to 7 days.feel free to consult.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Abhinav Tiwari
General Physician
7 yrs exp
Etawah
Ok
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Gaurij Hood
General Physician
18 yrs exp
Valsad
Looks like stomatitis.Pls connect for further discussion and solution.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake mor3
Do connect and consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Apply kenacort oral ointment
Warm water gargle wth salt
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluted
Do consult Pediatrician
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Apply ghee
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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