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Mumsnetters aren't necessarily qualified to help if your child is unwell. If you have any serious medical concerns, we would urge you to consult your GP.

Four years olds gums are suddenly bleeding and ulcerated - dentist advising it could be viral

(49 Posts)
SleepFreeZone Thu 05-Jan-17 16:58:01

I have taken my eye off the ball over Christmas and let my partner deal with my four year old while I sort the baby and the festivities. So he has been cleaning his teeth night and morning and getting him washed dressed etc.

I am very careful with his teeth and his last dental appointment was about 6 weeks ago and everything was fine. This morning I noticed his gums were red and inflamed with red dots and white marks which the dentist has said is the start of an ulcer. My partner took him to the dentist this afternoon as I managed to grab a cancellation and from what I can gather he has said he sees this a lot in children my son's age. He is currently unwell so he is attributing it to a virus and advising we try and get him to gargle salt water and if it doesn't clean up in a week we are to ring NHS direct.

I'm so angry with myself as I don't know when this started and I also think the dentists advise seemed a bit woolly. He hasn't suggested seeing him again or mentioned referring him or anything. I assume ringing the NHS helpline will be to try and get referred to a dental hospital?

Any advice would be very much appreciated as I need a plan of action beyond just waiting and seeing what happens. Thank you.

PotteringAlong Thu 05-Jan-17 16:59:20

You're angry with yourself because your son has got a virus? Why?

SleepFreeZone Thu 05-Jan-17 17:03:03

I'm angry with myself as I'm worried this has nothing to do with a virus and potentially everything to do with my partner not cleaning his teeth properly and him eating tons of crap over Christmas.

notagiraffe Thu 05-Jan-17 17:09:46

You could try changing your toothpaste. get him a new brush and a toothpaste that doesn't have sodium lauryl sulfates in it. And don't let him eat bananas for a while. Both of these are very common causes of mouth ulcers and can appear any time, even if DC weren't previously susceptible to them.
Calgel might help soothe the pain until then.

PotteringAlong Thu 05-Jan-17 17:10:08

But he's ill. He's got the start of an ulcer, which you get when you're run down. Which he is. The dentist isn't concerned. This seems to be a drama over nothing.

FadedRed Thu 05-Jan-17 17:15:24

Is it just a small area of his mouth that is affected, or all his mouth? And you say he is 'unwell' - what other symptoms has he got?

SleepFreeZone Thu 05-Jan-17 17:39:31

All his gums are swollen and inflamed and sore. He has some bleeding and he has a white patch that the dentist has identified as the beginnings of an ulcer.

He has been unwell since yesterday. Not eating and wanting the sleep a lot.

SleepFreeZone Thu 05-Jan-17 17:40:36

At the moment I am using the purple kids one with sugar neutraliser in it. Interestingly he has started eating bananas recently and has always turned them down before.

Goje Thu 05-Jan-17 17:43:38

my partner not cleaning his teeth properly

Why were his teeth not cleaned properly? Was that the first time your partner had ever cleaned his teeth?

Can he clean his own teeth properly?

LeonardoAcropolis Thu 05-Jan-17 17:47:50

Ooh, poor ds. It might be hand, footh and mouth disease. A friend's dd once had this and her gums were the worst affected.

Petalbird Thu 05-Jan-17 17:51:18

Why is your ds not cleaning his own teeth?

SleepFreeZone Thu 05-Jan-17 17:56:54

He is four!! Are all your four year olds cleaning their own teeth?!!!

SleepFreeZone Thu 05-Jan-17 17:57:39

I hadn't thought of have foot and mouth. I shall go and look that up.

SleepFreeZone Thu 05-Jan-17 17:57:48


FadedRed Thu 05-Jan-17 18:01:24

I would suggest you get him looked at by your GP.

SleepFreeZone Thu 05-Jan-17 18:06:15

Faded I think I will if he is no better on Monday. He is eating dinner at the moment so he must be feeling brighter. His gums just honestly look shocking. Every time he talks to me I can't keep my eyes off them.

Badders123 Thu 05-Jan-17 18:20:14

Primary hepatic gingivostomatitis?
Google it.
Needs antivirals.
Ds2 had it December 2015
Was quite prorogl with it though

SleepFreeZone Thu 05-Jan-17 18:52:27

I think you could be right, he has a blister on his lip 😔

Badders123 Thu 05-Jan-17 18:57:55

Get him to the GP....antivirals will sort it out x

TKRedLemonade Thu 05-Jan-17 19:01:55

Quite often gingivostomatitis actually does not require antivirals at all. The mainstay of treatment in most cases is actually just analgesia

Badders123 Thu 05-Jan-17 19:04:19

My son nearly ended up on a drip as he even refused liquid due to the ulcers and pain.
If it is severe anitivirals are needed.

TKRedLemonade Thu 05-Jan-17 19:12:36

Yes I agree, if it's severe, but not every case needs a GP urgently to give antivirals as had been suggested. If he gets analgesia and can eat and drink then antivirals won't be necessary and there is limited evidence that they work in these cases anyway. Analgesia +\_ iv fluids in very severe cases are the mainstay of treatment

SleepFreeZone Thu 05-Jan-17 19:13:16

I shall be monitoring it closely. Both me and DP get occasional Coldsores so it wouldn't surprise me at all. I'm really concerned our 11 month old will get an outbreak as well 😖

Badders123 Thu 05-Jan-17 19:14:10

Well one can only advise from ones own experience of course...
Ds improved within 24 hours of taking the antivirals.

SleepFreeZone Thu 05-Jan-17 19:15:48

He's not complaining that anything is actually hurting in his mouth at the moment. He does keep smacking his lips together which of course will spread it. How on earth do you stop the outbreak from spreading?

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