<s>[INST]I am sitting at work right now questioning what the heck is going on with my gums. 3 Days ago I was eating a large carrot, that I thought might have cut the bottom side of my gums under the front left side of the lip (Inside the mouth) If I grab my lip on the left side and pull it back, I can notice a small hole. It is almost as if the area was damaged or punctured, but more likely stretched and torn. I am feeling pain around my Jaw and in the surrounding area on the outside of the mouth. I am extremely concerned that this might be more serious as it hasn t improved, yet almost before it tore open there was a pain leading upto the tear. Please any help?? David Chicago, IL[/INST]Hello and welcome to Chat Doctor forum, As you suspect the hole in gums arise due to ulcerous condition.Localized periodontal infection also can cause this. I suggest you to get scaling done. Bone loss and periodontal pocket formation can be checked through x-ray and clinical examination. Depending on the condition, treatment can be planned. Vitamin supplements and plenty of nutritious rich food has to be taken. Hope this helps.</s>