<s>[INST] I have pus coming from my gums on my top left side and it fall down on my tongue along with a substance that feels like sand.  Ending is a paste like substance on my tongue that keep my tongue burning and my mouth dry email  YYYY@YYYY [/INST] Hi! Welcome to Chat Doctor. I read your query. Is this pus in only limited part of gums as you mentioned or is it generalized? Do you notice any cavity in tooth near pus area? If there is, this pus can be due to dental infection, for which you need to visit a dentist. If there is no cavity, then this pus can be due to gum disease. Is the tooth in that area mobile, calculus deposit or gum receding? You need to visit a dentist. Get an x-ray done if required. In case of gum disease, you will be given an antibiotic course. If there is not much bone loss and tooth firm, scaling and curettage will help in removing infection. Maintain good oral hygiene. Do warm saline rinses. Use chlorhexidine mouthwash twice a day. Massage gums using gum paint. Take healthy diet and multivitamins. Have regular oral prophylaxis. This requires good and sustained oral care. Hope the answer helps you. Thank you. </s>