Conversation: The conversation between human and AI assistant.
[|Human|] My four year old has on her bottom lip white patches that looks like thrush and it does wipe off however inside her cheek ther is more like one or two bumps with a black dot we thought at first it was an allergic reaction to pineapples as she complained about while we were out at a restaurant and this was her second encounter to pineapples also she does not go to preschool so I have no idea what this is I previously worked in preschool and now a housewife planning to homeschool please help
[|AI|]  Hello, I can understand your concern. The white patch on the lips that can be wiped off leaving red area beneath can be fungal infection which should be treated with antifungal medication. Based on weight of the child, 3 mg/kg of weight dose of Fluconazole should be given once a day to cure this infection for 5-7 days. The black dots inside the cheek cannot be fungal infection. If they are painless, they might be moles or melanin pigmentation as they develop on the skin without causing any harm. You can ignore them. However, if pain develops or the dots ulcerate, then a dentist should be consulted for the clinical examination and further investigations and treatment. I hope this information helps you. Thank you for choosing Chat Doctor. Take care. Best,