Root Canal - Antibiotics prescribed

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Trigger2298
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Root Canal - Antibiotics prescribed

Post by Trigger2298 »

Hi all.. And ty all so so much for the wealth of information this site Tex developed offers us all..It is truly a blessing to have even though it overwhelms me lol... I was diagnosed with Lymphocytic colitis back in july after a colonoscopy... Actually i will introduce myself and symptoms/ect in a different topic to not go off topic right away in this one...

And as you'll see I miserably failed at staying on topic lol.

My teeth are in pretty bad shape to say the least following yrs of neglect during severe depression... I finally got the guts to go in after enough was enough... That's how i was diagnosed with MC after a long bout of very scary symptoms that I now know was MC. And I hadn't been to the dr since i was a child and I'm now a 41 (male) in January..

My service list is quite long and ill add it all later to provide more info... But, we started with a 3 root on tooth 14.. I don't think they actually did the full root canal as i go back dec 17th for the root canal part i think... I should have asked more questions but i was their last appointment of the day and they might have seemed to be in a little hurry but it could have also been my anxiety kicking in as it took all i could to make it to my appointment.. I just got done with my final day of orientation for my new job (will be my first "real job" as i worked parents janitorial service since i was 14) that I start on sunday so I didn't know if this is how i really wanted to celebrate the ending of orientation is with a root canal lol..


Anyways he did what he could... the tooth was rotted pretty good and nerves were dead he said... I think he cleaned it out and packed it maybe? I could hardly talk because mouth was so numb and my anxiety was high along with brain fog.. ugh.. Anyways the nightmare and shock came when i was prescribed another antibiotic - amoxicillin... and I'm very scared to take it.. I have been on 3 different antibiotics this yr the last being about a month back... z-pack for a headache i had for at least two weeks straight...wasn't a bad one... maybe a 3 on a scale of 1-10 but it NEVER went away...never got stronger or weaker either... after the short dose of it the headache was pretty much all gone... didnt have any adverse reactions to the z-pack either so i was happy.. anyways headache is back in full force and that's why i finally got the nerve to get teeth worked on to see if it was possibly the mouth causing headaches and not a sinus infection...

Anyways ill try and stop rambling and get to point.. dentist is closed but I called emergency line they have and they did say they could call in a different antibiotic and it would be Clindamycin I think its spelled and I don't believe I feel any more comfortable with that one in the least after doing a little research quick on it :(

Could I try skipping the antibiotics for a few days or is that not a good thing... lady that called me back (i think daughter of the dentist that worked on me) doesn't seem to think its a good thing but said I could wait a few days and see how it reacts without taking it... Ugh im so scared not to take it and even more scared to take it... any advice would be so greatly appreciated!!!

My tooth was in great pain and i gave in last night b4 bed and took 1 hydrocodone 5-325 they prescribed for me and it help a ton but it wore off as expected this AM and i haven't taken another yet but could use 1 for sure its just I hate meds with a passion for w/e reasons... I have treated my colitis with just diet so far and its working OK....

TMI BEWARE BEYOND HERE LOL.... Lots of ribbon poops? can't get a norman... I love that word now lol! I don't have WD so thats good but the ribbony and lots like 15 or more small ones kinna worries me and it quite the chore to wipe as its really kinna what you would say greasy?? like a brownish green color? and takes forever to fully sanitize clean. If anyone has any help with my BM again I would so greatly appreciate it and my ears are wide open.

i guess Im back to the should I or shouldn't i take one of the 2 antibiotics they called in for me.. i dont know if there is another I could ask to take... I tried z-pack but she said that's not used in this situation... hmm... I'm so confused and its been never ending the last 5 months.. so many dr appointments for.... initial 1st visits and many to my new dr.. circulation test...ct scans...colonoscopy, dermatologist, dentist, and just got over 3 weeks of poison ivy lol. I'm driving my partner totally insane :(

Thanks Y'all for any and all help you can offer me and I look forward to becoming a contributing family member to this priceless place for us all to learn, share, and give support to one another... HAPPY TGIF[/b]
Trigger2298
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Post by Trigger2298 »

