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16 month old having runny nose. Noticed swollen, bruised and bleeding gum. Could it be sinus infection?

Sep 2012
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General & Family Physician
Practicing since : 2008
Answered : 1416 Questions
16 month old female - upper left front tooth - cut thrugh the gum 2 weeks ago. As of today - there as been no front fall - but gum is swolen, bruised, and bleeding. Has had a runy nose for 10 days - thick XXXXXXX snot - could the possible sinus infection be draining from the open cut as the front tooth protrudes causing puss to close the opening?
Posted Fri, 16 Nov 2012 in Asthma and Allergy
Answered by Dr. Das Arindam 3 hours later
Firstly, swelling, bruising, bleeding occuring from a previously injured gum denotes
- Local trauma which injured the area again.
- Infection in that particular area of gum leading to these manifestations.
Draining the sinus infection from the open cut is not possible. It may occur when there is a fractured maxilla. You did not give such history. So, it is not a possibility. But it should be clinically examined.
The condition is complicated by presence of a runny nose. This indicates an upper respiratory tract infection.

You have to do the followings -
1. Use a good mouthwash to keep the area clean. It is most important.
2. For infection, a broad spectrum antibiotic like amoxicillin / azithromycin group of drugs, should be used. It is effective for both the gum infection and runny nose.
3. If fever comes give acetaminophen group of drugs.
4. Consult with a pediatrician for further clinical examination, investigation if required, and dose adjustment of the abovementioned drugs.

Hope this information suffices. Let me know, if you have any more question.

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