HomeAnswersDentistrygum infectionI have severe pain and swelling in the gums at the back of the mouth along with pain in the left tonsil. Please help.

Will eating be difficult with white, swollen gums in the back of the mouth and pain in the left tonsils?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At July 19, 2023
Reviewed AtApril 20, 2024

Patient's Query

Hello doctor,

The gums on the back of the mouth turned white and puffy, and the left side of the tonsil also hurts. I am unable to eat because the gum pain is severe. Kindly help.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

The infection appears to be extremely serious. Please tell me how many days ago your pain and swelling symptoms started? When did you start taking medicines? Have you seen the dentist recently for any procedures, or have you not been there yet, in general? Once you tell me this, I will suggest some instructions and medication, and you have to act quickly to prevent the infection from worsening or spreading.

Revert with the answer to assist further.

Thank you and take care.

Regards.

Patient's Query

Hello doctor,

Thank you for the reply.

Pain and swelling symptoms first appeared two days ago and on Friday night. I saw the dentist yesterday, a Saturday, and he recommended Clavam. I took Clavam twice in only one day. I experienced comparable discomfort last year, but it was not quite as bad as now, and the doctor gave me some antibiotics then, too, and it went away in a few days. However, now that work has resumed, I need to reduce the swelling as soon as possible. Can you recommend anything? Kindly help.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Yes, the infection will come down in three days. You probably have an unerupted or partially erupted wisdom tooth which might be causing you so much flare-up and inflammation. I am prescribing you these tablets by composition, your local brand may vary, but you can procure the same and continue this antibiotic prophylaxis for three days. You do not have any antibiotic allergies as such right, because you need to take them now. The infection looks severe. You can also try rinsing your mouth with Chlorhexidine gluconate mouthwash twice a day for three months and lukewarm salt water rinsing a couple of times a week. The more lukewarm rinsing you do, the white lesions will stop further aggravating.

  1. Amoxicillin 500 mg + Clavulanic acid 125 mg, twice daily, one tab after breakfast one after dinner.
  2. Metronidazole 400 mg after breakfast and dinner twice a day.
  3. Etoricoxib 60 mg + Paracetamol 325 mg one after breakfast, one after dinner.
  4. Domperidone 30 mg + Pantoprazole 40 mg (half an hour before food).

You can start with the antibiotic and painkiller prophylaxis now. In general, can you notice any decayed tooth, or is your pain and swelling from the end of the jaw where the third molar or the white patch-like lesion is?

Revert with the answer to assist further.

Thank you and take care.

Regards.

Patient's Query

Hello doctor,

Thank you for the reply.

Okay, doctor, what do the plus signs mean? All different tablets? Kindly help.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Plus signs are the composition of the tablet. Your local brand of tablets available might vary but go with the composition so that you start with this for five days. I wanted to ask you if you have noticed any blood or any other ulcerations or any red or white patch in your mouth lately? Do you bleed on brushing or anything like that?

Revert with the answer to assist further.

Thank you and take care.

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Achanta Krishna Swaroop
Dr. Achanta Krishna Swaroop

Dentistry

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