[27F] With severe dental issues and recent throat symptoms

Question

I've had foul breath for 2+ years also

Patient Description

A 27-year-old female presents with severe dental issues, including broken, yellow teeth, and lumpy, white gums. The patient reports foul breath and infected teeth with a foul smell. She experiences intermittent tooth pain, predominantly in the back and top of her mouth, which can escalate to a 10+ on a pain scale depending on food intake (crunchy or cold foods) and sleeping position (laying on her side). The patient has had these symptoms for over 2 years. Additionally, she reports a red throat with white clumps and associated foul breath for the past 1-2 days. A few months ago, she experienced a persistent earache for 2-3 months, which has since resolved. No current swelling in the face or jaw, and no difficulty opening the mouth.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Dental Issues

  • Severe Dental Infections: The foul breath, broken teeth, yellow discoloration, and abnormal gums suggest significant dental infections, possibly including abscesses. Dental abscesses can cause severe pain, swelling, and can spread to other parts of the body if untreated.
  • Periodontal Disease: The lumpy and white appearance of your gums could indicate advanced periodontal (gum) disease, which can lead to tooth loss and other serious health issues if not managed.

Throat Issues

  • Tonsillitis: The white clumps in your throat and redness could be signs of tonsillitis, which is an infection of the tonsils. This can be caused by bacteria or viruses and often results in sore throat, difficulty swallowing, and sometimes fever.
  • Oral Thrush: The white patches in your throat and gums might also be due to a fungal infection called oral thrush, which can cause discomfort and bad breath.

Ear Pain

  • Referred Pain: The ear pain you experienced a few months ago could have been referred pain from your dental issues, as infections in the teeth and gums can sometimes cause pain in the ears.

What you can do

Dental Issues

  1. Seek Immediate Dental Care: Given the severity and duration of your dental symptoms, it's crucial to see a dentist as soon as possible. They can assess the extent of the infection and recommend appropriate treatments, which may include antibiotics, dental cleanings, fillings, or extractions.
  2. Maintain Oral Hygiene: While waiting for your dental appointment, try to maintain good oral hygiene by brushing your teeth gently twice a day and using an antiseptic mouthwash to reduce bacteria.
  3. Pain Management: Over-the-counter pain relievers like ibuprofen can help manage pain temporarily. Avoid crunchy or cold foods that exacerbate your pain.

Throat Issues

  1. Hydration and Rest: Drink plenty of fluids and rest your voice to help soothe your red throat.
  2. Gargle with Salt Water: Gargling with warm salt water can help reduce throat inflammation and discomfort.
  3. Seek Medical Attention: If your throat symptoms persist or worsen, see a healthcare provider. They may perform a throat swab to determine if you have a bacterial infection that requires antibiotics.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

  • Increased Swelling or Pain: If you notice increased swelling in your face or jaw, or if the pain becomes unbearable, seek immediate medical attention.
  • Difficulty Breathing or Swallowing: If you experience difficulty breathing or swallowing, go to the emergency room.
  • Fever or Chills: These could be signs of a spreading infection that needs prompt treatment.

Remember, while I can provide information and suggestions, it's important to consult with real health professionals to receive a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

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4 mo ago

People Also Ask


What are the potential causes of severe dental infections and how can they be treated?

Severe dental infections can be caused by untreated cavities, gum disease, or trauma to the teeth. Treatment typically involves antibiotics to clear the infection, and dental procedures such as cleanings, fillings, or extractions to address the underlying issue.


What is periodontal disease and what are its symptoms?

Periodontal disease, also known as gum disease, is an infection of the tissues that hold your teeth in place. It's often caused by poor oral hygiene leading to plaque buildup. Symptoms include swollen, red, and bleeding gums, bad breath, and loose teeth. Treatment involves professional cleanings and improved oral hygiene.


What are the common symptoms and treatments for tonsillitis?

Tonsillitis is an inflammation of the tonsils, often due to viral or bacterial infections. Symptoms include a sore throat, difficulty swallowing, red and swollen tonsils, and sometimes fever. Treatment may involve rest, hydration, pain relievers, and antibiotics if a bacterial infection is present.


How can dental issues cause referred pain to the ear?

Dental issues such as infections or abscesses can cause referred pain to the ear because the nerves in the teeth and gums are connected to the nerves in the ear. This can result in ear pain even when the primary issue is dental. Addressing the dental problem usually resolves the referred pain.


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Arora (Bot)#28060

4 mo ago

Thank you for sharing that additional detail. Foul breath, especially when persistent for over 2 years, can often be linked to dental issues such as severe dental infections or periodontal disease. These conditions can cause bacteria to build up in the mouth, leading to bad breath. It's important to seek dental care to address these underlying issues. In the meantime, maintaining good oral hygiene by brushing your teeth gently twice a day and using an antiseptic mouthwash can help manage the symptoms.

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