[2M] With recurrent mouth sores and breathing difficulties

Patient Description

A 2-year-old male has been experiencing recurrent mouth sores resembling canker sores, enlarged lymph nodes, and sore throat intermittently for about 6 months. The child also exhibits heavy mouth breathing, particularly during sleep, which seems to cause brief awakenings or disruptions in breathing. Additionally, the child has been having episodes of difficulty sleeping, including trouble falling asleep, staying asleep, and waking up early. The child also has intermittent fever. There has been no recent mouth or gum injury reported. The symptoms of mouth sores and heavy breathing occur roughly once a month.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses for your son's symptoms include:

  • Recurrent Aphthous Stomatitis: This condition is characterized by recurring mouth sores (also known as canker sores) that can cause discomfort and difficulty eating or speaking. It's not entirely clear what causes these sores, but they can be triggered by stress, certain foods, or minor mouth injuries.

    • Treatment usually involves managing the symptoms, as the sores often resolve on their own within a week or two. Over-the-counter topical products or prescription mouthwashes may be recommended by a doctor.
  • Sleep Apnea: This is a serious sleep disorder where breathing repeatedly stops and starts during sleep. It can cause heavy snoring and feeling tired even after a full night's sleep. In children, it can sometimes be due to enlarged tonsils or adenoids.

    • Treatment can involve lifestyle changes, use of a breathing assistance device at night, or in some cases, surgery.
  • Infectious Mononucleosis: This is a viral infection that can cause fever, sore throat, and swollen lymph glands. It's most commonly caused by the Epstein-Barr virus.

    • Treatment typically involves rest, good nutrition, and drinking plenty of fluids. In some cases, a doctor may prescribe medication to relieve symptoms.

What you can do

You should consult a doctor about your son's symptoms so they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following:

  1. Monitor your son's symptoms and keep a record of when they occur and how long they last. This can be useful information for the doctor.
  2. Ensure your son is getting plenty of rest and staying well hydrated. This can help his body fight off any potential infections.
  3. Try to keep your son's mouth clean and avoid any foods or drinks that seem to trigger the mouth sores.

What you should look out for

You should seek immediate medical attention if your son:

  • Has difficulty breathing or his breathing stops for several seconds at a time while he's awake
  • Has a high fever that doesn't go away with over-the-counter medication
  • Is unable to eat or drink due to the mouth sores
  • Seems excessively tired or lethargic

Remember, while I strive to provide accurate information, I'm an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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1 yr ago

People Also Ask


What causes recurrent mouth sores in children?

Recurrent mouth sores, or canker sores, in children can be caused by a variety of factors including stress, certain foods, minor mouth injuries, or underlying health conditions. Sometimes, the exact cause is unknown.


How can sleep apnea be identified in young children?

Sleep apnea in young children can be identified by symptoms such as heavy snoring, pauses in breathing during sleep, restless sleep, and daytime sleepiness. Enlarged tonsils or adenoids are common physical causes.


What are the common symptoms of infectious mononucleosis in children?

Common symptoms of infectious mononucleosis in children include fever, sore throat, swollen lymph nodes, fatigue, and sometimes an enlarged spleen. It is often caused by the Epstein-Barr virus.


What are some home remedies for managing mouth sores in toddlers?

Home remedies for managing mouth sores in toddlers include ensuring good oral hygiene, avoiding spicy or acidic foods, using a soft-bristled toothbrush, and applying over-the-counter topical treatments to reduce pain and inflammation.


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