Redness in Your Baby's Mouth: Causes and Concerns - Pediatrics

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The inside of the baby's mouth is very red on both sides?


Today, I noticed that my baby (5 months and 18 days old) has very red areas on both sides of the oral cavity.
At first, I thought it was bleeding, but upon closer inspection, it appears to be just very red, not small red spots, but rather small red patches about one to two centimeters in size.
It looks like internal bleeding, but it is bright red rather than bruised.
The baby's appetite is normal, activity level is normal, and there are no significant changes in bowel movements.
The baby does not seem to be in discomfort and is breastfeeding well.
I researched and found that it does not resemble the blisters associated with hand, foot, and mouth disease, nor does it look like ulcerative lesions.
Could it be that the baby has been putting things in their mouth and has bumped them? Since both sides are affected, and considering that we had a family gathering yesterday with many elders holding the baby, I am very concerned it might be a viral infection.
Could you please provide some insight, doctor?

Xiao Zhu Mama, 20~29 year old female. Ask Date: 2021/11/29

Dr. Xiao Kaiwen reply Pediatrics


Generally, there are no viral infections that would present with this phenomenon.
I suggest you continue to monitor the situation.
If there are no signs of increasing size, gum bleeding, fever, or difficulty swallowing, it should resolve on its own.
Just keep an eye on it.

Reply Date: 2021/11/29

More Info


When it comes to the observation of redness in your baby's mouth, particularly in the areas you described, there are several potential causes to consider. Given that your baby is 5 months and 18 days old, it is important to understand the developmental stage and common issues that can arise at this age.

Firstly, the redness you are observing could be a result of several benign factors. One common cause is irritation from teething. At around this age, many infants begin to experience the eruption of their first teeth, which can lead to localized inflammation and redness in the gums and surrounding oral tissues. This is often accompanied by increased drooling and a tendency to chew on objects, which could explain the redness if your baby has been putting various items in their mouth.

Another possibility is oral thrush, a fungal infection caused by an overgrowth of Candida yeast. This condition can present as red, inflamed areas in the mouth, sometimes accompanied by white patches. However, if your baby is not exhibiting other symptoms such as fussiness, difficulty feeding, or a white coating in the mouth, this may be less likely.

In addition, the redness could be due to minor trauma. If your baby has been frequently putting objects in their mouth, it is possible that they have caused some irritation or minor abrasions to the oral mucosa. This could result in localized redness without significant bleeding or other symptoms.
You mentioned that your baby is breastfeeding well and shows no signs of discomfort, which is a positive indicator. If the redness were due to a more serious condition, such as a viral infection or a bacterial infection, you would likely see additional symptoms such as fever, irritability, or changes in feeding patterns. The fact that your baby is active, has a normal appetite, and is not exhibiting any signs of distress is reassuring.

It is also worth noting that the presence of redness on both sides of the mouth could suggest a non-specific irritation rather than a localized infection. If the redness does not worsen, and if your baby continues to feed normally and maintain a good mood, it may simply resolve on its own.

However, it is always prudent to keep a close eye on the situation. If you notice any changes such as an increase in the size of the red areas, the development of sores, or if your baby starts to show signs of discomfort, it would be wise to consult a pediatrician. They may perform a thorough examination to rule out any underlying issues and provide peace of mind.

In summary, while the redness in your baby's mouth could be attributed to teething, minor trauma, or irritation, it is important to monitor the situation closely. If your baby remains healthy and happy, it is likely a benign issue. However, do not hesitate to seek medical advice if you have any concerns or if the symptoms change. Your vigilance as a parent is key to ensuring your baby's health and well-being.

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