Q. I have white spots on the left side of the gum and a small lump on my left chin. What to do?
Hello doctor,
I have white spots on the left side of my gum and it hurts really bad. I have a sore throat and a small lump on my left side of my chin that hurts when I touch it. What do you think this is?
Hello,
Welcome to icliniq.com.
Regarding your short history, it seems that you may be having a gingival abscess or pericoronitis (if the last erupting tooth is involved). However, the picture of the lesion would have made things clear as to which site is involved and the state of the tooth involved (if it is carious or not). Still, it seems that you are having an infection and the lymph nodes are involved which relates the lump on the left side. The sore on the gum may be an aphthous ulcer or sinus opening as both are white, but sinus opening might be somewhat eruptive (nodule like). The sore throat is due to the infectious condition. So I think it might be a gingival abscess.
The treatment requires a regime of antibiotics, analgesics and mouth wash. You can take Amoxycillin 500 mg and Clavulanic acid 125 mg two times (BD) for five days. Ibugesic acid (Ibuprofen and Paracetamol) 400 mg twice daily for five days and Chlorhexidine mouth wash thrice daily for two weeks.
Investigations to be done:
IOPA (intraoral periapical radiograph) to related tooth.
Differential diagnosis:Pericoronitis, gingival abscess, periodontitis.
Treatment plan:As mentioned above.
Regarding follow up:Upload a picture for proper diagnosis and treatment.
Was this answer helpful?
|
Ask a Query
Consult by Phone
Video Chat 
Comprehensive Medical Second Opinion.Submit your Case
Related Questions & Answers
Tooth pain and a white lump on my upper gum
Query: Hello doctor,I recently started having tooth pain and it has not gone away. I do have a white lump on my upper gum but I have had it for a while. Sometimes, it goes away and then comes back. My tooth pain almost feels like a cavity but I am not sure. Read Full »
I often get a mouth ulcer. What is the reason for this?
Query: Hello doctor,I often get a mouth ulcer which is in the form of oval shape and white in color. When I get this, I apply Mucopain gel and take Riboflavin tablet 10 mg. Can you please let me know the reason for this? Read Full »
Why do my gums hurt when I eat?
Query: Hi doctor, Whenever I eat spicy food, I feel some kind of irritation, burning sensation and pain in my gums. I do not have any cavity in my teeth. I got scaling done 2 years back. Once I stop eating spicy food, the pain fades away in few minutes. I would like to know the reason behind it. Please a... Read Full »