Little more info.. had the procedure done at 5pm Wisconsin time last evening.. was in pain starting around 8:30 or so took the pain reliever around 11:30 and it lasted pretty good until around 10 am... my headache/so diagnosed "sinus infection" is the worst its been.. prob a 7 out of 10.. normally its just an annoying headache thats just there all the time.. i really dont know whats going on with the headaches... dr said she'd do a brain mri or is it a ct scan? I think she said if i wanted it.. I dunno.. could the sinus infection really be my teeth causing it? I do know its terribly dry here in the house this fall and my nose does shed blood on the tissue when i clean and blow both nostrils... they did give me fluticasone propionate for it but it doesn't do really anything for headaches which i don't think its meant to? she prescribed me BUT/acetaminophen CAFF 50-300-40 CP for th headaches... is that OK for us with MC? Thanks so much again for any and all help folks are kind enough to help me with.. I'm so overwhelmed and with my ADD and Anxiety that I could use help with also with whats OK for us with MC if anybody has experience with meds I'm also ears wide open...
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Post by tex »

Hi,

Welcome aboard! Tooth problems are very common with MC and celiac disese, because gluten sensitivity tends to weaken tooth enamel, and once the problems begin, they can multiply in a hurry.

Antibiotics are always tough for someone who has MC. And like most other things, some of us are more sensitive to certain antibiotics than others. If you take an antibiotic, be sure to take a good probiotic also, especially at the tail end of the antibiotic treatment, and continue for at least 2 weeks after the antibiotic treatment is completed.

Personally, I always tough out tooth infections, but I wouldn't want to make that blanket recommendation to anyone else, because I might just be lucky that my immune system is strong enough to handle them.

Sinus infections are common, and sinus infections and tooth infections may be associated sometimes. Many members here use a neti-pot to help keep their sinuses clear and to prevent sinus problems from turning into sinus infections. Your pharmacist can help you get started with the right way to use one if you decide to give it a try. That might be more helpful than anything else for controlling/preventing your headaches, because sinus infections tend to be very difficult (if not impossible) to treat with antibiotics, because the antibiotics can't get to where they need to go.

Ribbon BMs and steatorrhea (fat in stool) are also common problems with MC. Ribbon BMs are a step up from diarrhea, so hopefully that's a sign that you are healing. The fat malabsorption problem will fade away as your digestion improves (as your gut heals).

Yes, acetaminophen is safe for most of us with MC. I'm not very familiar with the use of Butalbital as a treatment for headache, but it's known to impair alertness, and it carries a risk of dependence and addiction. But the main thing to consider is that it can increase the risk that occasional headaches will become chronic.

I suppose the caffeine in that combination is there to counteract the lethargic effect of the Butalbital. I've never been a fan of doctors who a prescribe a drug to do one thing, and then prescribe another to counteract the side effects of the first drug. That's usually counterproductive, and it can open the door to additional side effects. But as far as I'm aware, barbiturates are not contraindicated for MC.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Trigger2298
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Post by Trigger2298 »

Thanks so much for the great and informative response, Tex! Guess I won't be cracking the bottle of But/acetaminophen open that's been sitting here for a good month.. Glad to hear ribbons are at least a step up.. i've been trying to eat the best I can.. In January I weighed 330 pounds and im down below 200 now... Kinna scary? I've been low carb and mostly wheat free with limited dairy.. just started adding is salads again with small amounts of raw veggies.. onions and peppers seeming to be OK... keeping my fingers crossed...

tooth is hurting pretty good trying to wait on taking another hydrocodone 325 so i hopefully make it through night on one pill only... or should i just be keeping up with the pain? My partner thinks im nuts... she's says take it when im in this kinna pain...makes sense i guess but i dunno, I hate being a slave to meds but sometimes thy're definitely needed. its ben 24 hrs now since he started the root canal procedure and i still have a tiny bit of bleeding I hope thats normal.

between amoxicillin and Clindamycin which one do you think would be the easiest on stomach? I think I will try the tough it out route for the time being but that could change too if i feel something is going wrong with tooth, not sure how id tell though lol ugh.. Is there a different antibiotic that you think I should suggest to them to see if they could call it in for me instead of the other 2.. I over analyze all this but i hear so many horror stories about them and they seem to hand antibiotics out like its Halloween candy.

I'll check in to the netti-pot... i've just been using the nasal sprays and the Fluticasone Propionate urgent care gave along with z-pack about a month ago or so... hate doing another round of antibiotics so close to that one... O well it is what it is....cant keep stressing myself and wife out.


