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Suggest Treatment For Swollen Gums And Infection

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Posted on Mon, 29 Jun 2015
Question: IBELIEVE I HAVE ANDENTOALVEOLAR INFECTUION! TWO YEARS AGO MY DENTEST TOLD ME I HAD A BAD TOOTH. SINCE IT DIN'T HURT I THOUGHT I'D WAIT TO HAVE UIT PULLED---BAD. LAST YEAR I SRARTED TO HAVE A DISCHARGE COMEING OUT OF MY GUM LINE, SWEET / SOUR/METEL TEST! SORE THROAT, EAR ACHS,CHILLS,JAW PAIN & MORE. I FOUND A PUS BALL DOWN BELOW MY BAD TOOTH, UNDER MY TONGUE, IT BROKE! I HAD NOW TWIO TEETH INFECTED---PULLED & PACKED. PUT ON AMOXICILLIN. EVERYUTHINMG CLEARED UP, BUT LITE DESCHARGE. THEY TOOK ME OFF AFTER THREE WEEKS AND SAID SINCE THEY COUN'T SEE THE DISDHARGE I WAS MAKEING IT UP IN MY MIND! EVERYTHING IS BACK FULL FORCE PLUS MY LYMPH NODES ARE HURTING---IN MY JAW, NECK, UNDER ARMS,BACK OF KNEES, WITH HEADACHS EARS BLEEDING ON/OFF WITH BLOOD IN MY THROUT,. THEY STILL CAN'T FIND ANYTHING BY TEST??? ALSO THE NEXT TOOTH IN LINE ACHS,GUM LIKE ROTTING AWAY BELOW IT AND BLEEDING, ALFUL PAINFUL......ITR'S EATHER DENTOALCVEOLAR OR OSTEOMYELITIS, HOW DO I GET ANYBODY TO TREAT ME?
doctor
Answered by Dr. Muhammad Hanif (1 hour later)
Brief Answer:
I will help you through the case

Detailed Answer:
I welcome you Mr. XXXX!

Welcome you at my virtual clinic and want to assist you through the case.

Yes you have got swollen gums and all that is removed, but sometimes pockets of infection remains out there. It needs prompt treatment once again with a full course of antibiotics.

I usually prescribe such patients at my clinic:
Augmentin 1 gram (prescription drug) per oral twice daily for atleast 7days or even more if it is osteomyelitis.
Ibuprofen 800mg twice daily for 7days.
Omeprazole 40mg twice daily before meals per oral for 7days.
Apply heat to the side the hurts directly from the cheeks. It makes comfortable.
It does need investigations alongwith aggressive control of infection.

Hope I helped you today.

Please don't forget to give your valuable feedback and five star rating, to help me assist you in a better way. Click at 'I Find This Answer Helpful.' Please, write a review about your experience with me.


Regards!

DR. HANIF
XXXXXXX USA
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Muhammad Hanif (1 hour later)
DID YOU RECEIVE MY REPLY QUESTION?
doctor
Answered by Dr. Muhammad Hanif (15 minutes later)
Brief Answer:
I have received only this Answer, to which I am replying

Detailed Answer:
I welcome you back. I received your first main question and this 2nd one.

Please start treatment as directed previously. Gargle your mouth daily 3times with listerine gargles solution.
Any further questions will be entertained promptly

Regards
Dr. Hanif
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Muhammad Hanif (41 minutes later)
SSOMETHING MUST HAVE GONE WRONG. I'LL TRY AGAIN;
THE DR. HAD ME ON AMOXICILLIN WHICH IS THE SAME AS AUGMENTIN FOR THREE WEEKS. EVERYTHING CLEARED UP EXCEPT THE STRINGY SWEET/SOUR DISCHARGE, BUT THAT WAS CUT DOWN TO ALMOST
KNOWTHING. HE STOPPED IT AND SENT ME TO A E.N.T. DR. & E.R. THEY SAID THEYN SAW KNOWTHING, SO I HAVE KNOWTHING . THAT WAS THREE MOUNTHS
AGO AND EVERYTHING HAS FOOLED BACK, BUT NOW MY LTMPH NODES IN MY JAW, NECK, BEHIND MY KNEES ARE IN PAIN AND ENLARGED. TEETH ACH, JAW ACHS,EYES ARE SENSITIVE TO LIGHT,EYE ACHS ALONG WITH SORE ON EACH SIDE OF MY THROAT. I BELIEVE THE INFECTION HAS ADVANCED BECAUSE OF ALL THIS AND THE CHILLS I HAVE----I READ I MAY NEED AN I.V. AND 6 TO 8 WEEKS OF TREATMENT, BVUT I GOT TO GET A DORTOR TO BELIEVE ME!! THEIR BLOOD TESTS AND X-RAYS AND CAT SCAN SHOW KNOWTHING.
doctor
Answered by Dr. Muhammad Hanif (1 hour later)
Brief Answer:
Once more its, Orthodontic infection.

Detailed Answer:
Welcome back XXXX!

I am sorry to hear all that history. But I will help you out of this pain. It's a 2nd episode (and more severe) of the orthodontic infection. Its the same as a person gets a sore throat, takes treatment, get ok, and after a couple of days gets pharyngitis once again.
They have done your blood work, nothing wrong with that, otherwise septicemia should have been clearly diagnosed and dealt with Intravenous medications.

Your swollen lymph nodes show infection in the gums and on the sides of teeth. Also, gum disease starts if you don't go on a regular basis and get cleaned the teeth beneath the gums.
When had you last done with deep cleaning your teeth??

Dental flossing, Tooth brushing and bi-annual deep cleaning (scaling) of the teeth can save you from such recurrent issues and timely diagnosis of bone decay, that leads to frequent tooth and gum infection, cavities or any other dental issue.
Now you need an antibiotic course, but with the added benefit of Clavulanate so as to cover more effectively. But its per oral. You need not to worry and don't think that, you should have an Injectable. Oral will cover all, what's needed.

An addition of clavulanate, allows amoxicillin to have a more extended spectrum of action that inhibits beta-lactamase-producing bacteria.

What you can add to make yourself safer is going for lab work for:
HBS Ag antigens for hepatitis B screening
Anti HCV antibodies for Hepatitis C screening
HIV Screening
It's needed because dentists are spreading Hepatitis and AIDS, and you should have a screening done.

Hope it helps. Please start the treatment and you will start getting better in days. Please don't forget to give your valuable feedback and five star rating, to help me assist you in a better way in future too.

Regards!
Dr. Hanif
USA
Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Muhammad Hanif

General & Family Physician

Practicing since :2009

Answered : 2369 Questions

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Suggest Treatment For Swollen Gums And Infection

Brief Answer: I will help you through the case Detailed Answer: I welcome you Mr. XXXX! Welcome you at my virtual clinic and want to assist you through the case. Yes you have got swollen gums and all that is removed, but sometimes pockets of infection remains out there. It needs prompt treatment once again with a full course of antibiotics. I usually prescribe such patients at my clinic: Augmentin 1 gram (prescription drug) per oral twice daily for atleast 7days or even more if it is osteomyelitis. Ibuprofen 800mg twice daily for 7days. Omeprazole 40mg twice daily before meals per oral for 7days. Apply heat to the side the hurts directly from the cheeks. It makes comfortable. It does need investigations alongwith aggressive control of infection. Hope I helped you today. Please don't forget to give your valuable feedback and five star rating, to help me assist you in a better way. Click at 'I Find This Answer Helpful.' Please, write a review about your experience with me. Regards! DR. HANIF XXXXXXX USA