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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Toothache, Vomiting, Fever. What Do I Do?

I have had a severe toothache for three days now. I can barely open my mouth I have been vomiting since 4:30 this morning and have been running a fever . I have tried just about everything and nothing is helping. I do not have any insurance and cannot afford to go to the dentist what do I do? I cannot deal with this pain any longer I m losing my mind.
Tue, 26 Mar 2013
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Dentist 's  Response
Dear friend.

thanks for sharing your concern.

your history suggest that you have an abscessed tooth which has lead to restricted mouth opening and associated pain.

it is quite possible to have fever due to infection in your oral cavity.vomiting is not associated.

in this condition you must visit first to your phyiscian so that he can evaluate you an prescribe you an antibiotic and analgesic.

after that once your symptoms are under control,like fever and vomiting then you can give a simultaneous visit to your dentist too.

donot worry.just get your oral check up done first then you can one by one get treatment done.

based upon priority.meanwhile look for some charity dental camps too that could help you.

do frequent warm saline rinses.

take tab combiflam for pain every six hourly till you visit your physician or dentist. hope it helps.

thanks.

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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hello,
Thanks for posting your query
Toothache is usually caused by dental caries and its consequences. If infection is present, vomiting can occur.
Nausea and vomiting are associated with GI disorders,commonly the fever indicates a bacterial infection.Not chewing well and dental pus are suggestively the cause of GI disturbance.
You need to cover with an antibiotic, levofloxacin 500mg / 24 hours for 5 days at least.
Check with another dentist after finishing your antibiotic course.
Regards
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Dentist Dr. Farah Hussain's  Response
hi and welcome,

Tooth ache indicates bacterial decay or infection in the tooth that has exposed the tooth nerve tissues.

Vomiting and fever is caused may be due to infected tooth and abscess draining from the tooth .

such a infected tooth needs to be treated by a root canal procedure so please consider getting the treatment done by consulting a dentist.

since you cannot visit a dentist right now , i would suggest you to strt with antibiotic Augmentin 325mg along with analgesics like aceclofenac two times daily for 3 to 5 days .

This course of medicines will help in subsiding pain and infection.

i hope this helps ,

take care.
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Dentist Dr. Qazi Ammara's  Response
Hi,

Thanks for asking the query,

Severe tooth pain indicates that your tooth is infected , difficulty to open the mouth is due to pain and swelling . Stomach abscess occurs due to draimage of abscess into the oral cavity .

I would advice you to visit to the Dentist and get checkup done .
Take an x-ray of the tooth.
Take saline water gargles 3-4 times a day .
Use chlorhexidine mouthwash gargles twice daily .
Take tab amoxicillin 500mg TDS , tab diclomol TDS,

Hope this helps out ,

Regards..
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Dentist Dr. Neha Gupta's  Response
Hello,
I am Dr.Neha Gupta (dentist) and am glad to address to your query here.

Nausea and vomiting are associated with GI disorders,commonly the fever indicates a bacterial infection.Not chewing well and dental pus are suggestively the cause of GI disturbance.

You need to cover with an antibiotic, levofloxacin 500mg / 24 hours for 5 days at least.
Check with another dentist after finishing your antibiotic course.

maintain good oral hygiene.
brush your teeth twice daily using toothbrush.
rinse your mouth after every meals.
chlorhexidine mouthrinses can prevent plaque accumulation

Take care and please keep me informed of your progress at healthcaremagic through my profile directly.
Regards
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3 Doctors agree with this answer

Dentist Dr. Farah Hussain's  Response
hello and welcome to HCM,

Tooth ache indicates bacterial decay or infection in the tooth that has exposed the tooth nerve tissues.

Vomiting and fever is caused may be due to infected tooth and abscess draining from the tooth .

such a infected tooth needs to be treated by a root canal procedure so please consider getting the treatment done by consulting a dentist.

since you cannot visit a dentist right now , i would suggest you to strt with antibiotic Augmentin 325mg along with analgesics like aceclofenac two times daily for 3 to 5 days .

This course of medicines will help in subsiding pain and infection.

i hope this helps ,

take care.
I find this answer helpful
Dentist, Implantology Dr. Gaurav Goel's  Response
you need to see a dentist immediately to know the cause of the pain and then treat accordingly. meanwhile you can take some painkiller.
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Toothache, Vomiting, Fever. What Do I Do?

Dear friend. thanks for sharing your concern. your history suggest that you have an abscessed tooth which has lead to restricted mouth opening and associated pain. it is quite possible to have fever due to infection in your oral cavity.vomiting is not associated. in this condition you must visit first to your phyiscian so that he can evaluate you an prescribe you an antibiotic and analgesic. after that once your symptoms are under control,like fever and vomiting then you can give a simultaneous visit to your dentist too. donot worry.just get your oral check up done first then you can one by one get treatment done. based upon priority.meanwhile look for some charity dental camps too that could help you. do frequent warm saline rinses. take tab combiflam for pain every six hourly till you visit your physician or dentist. hope it helps. thanks.