Thanks again all and anymore help anybody would like to gratefully share with mee/us I would totally appreciate it!
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Post by tex »

I've never used either of those antibiotics, so I have no experience on which to base a suggestion. Maybe someone who has used either one or both of them will see this thread and chime in and share their personal experience. There aren't enough research data available to be able to make an informed decision about using antibiotics with MC. We just have to hope that whatever we select among the choices offered is effective, and doesn't push us into a major flare.

Just plain acetaminophen (max strength Tylenol) might help to sooth the pain a bit, but my experience with it was that if I didn't take it soon enough (IOW, if I waited until the pain was already at severe levels) it wasn't very effective. Still, taking repeat doses at 4-hour intervals (up to the labeled limit) usually provided some degree of relief. I always took it with a meal, or at least a snack, because taking it on an empty stomach never seemed to work for me. And many people swear that it doesn't help them no matter how they take it. Definitely avoid alcohol though (if you take any acetaminophen), because the risk of kidney damage is real. And I wouldn't use it if I already had any kidney issues.

You're very welcome,
Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by Gabes-Apg »

Trigger
I have quite a few messy dental procedures /moler removals over the past few years. Due to renal issues, i was not able to have any painkillers!

I survived this via the following:-
guided meditation / constant ice packs on the area
slept sitting up for 3 days
kept movement to a minimum, my gums soon let me know when I was moving around too much or bending my head down too far
brushed my gums with zinc liquid (antibacterial, helps healing)
ate gooey liquid meals - small amounts, not hot, not cold - sooup/stew/jello

If you rest, keep stress to a minimum, keep your head elevated, the pain should not be that bad.
The main reason that people take painkillers is so they can keep working, moving, doing things.

Taking painkillers does not help to heal quicker. Resting and minimising inflammation will help healing.


Similar to what Tex said above, i would not take antiobiotics. I use salt water and zinc as antibacterial, and this would minimise impact on the gut. The body will cope with normal amounts of infection if you rest, minimise inflammation, minimise stress.

hope this helps
happy healing.
Gabes Ryan

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Post by Polly »

Hi Trigger,

I have just seen your note and am wondering how you are doing now?

I am the poster child for tooth problems! I have had every possible dental problem, and the saga continues.

I have had numerous root canals and have never been given an antibiotic. So, if yours is a routine root canal, you may not need one. However, I am a little concerned that your sinus problem could be related to your teeth. This happened to me several years ago. The dentist was preparing an area on the upper gum for an implant and accidentally popped through to the the maxillary sinus. I ended up with a chronic sinus infection that took 2 hospital surgeries to heal. Although my problem was caused by the dentist, the same thing can happen on its own. If you have enough bone loss under the teeth, erosion into a sinus can occur, which then is a set-up for infection. If this happens to be the case, then you would probably need antibiotics. Don't mean to scare you - this is rare, I think. You probably have run-of-the-mill sinus issues. I had never had a sinus problem until that day with that dentist.

Regarding prevention/treatment of sinus issues......... Yes, the daily irrigation really helps. I like the Neil-Med system (costs about $12-$15 at most drugstores). It is best to use it preventively every night before bed - because it washes out the pollutants/pollens/allergens that have collected in the nose over the course of a day, minimizing the chance of an inflammatory response to them. It is important to take adequate amounts of vitamin D to reduce the chance of respiratory infections. I take 3000 IUs in the summer and 5000 IUs in the winter. (There are tons of posts here that discuss vitamin D in detail). If you feel a respiratory infection coming on, you can help prevent it from going into sinusitis by paying close attention to your hydration and by using Mucinex. I swear by the latter - it keeps the secretions watery so they can be eliminated by nose-blowing, sneezing, sinus drainage etc. It is when they become thick and cannot be eliminated from the sinus that the infection occurs/persists. (So you don't want to use a decongestant or anything that dries up secretions). Also, most docs these days do not use antibiotics for a sinus infection until it persists past 10 days, 2 weeks, or even longer. Clindamycin is definitely not good for MC, nor is amoxicillin. Tex did a post about the meds we tolerate best, based upon our collective experience - you might want to check it out. It's in the Welcome to Newbies forum, under the title "What if Your Doc says you Need to take an Antibiotic?"

I hear you about the fear. I detest going to the dentist! And I always dread it. I try to prepare myself with meditation/relaxation, but the minute I sit in the chair, I cannot control the fear. Let me know if you have any suggestions to deal with it, please. Oh, and certain of the "numbing" injections ("caines") can cause mast cell activation, which can bring on an MC flare. I think it is generally the longer-acting ones.....carbocaine comes to mind.

