What is the reason for small red spots on the tongue of a nine-month-old baby?

Patient's question:

Dear Expert,
My baby is nine months old and exclusively breastfed. We have started adding complementary foods like eggs. However, recently, my baby has had dry stools, tiny red spots on the tongue, and red swelling on the upper gums. Their appetite has significantly decreased. Yesterday afternoon, they suddenly developed a fever of 39°C with no prior warning. What could be causing this, and what should I do? (The baby has not yet started teething.)

Doctor's answer:

Oral ulcers should be paid attention to maintaining oral hygiene in daily life. Use a weak saline rinse frequently, quit smoking and drinking, maintain a regular lifestyle, and ensure adequate sleep. Persist in physical exercise, eat a light diet, consume more fruits and vegetables, and eat less spicy and greasy stimulating foods to keep bowel movements smooth. There are many causes of endocrine diseases in children. If a child is diagnosed with an endocrine disease, parents need to cooperate with the doctor to start treatment immediately, cooperate with gastrointestinal decompression, and develop good hygiene habits. Parents should pay attention not to develop picky eating habits in children and maintain a balanced diet.

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