<s>[INST] I brushed my daughters teeth last night and noticed that her gums started to bleed. She has some tooth decay, she woke up with a fever. I gave her some ibuprofen and the fever reduced, but her gums are swollen. She is almost 3 yrs old. Any suggestions? [/INST] Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern..As per your complain bleeding from gums along with swollen gums and fever can be due to viral infection leading to Gingivostomatitis and fever..However, there can also be infection in gums leading to Gingivitis and it can also be a cause for bleeding gums and swelling.. I would suggest you to consult a Paediatrician and get her evaluated..In case of viral infection, it will get resolved once the virus completes its cycle in human body..As of now you can give her supportive treatment like giving a combination of Ibuprofen and paracetamol..Do cool compresses over the gums..Make her gargle with numbing mouthwash to relieve pain..Give her soft and bland diet and plenty of fluids..Maintain a good oral hygiene and use an ultra soft toothbrush to clean the teeth..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora. </s>