Swollen Gums and Body Aches: When to See a Dentist? - Dentistry

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Gum swelling and pain, body aches?


Hello Doctor, I discovered swelling and pain in my upper left gum last Sunday.
The next day, my tonsils also became swollen.
About three days later, I went to see an ENT specialist, and my temperature was 37.2°C.
The doctor prescribed me anti-inflammatory medication, but later I read online that I should see a dentist.
The next day, I visited the dentist, who said I had a small wound on my gum, and the saltwater rinses I used made it worse.
After the dentist cleaned my teeth, they applied some medication.
However, that night, I started feeling a soreness in my left shoulder.
It’s not painful, but it feels achy.
Should I undergo any further examinations?

zi, 20~29 year old female. Ask Date: 2017/10/13

Dr. Zeng Guanghui reply Dentistry


The upper left gum is inflamed, and the tonsil is also swollen.
Later, there is a feeling of soreness in the left shoulder.
In addition to these inflammatory symptoms, it is important to consider the possibility of an upper respiratory viral infection.
It is recommended that if the symptoms persist and there is a fever, one should consult an internist.

Reply Date: 2017/10/13

More Info


When experiencing swollen gums and accompanying body aches, it is essential to take these symptoms seriously, as they can indicate underlying dental or systemic issues. Based on your description, it seems you have already taken the right steps by consulting both an ENT specialist and a dentist. However, let’s break down your situation further and discuss when it might be necessary to seek additional dental care or further medical evaluation.


Understanding Your Symptoms
1. Swollen Gums: Swelling in the gums can be caused by various factors, including gum disease (gingivitis or periodontitis), infections, or trauma to the gum tissue. The fact that you mentioned a small injury to your gums, which worsened after using saltwater, suggests that there may be irritation or inflammation present.

2. Swollen Lymph Nodes: The swelling of your lymph nodes, particularly in the neck area, can indicate that your body is fighting an infection. This is a common response to localized infections, including dental infections.

3. Body Aches: The soreness in your shoulder could be a result of muscle tension or stress related to your dental discomfort. However, if the body aches persist or worsen, it could indicate a more systemic response to an infection.


When to See a Dentist Again
Given your current symptoms, here are some guidelines on when to seek further dental care:
- Persistent Symptoms: If your gum swelling does not improve within a few days after your dental visit, or if it worsens, you should return to the dentist. Persistent swelling may require further evaluation, such as imaging studies or a deeper examination of the affected area.

- Increased Pain or Discomfort: If you experience increased pain, especially if it becomes sharp or throbbing, this could indicate an abscess or deeper infection that may need treatment, such as drainage or antibiotics.

- Fever or Systemic Symptoms: If you develop a fever, chills, or other systemic symptoms (like fatigue or malaise), it is crucial to seek medical attention promptly. These symptoms can indicate that the infection is spreading or that there is a more serious underlying condition.

- Changes in Lymph Node Size or Pain: If the swelling of your lymph nodes increases or becomes painful, this could be a sign that the infection is not localized and may require further medical intervention.


Additional Considerations
- Follow-Up Care: After your dental cleaning and treatment, it’s essential to follow any aftercare instructions provided by your dentist. This may include avoiding certain foods, maintaining oral hygiene, and possibly taking prescribed medications.

- Pain Management: If you are experiencing discomfort in your shoulder or body aches, consider over-the-counter pain relief medications, such as ibuprofen or acetaminophen, unless contraindicated. However, consult with a healthcare provider if you have any concerns about medication interactions or side effects.

- Oral Hygiene: Maintaining good oral hygiene is crucial, especially after experiencing gum issues. Regular brushing, flossing, and possibly using an antibacterial mouthwash can help prevent further complications.


Conclusion
In summary, while you have taken appropriate initial steps by consulting healthcare professionals, it is vital to monitor your symptoms closely. If you notice any worsening or new symptoms, do not hesitate to seek further evaluation from your dentist or a medical professional. Early intervention can prevent complications and ensure that any underlying issues are addressed effectively. Remember, your health is paramount, and being proactive about your symptoms is always the best approach.

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