Good luck,

Polly

P.S. OMG - isn't poison ivy the PITS? How can a plant make one so incredibly miserable! ? I empathize.
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Post by JFR »

Polly,

Although I have not had major dental problems or major sinus problems I do get sinus headaches. I have one right now. It seemed to start with an ocular migraine a few days ago (I only get those very occasionally), strange zig zag lines in my vision and then this low grade headache for several days now. I am thinking it is being caused by the dry air in my apartment. I am considering buying a humidifier but don't really want to spend the money on one large enough to cover my entire apartment, especially since I have no guarantee that it will even help. Do you think the Neilmed system might do the trick? I suppose it is worth a try, cheaper than a quality humidifier at any rate.

Jean
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Post by brandy »

Hi Jean,

(Not Polly) but I bought a vaporizer from drug store for about $20.00. I put it in the bedroom when I sleep at night. If I have more issues I move it around the house with me. It seems to help particularly at night.

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Post by Polly »

Hi Jean,

I agree that the dry winter air may be exacerbating your problems. I agree with Brandy - the vaporizer may be the best solution. You can close your bedroom door to keep the humidified air contained as well as direct the vaporizer mist directly toward your bed while asleep. I would recommend the cool mist vaporizer. Another cheap way to increase room humidity is to put a pan of water on top of your radiators - assuming, that is, that you have radiators! Good luck.

Polly
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Post by nerdhume »

I have 3 of the small vaporizers. Mine have a filter so they help to filter the air as well as add humidity. These really help in the winter! Especially the one in my bedroom helps me sleep at night. I also discovered the same temperature feels warmer and better with more humidity so they may actually save on the heating bill.
Theresa

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Post by JFR »

No radiators to place pans of water on so a vaporizer is the way to go. The question I have is which one. My rooms are kind of large (even though there are only 3 of them) and the ceilings high. They flow into each other and I spend most of my time at home, so one large humidifier that took care of the whole space would be ideal but that's expensive. On the other hand I don't want to get one that is too small for my space and find it doesn't work. What to do, what to do?

Jean
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Post by nerdhume »

Jean I have 3 of the Relion Cool Mist. I bought mine at Wal-Mart. There is no problem if they run out of water, they have a filter to catch allergens, etc.
Theresa

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We must all suffer one of two things: the pain of discipline or the pain of regret. ~Jim Rohn
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Post by JFR »

Thanks Theresa. Relion, which is a Walmart brand I believe, does not seem to make humidifiers any more. I decided to go with a kind of pricey Air O Swiss humidifier which should cover my whole 1 bedroom apartment. It gets Consumer Reports top rating, for what that's worth. It would be nice to not have a headache. It should arrive on Friday.

Jean
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Post by Trigger2298 »

Ugh... Back again...Before i go on rambling again lol, I just wanted to say thanks so much for all the great advice and help I received in the original post. This family is so so darn invaluable and i only wish I could be of more help here.

I started getting pain in the tooth where the root canal was started back in Nov. but I never got finished/crowned. So I called this am to go in and they took me this afternoon.. I told them my symptoms of pain on that root canal and the headaches it was causing.. So he pulled out the xray mat and confirmed what I figured, infection.. so I was of course prescribed, Clindamycin "the big guns of antibiotics" he said and of course I was like - o gosh here we go again and I gave him how against and nervous I am about taking antibiotics and he was - If you don't take them, there is a chance the infection could kill you. He said take your pick. Have a reaction to the antibiotics or take the chance of something much worse.... ughh.. I just gave up the fight after that and now referred back to this thread... I didnt take the antibiotic last time but last time i think he cleaned out the infection maybe? so maybe it was only prescribed if the infection didn't go away after the root canal? Heck I dunno.. All i know is he has me scared this time and for good measure probably.. I'm also scared of the possible reaction to Clindamycin as Polly mentioned it definitely is not good for MC..

Enough rambling... Sooo.. do ya's think I should just keep a close eye on the pain symptoms and try what Gabe uses in salt water and zinc as an antibacterial.. would that be brushing with liquid zinc? If infection doesnt seem to be getting better or come the weekend I should think about starting a round of Antibiotic..

Thanks so much for any more advice above and beyond all of the great ones from above would be most welcomed.

Steven
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