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Diabetic. Complaining Of Tooth Pain. Given Ibuprofen. Cheeks Swollen. Can I Give Him Clindamycin?

Posted on Sun, 25 Aug 2013

Question: My 11 year old son is a Type 1 Diabetic and seems to have an abscessd tooth. He began complaining of a toothache a couple of days ago. We gave him ibuprofen and that seemed to help. Last night we noticed that his lower cheek is swollen where the tooth is located. We called the emergency dentist line today and even texted him. No response. :/ I am calling them first thing in the morning. I have some leftover 300mg clindamycin from when I had a tooth infection. Should I give him some? I am concerned that the infection will spread or he may become septic since his immune system is compromised due to the diabetes.

Answered by Dr. E Venkata Ramana (51 minutes later)

Hi,

Thank you for your query on Healthcare Magic.

The swollen lower cheek where the tooth is located is suggestive of an abscess development.

He needs a proper course of antibiotic in prescribed dose.

At the same time the pus should be drained under aseptic conditions.

Don't give him antibiotics without the prescription of the doctor.

For pain, you can give Ibuprofen in prescribed dose for the child after food.

I advise you to consult the Dental Surgeon physically for the examination and to advise the appropriate treatment plan for the child.

Hope I have answered your query, if you have any clarification please let me know.

Regards.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar