Dealing with Gum Abscess: What to Do If You Inadvertently Swallow Pus - Dentistry

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Gum abscess


Hello doctor, I have swelling in my gums near the last tooth in my lower jaw, which is a horizontal wisdom tooth.
There was a pus-filled abscess that burst while I was brushing my teeth, and it seems like I ingested some pus.
What should I do if I ingested pus, and what are the potential consequences? Thank you.

Kiki, 30~39 year old female. Ask Date: 2021/09/30

Dr. Lin Jiayong reply Dentistry


Hello: Consuming a small amount of pus from oneself is unlikely to cause harm, but it is advisable to promptly identify the cause of the pus and seek active treatment.
This is a response from Dr.
Lin Chia-yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/09/30

More Info


Dealing with a gum abscess, especially one that has ruptured and caused pus to enter your mouth, can be concerning. First and foremost, it’s important to understand that while swallowing pus from a gum abscess is not ideal, it is generally not considered to be life-threatening. However, it can lead to some discomfort and potential complications if not addressed properly.

When a gum abscess forms, it is typically due to an infection in the gums, often caused by bacteria. This infection can lead to the accumulation of pus, which is a thick fluid made up of dead white blood cells, bacteria, and tissue debris. If the abscess ruptures, the pus may drain into your mouth, and in some cases, you might inadvertently swallow it.


What Happens If You Swallow Pus?
1. Digestive Process: If you swallow pus, your stomach will process it like any other food. The acidic environment of the stomach can help neutralize some of the bacteria present in the pus. However, this does not mean that it is safe or healthy to do so.

2. Potential Symptoms: You may experience some gastrointestinal discomfort, such as nausea or an upset stomach, after swallowing pus. If you have a sensitive stomach or a history of gastrointestinal issues, you might be more prone to these symptoms.

3. Infection Risk: The primary concern with a gum abscess is the infection itself. If the infection is not treated, it can spread to other areas, potentially leading to more serious health issues, including systemic infections.


What Should You Do?
1. Rinse Your Mouth: After noticing that you have swallowed pus, it is advisable to rinse your mouth with warm salt water. This can help reduce inflammation and promote healing in the affected area. Saltwater rinses can also help flush out any remaining bacteria.

2. Seek Dental Care: It is crucial to see a dentist as soon as possible. A dentist can properly assess the situation, drain the abscess if necessary, and prescribe antibiotics to help clear the infection. They may also recommend further treatment, such as a root canal or extraction of the affected tooth, depending on the severity of the infection.

3. Monitor Symptoms: Keep an eye on your symptoms. If you experience increased swelling, fever, or persistent pain, these could be signs that the infection is worsening and requires immediate medical attention.

4. Avoid Self-Treatment: While it may be tempting to try home remedies, it is essential to avoid self-treatment without professional guidance. Over-the-counter pain relievers may help manage discomfort, but they do not address the underlying infection.

5. Maintain Oral Hygiene: Continue to practice good oral hygiene, but be gentle around the affected area. Brushing and flossing can help prevent further infections, but be cautious not to irritate the swollen gums.


Conclusion
In summary, while swallowing pus from a gum abscess is not ideal, it is usually not dangerous in the short term. However, the underlying infection needs to be treated promptly to prevent complications. Make sure to consult with a dental professional who can provide the appropriate care and treatment for your condition. Taking swift action can help you recover and prevent further issues related to your oral health.

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