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What Causes Swelling On Neck After Taking Metrogyl For Tooth Abscess?

Posted on Mon, 18 Aug 2014

Question: XXXX here. I have been to my doctor yesterday for an bad tooth abscess. He prescribed me Metrogyl 400 and Curam duo 500/125 m. I have only had three tablets as of yet but I see the swelling is occurring in the side of my neck as well this morning. will these tablets cure the infection on the next day or so as I amd working along way from a dentist. My doctor normally is very good but just a bit worried.

Answered by Dr. Mahesh Kumar T S (38 minutes later)

Brief Answer:
same antibiotics, access cavity, incision drainage

Detailed Answer:
Thanks for your query, I have gone through your query.
From what I understand The swelling over the neck is because of the spread of infection through the tisssue plane.
Considering your medicines medicines, it takes minimum of 24-48 hours for the swelling to come down. Nothing to worry the combination of Amoxicillin/clavulnic acid and metronidazole is the best of choice to treat tooth abscess. Continue the same course of antibiotics.
Wait for one more day, if there is no improvement in the swelling, then consult your dentist and get the tooth access cavity opening done so that the pus will drain through the tooth. Or incision and drainage can be performed. Once the infection comes down the tooth can be treated.
You have not mentioned about your medical history, considering your age i would suggest you to get a random blood sugar level checked once.
I hope my answer will help you, take care.
If any queries are there, reply me back.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Mahesh Kumar T S (5 hours later)

Thank you but I had a sugar test at the end of last year with a prick in the figure and it recorded 5.2. Blood pressure yesterday was 180/79. Even though I am older I still am very active and work 10 x 14 hour shifts and 4 off followed by a 24 on 4 off. Hope this replies to your concerns and look forward to your feed back. I re visited the doctor today to show him the swelling in the neck and he feels confident it is the glands swelling and he is also confident the medication should start to kick in by 48 hours. it just seems to be taking a long time. he also advised I can take panadene fort to relieve the pain while I am waiting for the medication to take some form of action. What's your thoughts. Cheers
XXXX

Answered by Dr. Mahesh Kumar T S (17 minutes later)

Brief Answer:
antibiotics and analgesics

Detailed Answer:
Thanks for your information. I just wanted to rule out high blood sugar level which inceases the risk of infection. Your report is fine. Nothing to be panic or worried. Complete the course of antibiotics and alagesics and get the tooth treated. Do saline gargling. You will be fine in two days.
your blood pressure s slightly high. If you are going for tooth removal then get a opinion and consent from the physician..
Take care.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Mahesh Kumar T S (33 minutes later)

Sorry that was my mistake the blood pressure was 170/79

Answered by Dr. Mahesh Kumar T S (45 minutes later)

Brief Answer:
antihypertensives and dental treatment

Detailed Answer:
K.. no problem. The blood pressure is slightly high. That can be managed by drugs and diet control. You can go ahead with dental treatment.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Mahesh Kumar T S (48 minutes later)

My friend I am so , so sorry but I have been a bit crook today. When you stated my blood pressure was a bit high I re checked my last report and it was 120/79. Again sorry mate and off to bed now my friend and hope the tablets have started to kick in by morning. Kindest Regards /XXXX

Answered by Dr. Mahesh Kumar T S (29 minutes later)

Brief Answer:
dental treatment

Detailed Answer:
K. Then you can go ahead with the dental treatment. Take care.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Mahesh Kumar T S (21 hours later)

So big pain at the bottom of the neck where it adjoins the collar bone is part of the pain being encountered?

Answered by Dr. Mahesh Kumar T S (8 hours later)

Brief Answer:
Lymphnode involvement, RCT OR Extraction

Detailed Answer:
Thanks for your reply,

The pain in the bottom of the neck is because of the lymphnode involvement and it will subside once the source of infection is treated.

Consult a dental surgeon and get the tooth treated, since you have already taken a course of antibiotics, you can go ahead with dental treatment by treating the tooth with either RCT or extraction..

Thank you, take care.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Mahesh Kumar T S (8 hours later)

Thank you for your reply as it has eased my worrying considerable. last night I had this massive pain in the left collar bone area but my temperature was maintaining 36.8 C which I believe to be ok. My pulse rate was a bit quicker at 83 which I don't believe to be too dangerous. I did and I hope I was permitted to taking this type of medication take 1 x Ibuprofen tablet and it relieved things and got some sleep. Yes I take all your valuable comments onboard but the problem where I live in remote Queensland I have a few months wait to get into a dentist but have got my name down for attention asap. Again thanks for your help to get through this as it is so much appreciated.
Kindest Regards and hope you can clear up taking ant inflammatory is ok.
XXXX

Answered by Dr. Mahesh Kumar T S (8 hours later)

Brief Answer:
anti inflammatory, ibuprofen

Detailed Answer:
Thanks for your reply.

Yes, you can take anti inflammatory drugs like ibuprofen. Since you are in remote area, for time being you can take ibuprofen along with a course of antibiotics.

The antibiotics provide temporary relief, for the problem to be solved the cause has to be removed. If the infection gets aggravated you can take a course of antibiotics with analgesics. But try to get the tooth treated as early as possible.

Take care.

Note: Find out which dental treatment will work best for your teeth. Ask here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari