Blisters on lips & in mouth.....bad breath...16m

[SlightlyMadSpider]

Been feverish since Thurs. Today recorded temp of 39.4
Dr at walk in could find no obv cause - probably viral.
Had blisters on tongue, gums and inside of lips since Thurs. Much worse today. Prob 4-6+ blisters.
I had a coldsore about 10-14d ago.
I had an horrific sore throat which started Fri.
Oh and she has horrific bad breath and we are struggling to get anything in her motuh let alone a toothbrush.

So could it be

1. coldsores
   
2. hand foot & mouth w/o the foot & mouth
   
3. Throat infection spread to mouth
   
4. mouth ulcers as a result of being run down cos of virus?

[SlightlyMadSpider]

Have been to see GP. She definately has a bacterial infection in her thumb (a manky bit from sucking) - so has antibiotics for that. He is not sure whether the blisters on her tumb (around the manky bit) are part of the bacterial infection or transfer of herpes from mouth so we have acyclovir for that just in case.

[SlightlyMadSpider]

Just googling it - it looks as though it is limited to those who suffer eczema in the first place - so I think we will be OK. Will definately keep an eye on it - thanks for hte heads up.

[gess]

No, ds1 went from clear skin to covered in blisters within 24 hours. I'll add some photos to my profile later if you want. I think it only happens when its the primary site of infection though (i.e. the virus enters the body for the first time via broken skin)- oral herpes is the normal response. I don't think you get oral followed by eczema herpeticum, but I could be wrong. If it did spread and you saw blisters coming up everywhere then I would get her checked out (and ask them to consider eczema herpeticum it gets missed because it's rare). It has the potential to be very serious, which is why I mention it, although as I said I don't think you get oral then eczema herpeticum, I think you just get eczema herpeticum. Not a medic though so could be wrong.

[SlightlyMadSpider]

(but she doesn't have ecxema though)

[SlightlyMadSpider]

It is at the point of broken skin - where she has been thumb sucking. Is that what you mean?

[gess]

It will run its course. Unless she gets ill again or it infects eczema (or broken skin) it shouldn't be problematic. It's easy to spot eczema herpeticum- ds1 was covered from head to foot in blisters (actually not quite his feet were clear). If she gets that it needs treatment and quickly, but if its started in the mouth that shouldn't happen.

[SlightlyMadSpider]

Can someone help me!!!!!!!!

I have a child who is running riot!!!!!

She had 6oz milk at 3am and a bowl of risce crispies at 5am, as well as milk and oatibix since...so we are doing much, much better fluids wise today.

On a serious note - she has gone and spread it to her thumb now. I am not sure if I can do anything to stop it spreading back to her mouth. Going to try and ring the GP again today.

[gess]

ds3's breath was terrible when he had oral herpes as well.

Herpes is not innocuous- it's a bloody evil virus, it triggered ds1's severe autism! (although not oral- he had eczema herpeticum).

I even rang NHS direct (which i never do) when ds3 had it because I was concerned after our previous experience. He was fine though, few days and it went as quickly as he came.

[FlameBatfink]

I don't remember bad breath, but tbh I wasn't really thinking about it. We didn't have any like you describe on her gums though and they do sound infection-like to me

I clicked as soon as I saw the title because I was sure it would be the same thing

[SlightlyMadSpider]

Flamey - have just been looking at your threads. Kind of wish I had seen them earlier but was too flustered and stressed that I didn't hink to check archives . I could have written most of your posts.

Can I ask did your DS have really bad breath with it?

I was initially worried that teh bad breath was a opportunistic bacterial infection at one of the lesions. Dr says no though.

[PrettyCandles]

Isn't it wonderful when the temperature drops and their personalities return to normal? So glad that she's well on the way to recovery at last.

You're going to have a right little madam on your hands for a while now that she's used to lots of attention!

[SlightlyMadSpider]

Yup...I was going to be at 9:30 last night to catch up, but sat her until 1:30 waiting for news on Peters heart. Am going to bed within the next 7 mins onight though for deffo

[FlameBatfink]

I've just found my threads from it (and ended up in tears reading them). I think it is where DS was that much younger (not quite 11 months), breastfeeding, and he had had a high temp with a cold for a few days that would normally have dropped by then - everything combined made me run to the doc with the blisters.

It was so horrible to watch him going through, you must be exhausted

[SlightlyMadSpider]

Maybe the problem was I didn't think the blisters were as important as they were at first.

She has had period blisters on hte end of her tongue since she was little - so I kind of ignored it at first. Also within a couple of days of her temp rising myself and her grandfather (who we were on holiday with at teh time) both had a really sore throat so thought the temperature was a throat nfection/cold like we had.

[FlameBatfink]

I'm quite glad I didn't have that information to hand at the time tbh

He had had the very high temp, I put it down to a virus and teeth (clawing his mouth) - I opened his mouth to give calpol and his tongue was all blistered. I drove straight to the doctor, and it was the lunchtime... so I shrieked at them about my baby, and sobbed a bit - someone saw me . Lovely lovely man gave the meds, and I kept going back to make sure his hydration was ok.

He was taking trickles of fluid, very occasional minute long breastfeeds (which I think was what carried him through), and just kept sobbing and sleeping.

It was a few days of hell, but yup - they bounce

[SlightlyMadSpider]

Don't worry Flamey. I have to say though that I felt awful and a fraud for cancelling DTDs playdate "because DD3 has a coldsore". I can't believe how poorly she has been with something usually so innocuous.

She was diagnosed too late for acyclovir.

The Dr I saw at walk-in in early stages (admittedly went worried about temp more than mouth at this stage) thought she was suffering a 'cold type virus' which was untreatable and that the sores were just normal mouth sores caused by being run down.

By the time I saw GP on Monday she was more than 3 days post initial sores (Thurs/Fri) so didn't think they would be effective. In any case current guidlines (which I saw in black and white) are that acyclovir is only given if it is serious enough for hospital admission. He did say though if he had seen her Sat/Sun he would have given them as she was so bad.

Still she is looking up now. We just need to get more food & fluids into her.

And Hunker - you are right about teh rubber ball. This morning she was flaked out as she has been since Sat/Sun. Had a lunchtime nap, went to Tescos, came back and she wasn't teh same person that went to sleep at lunchtime. It was an amazing contrast.

[FlameBatfink]

Did the doc not give acyclovir?!?!!?

I had this with DS at the beginning of the year - it was terrible The little man wouldn't let anything near his mouth. I was dribbling in water with a 1ml syringe - the doctor thinks he has some great hydration thing going on, he couldn't work out how he wasn't dehydrated and needing a drip.

I'm so sorry I didn't spot this thread when it started, would have stayed by your side (online) through it.

Be prepared though - DS gets a coldsore or two a week after every illness now Never as bad as that first time though thankfully

[hunkermunker]

Toddlers are made of rubber, I think - she'll bounce back so quickly it'll be unbelievable, I bet!

[SlightlyMadSpider]

So am I. I really thought I was going to have her on IVs.

[hunkermunker]

I'm really glad she's on the mend, SMS!

[SlightlyMadSpider]

Oh and her halitosis is improving too thank good

[SlightlyMadSpider]

This afternoon she has been back to her cheeky self. She has been up and about and emptying the kitchen cupboards (normal behaviour). Then she tried to climb in hte cupboard on the carosel (which she has never done before). I think she has been laying on the floor all week plotting and polanning new tricks!!!

This is such a contrast to teh last few days where she has struggled to get teh motivation to move from one beanbag in the middle of the floor to another.

Getting the fluids in is still a struggle volume wise - but we aren't fighting any more. Her mouth looks much much better. The sores are still present - but they are looking a lot less inflammed. Only time can heal them fully. She has had a bar of chocolate today - which she seemed to find uncomfortable but tolerated it as it was chocolate.

All in all I feel much happier today. DD3 is happier & more content & Peter ahas a new heart. [s mile]

[PellMell]

I'm glad to hear that she is stable and not getting worse.It's looking up isn't it.

[SlightlyMadSpider]

Still teh same. I wasn't going to post as there are others he need more luck and thoughts today and this seems so trivial.

She is taking the fluids more enthusiasticly - but isn't actually taking any greater volume. At least we are not fighting with her. When I added up what she had yesterday it wasn't so bad as I thought it would be - 9-11oz ish + 2 yoghurts.

Her temp is not has high this morning and her mouth isn't as inflammed - the lesions just need to heal and then we need to win the psyhcological battle.

Have been to see GP again - he is being really tolerant of me . Still the same. Still looks reasonably well hydrated - which made me feel better. Then he checked 2 medical dictionaries and calculated that the minimum fluid intake should be 20oz+ (he doubled checked it as it was so much more than she was having). That worried him a little and he reconsidered IV fluids on that basis but in the end said they would look at her, say she looks fine and we would sit on a ward for 6hrs whilst they monitored what she was taking orally - which we agreed we could do at home.

Still very , but I don't feel quite as bad today. Thanks for asking.

[PellMell]

how is your little one today? I have been thinking about her.
Hope she's on the mend.