The most possible explanation to the client's condition is a reaction to the anti-epileptic medications that he/she is taking.
Diffused redness and large blisters on the buccal mucosa could be symptoms of stomatitis, an inflammation of the mucous membranes of the mouth and lips. Stomatitis could be an indication of mouth irritation caused by a reaction to certain drugs, such as antibiotics and epilepsy medications.
While linebreeding is less likely to cause problems in the first generation than does inbreeding, over time, linebreeding can reduce the genetic diversity of a population and cause problems related to a too-small gene pool that may include an increased prevalence of genetic disorders and inbreeding depression
In Stage 1 (initial reading, writing and decoding), typically between the ages of 6 and 7 years old, the child is learning the relation between letters and sounds and between print and spoken words.