[35M] With facial swelling, severe headache, and sore throat

Patient Description

A 35-year-old male presents with swelling on the left side of the face for four days, described as hard and painful, resembling a thick vein. The patient also reports a severe headache lasting four days, which worsens with movement, and a sore throat for five days, making it difficult to eat. Fever is present. The patient has pain in the teeth when opening the mouth and multiple mouth ulcers. Recently, the patient removed a decayed tooth at home, causing injury. Medical history includes high blood pressure, heart rhythm issues, HIV, and anxiety. The patient is not currently taking any medications but recalls a past medication for HIV named Triumet and another for anxiety. No known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, you may be experiencing a serious dental infection or abscess, especially given the recent tooth removal at home. This can cause facial swelling, severe pain, fever, and difficulty eating. The headache and mouth ulcers could also be related to this infection.

Infections like this can spread and become more serious, so it's important to seek medical attention immediately.

What you can do

  1. Seek Immediate Care: Please visit an emergency room or urgent care as soon as possible. An untreated dental infection can lead to serious complications.

  2. Pain Management: While waiting for medical care, you can use over-the-counter pain relievers like acetaminophen or ibuprofen, but avoid aspirin if you have any bleeding.

  3. Stay Hydrated: Drink plenty of fluids, even if eating is difficult.

  4. Avoid Irritants: Stay away from very hot, cold, or spicy foods that might irritate your mouth further.

  5. Monitor Symptoms: If you experience increased swelling, difficulty breathing, or swallowing, seek emergency care immediately.

Remember, this advice is not a substitute for professional medical evaluation. Please see a healthcare provider as soon as possible.

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3 mo ago

People Also Ask


What are the potential risks of removing a decayed tooth at home?

Removing a decayed tooth at home can lead to incomplete removal, injury to surrounding tissues, and introduction of bacteria, increasing the risk of infection and complications.


How can a dental infection lead to facial swelling and severe pain?

A dental infection can cause facial swelling and severe pain as bacteria spread to surrounding tissues, leading to inflammation and abscess formation, which can press on nerves and cause discomfort.


What are the signs that a dental infection is becoming more serious?

Signs that a dental infection is becoming more serious include increased swelling, fever, difficulty breathing or swallowing, and spreading redness or warmth in the affected area. Immediate medical attention is necessary.


How can someone with HIV manage a dental infection safely?

For someone with HIV, managing a dental infection safely involves seeking prompt medical care, as their immune system may be compromised. It's important to follow prescribed treatments and maintain good oral hygiene to prevent further complications.


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