hi, my 3 yr old son has a white coating on his tongue with red blotches on, inside of his cheeks are also blotchy. he has already seen a dr on Monday because he had white painful spots on his tongue.. he is not in pain anymore but im concerned because of the change.  rgds, Tony.
Hi. Welcome to Chat Doctor . I have gone through your query and can understand. As per your complaint the white coating over the tongue along with painful red spots seems to be due to yeast infection known as Oral Thrush and redness of tongue and enlarged papillae are due to both thrush a causing inflammation of papillae. As infants and toddlers have a less developed immune system therefore, they are more prone to get infected, especially by opportunist infections. You should consult an Oral Physician or a Periodontist and get him evaluated and in case if thrush is diagnosed you will be advised to take antifungal medications like Candid mouth paint and taking ample of probiotics like yogurt and garlic. For redness and soreness of tongue you can make him gargle with numbing mouthwash containing lidocaine, suck ice and take Ibuprofen. Avoid hot and spicy food. Hope this information helps. Thanks and regards. Chat Doctor.