### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hey.  I worked in an elementary school and am in contact with many young students.  This past week, a colleague spent some time in my room and stated that that he was going through one of his "typical" round of mouth sores.  A few days later, I started getting spots along the sides and under my tongue, which is not common for me.  Then, patches of small spots and a couple of blood spots appeared on the inside of my upper and lower lip area.  I also noticed a small white area forming on my gum line.  At first, I thought this may be "Hand Foot Mouth," but I have no spots forming on the outside of my mouth, hands, or feet.  Prior to this, I have been having some issues with bleeding and sensitive gums as well.  I did switch to brushing with a homemade chemical free toothpaste, which seemed to help, but ran out and have returned to the general Colgate.  Thus, I wondered if it was a fungal/bacterial infection where I need to be more mindful of my oral hygiene as I often go without flossing.  Thoughts?  Suggestions?

### output:

Hi. Thanks for the query. As per your complaint it seems that sore spots over the sides of tongue and white patch over the gum seems to be due to Authors Dermatitis leading to inflammation inside mouth and along with it there seems to be authors ulcers or canker sores. It can be a side effect of the medication, deficiency of iron and vitamin B12, stress, physical trauma to the tongue, allergies, acid reflux etc. Other cause can be viral infection causing cold sores. I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like blood tests can help in diagnosis. Treatment of underlying cause will relieve the symptoms. As of now you can start gargling with a numbing mouthwash containing Lidocaine to relieve the symptoms. You can also take a multivitamin tablet daily. You can take anti-inflammatory painkiller like Ibuprofen. Suck ice and do cool water rinses. Avoid spicy food. Hope this helps. Regards.