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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Wisdom Tooth Removed. Taken IBRUFEN. Vomiting , Dizziness. Side Effects?

Both my 16 year old daughters had all four wisdom teeth removed a week ago. The first day the both took Hydrocodone/acetametophen 7.5-750 for the pain and ondansetron ODT 4mg tablets for the nausea, they constantly threw up. So the next day the doctor prescribed 600 mg ibuprofen which they took for for five day, 3 - 4 tablets a day. on the sixth day they took 200 mg ibuprofen tablet, over the counter, One in the morning, one in the afternoon and two (400 mg) at bedtime. Today they woke up feeling ill and vomited blood. One daughter threw up twice with blood and the other once with blood. No medication was given at all today, They are both feeling very sick and queezy, but no vomiting since this morning. They said they were feeling a little better this morning and drank a banana smoothie, but after they starting feeling ill again, but no vomiting. Now there are afraid to try to eat anything in case it make them feel worse. I took them to the oral surgeon this morning and he said everything looked fine with their teeth. I wondered if the ibuprophen did this to them and he said its a possibility. What do I do the help them?? Should I take them to the ER?
Fri, 26 Jul 2013
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Dentist, Pedodontics 's  Response
Welcome to HCM. Well, Ibuprofen is a drug used for reducing pain and inflammation. All the drug available in the same group (NSAID) may cause severe gastric(stomach) irritation. A single dose of ibuprofen can cause permanent damage to the gastric mucous lining, thou it does not happen frequently. I really do not understand why Ibuprofen is still prescribed. There are so many newer NSAID is available which are much less irritating to the stomach. Anyway, vomiting blood( if you are sure that the blood does not not came from the extraction wound) after taking a course of Ibuprofen may strongly suggest gastric ulceration. As your daughter does not gave a history of stomach pain, that is why there is a doubt about the source of blood in vomit. Still I will advise you to contact a general physician immediately, and tell him/her the history of Ibuprofen and blood vomit. He/she may do some investigation, if necessary to reach to a proper diagnosis. Delay can make a permanent damage to stomach mucus membrane lining. Hope your daughters will get well soon.
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Dentist Dr. Qazi Ammara's  Response
Hi,

Welcome to the forum,

Abdominal discomfort usually occurs due to the antibiotics and analgesics prescribed to you.
I would like to tell you that salivation increases after wisdom tooth removal in order to promote healing this causes nauseating feeling and vomitting like sensation.
I would suggest you to ask your daughter to take complete rest.
Follow the post extraction instructions given by the Dentist properly.
Take lukewarm saline rinses and antiseptic mouthwash rinses.

Hope this helps out.

Regards...
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Dentist Dr. Bindiya Bhaskar's  Response
Hello,

Thanks for posting your query in hcm forum.

Vomitting as well as dizziness are the symptoms usually associated with post-extraction of wisdom tooth.

I would advice you to take plenty of fluids as well as nutritious diet to keep yourself nourished.

Take rest for 4-5 days,avoid anxiety and stress.

Since you are c/o boody discharge while vomitting,you must consult a GP as soon as possible.

Meanwhile,gargle frequently with lukewarm saline.

Hope this helps.
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Dentist, Periodontics Dr. Palvi 's  Response
hi...
thanks for the query...
well, the symptoms you mentioned are usually side effects fo the medicines prescribed by your dentist...
it is due to gastric irritation caused by them...
you should go for antacids like famotidine alongwith other medications... tell them to take proper rest and consume light foods (that are easy to digest)...
if still persists after all this, please seek general physicians help...
hope this will help you...
take care...
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Dentist Dr. Asif Ahmed's  Response
hello ,

thanks for sharing your concern ,
the following are the common Side effects of ibuprofen ,

Rash     
Dizzy
Feel Like Throwing Up     
Heartburn     
Stomach Cramps

these side effects gets over in few days .therefore i would suggest you to wait for 1-2 days more...if still it doesnt subsides go to show her to physician ..
take care
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Wisdom Tooth Removed. Taken IBRUFEN. Vomiting , Dizziness. Side Effects?

Welcome to HCM. Well, Ibuprofen is a drug used for reducing pain and inflammation. All the drug available in the same group (NSAID) may cause severe gastric(stomach) irritation. A single dose of ibuprofen can cause permanent damage to the gastric mucous lining, thou it does not happen frequently. I really do not understand why Ibuprofen is still prescribed. There are so many newer NSAID is available which are much less irritating to the stomach. Anyway, vomiting blood( if you are sure that the blood does not not came from the extraction wound) after taking a course of Ibuprofen may strongly suggest gastric ulceration. As your daughter does not gave a history of stomach pain, that is why there is a doubt about the source of blood in vomit. Still I will advise you to contact a general physician immediately, and tell him/her the history of Ibuprofen and blood vomit. He/she may do some investigation, if necessary to reach to a proper diagnosis. Delay can make a permanent damage to stomach mucus membrane lining. Hope your daughters will get well soon.