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A spot on the cheek, red, swollen, draining pus, very painful and upper jaw teeth hurt - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Rash
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3175 Questions
Doctor :   hI
User :   hello
Doctor :   please proceed with your query.
User :   I am a 39 yr old female. A few days ago I thought I was getting a pimple on my right cheek. I know that is not the case now. I have a spot on my cheek that is the size of a half dolar, very red, swollen, draining clear pus, very painful. My husband says it looks like a fever blister that busted on my face. Very nasty.
Doctor :   ok
User :   I believe it is causing tooth pain as well. All of my upper right teeth constantly throb...very painful and anbesol doesn't stop it. The entire right side of my face hurts. I have never had/seen anything like this. What do you think it is?
Doctor :   may i ask you a few relevant questions to help you better?
User :   I am also on vacation away from home and do not have a dr I can see until Monday at the earliest unless I try to find somewhere locally.
User :   Yes, please.
Doctor :   may i know if you developed fever or any infection recently ?
User :   Not that I am aware of. My son was sick a few days ago and had a low grade fever and was vomiting but nothing like this.
Doctor :   ok , may i know if you have diabetes or high blood pressure ?
User :   I am taking HBP meds (benazepril) that controls it very well but no diabetes.
Doctor :   ok
User :   I have noticed that I have a spot on my gums above one toth that is a tiny bit inflammed but is not painful, no spots, no drainage and have not had any mouth/tooth pain until this developed.
User :   I can put pressure anywhere on the right side of my face and it sends shooting pains through my teeth.
Doctor :   ok
User :   But my tooth pain is not only affected by eating/drinking, it is constant ever since this developed.
Doctor :   ok
User :   The "spot" had small blisters that "popped" and drained and the area keeps draining.
Doctor :   ok
Doctor :   what is the color of the discharge ?
User :   clear
User :   I have been putting neosporin on it but it doesn't seem to be helping.
Doctor :   ok
User :   This am it looked a lot better but by the end of the day it was swollen back to what it was and was very red again.
Doctor :   from the description you gave me , it does look like a localized infection
User :   What do you suggest I do?
User :   Should I see a dr immediately or is it ok to wait until I get home?
Doctor :   I can also think of a condition which presents in this way , called as actinomycosis infection
User :   ok
Doctor :   this needs a shot of penicillin group of antibiotics
Doctor :   this is a bacterial infection commonly seen in the tooth , gums and oral cavity
User :   ok so I should go ahead and get his as it's not going to get better w/out it?
Doctor :   you may continue applying the antiseptic
Doctor :   yes , you need the antibiotics soon
User :   ok
Doctor :   meanwhile you could take oral ananlgesics like IBUPROFEN
Doctor :   to control the pain
Doctor :   a thorough examination and some tests may be needed
User :   so it seems as though there is not necessarily a tooth problem like a cavity ie it's just an infection that could have caused this to appear on my face?
Doctor :   with antibiotics we expect the infection to resolve in a week's time
Doctor :   yes , an underlying infection , like an ulcer or a jagged tooth
Doctor :   this presents as a swelling over the cheek
User :   and the spot on my face seems to be directly connected to the tooth pain and not two completely separate things?
Doctor :   there must be a connection or a sinus between the two surfaces and hence it has been presenting this way
User :   and just to be clear...the drainage is on my cheek and not in my mouth
Doctor :   ok
User :   I have had a LOT of sinus trouble lately but chalked it up to pollen over 2k
Doctor :   the swelling in a local infection will drain the discharge outside
User :   ok so its just releasing the infection there instead of at the actual site of infection?
Doctor :   sinusitis can be a cause for underlying infections in the throat and mouth and the two can be inter related
Doctor :   I suggest you see a dentist for an examination of the oral cavity
User :   ok...I think that's all I need. Any other suggestions until I can see a dr?
Doctor :   the infection is present inside as well , but the discharge is seen outwards as in your case
Doctor :   yes , continue the antiseptic creams and also do not touch the area or apply pressure
User :   so should I see a dentist or aphysician?
Doctor :   as i mentioned you could take analgesics orally
Doctor :   You can see the Physician first
Doctor :   and then a dentist
Doctor :   i hope i answered your questions
Doctor :   thanks for consulting me
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