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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Had Wisdom Tooth Removed. Had Hallucination On Waking From Anesthesia. Gave Valium. Later Had Panic Attack. Normal?

My son had his wisdom teeth removed this morning and was under general anesthesia. Upon waking he began having difficulty. He was hallucinating, and began having what was compared to a panic attack. This continued and the dentist then gave him Valium. He was transported to the ER where he was kept until he woke up on his own and did not have any other issues. We brought him home and he slept for several hours. Upon waking, he took some pain meds, had a small snack and went back to sleep. He woke up about an hour later and when he got up to use the restroom, began having a full blown attack, with hyperventilation, and incoherent. The question that I have is, is this common? Why does this keep happening and what should we do?
Mon, 1 Jul 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

Minor procedures like extraction of teeth is carried out under anesthetic agents which produce drowsiness and hallucinations as a side effect of the anesthetic agent.
So, there is nothing to worry about the drowsiness and hallucinations.
However, panic attacks are an accompaniment of the side effect of anesthetic agents.
Is there past history of panic attacks?
If yes then probably your son is suffering from panic attack disorder.
If there is no history then it a new onset disorder.
Consult your doctor (psychiatrist preferably) for clinical examination of your son.

Thanks and take care
Dr Shailja P Wahal

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Dentist Dr. Neha Sumra's  Response
Hi
Welcome to HCM
Anesthesia produces hallucination & dizziness.But it subsides after sometime.However panic attacks are not common after anesthesia.Do your son has any history of such attacks.He needs to go for complete check-up.
You may consult psychiatrist for further problem.

Take care
Regards
Dr.Neha
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Dentist, Pedodontics Dr. Amitabha Chakraborty's  Response
thank you for asking query in this forum. Recovery period from general anesthesia (GA)varies from person to person. Till 12 hours after waking from GA there could be some symptoms like hypoxia (low oxygen- breathlessness), Hypo or hypertension, Hypocarbia - also symptoms like breathlessness, restlessness, anxiety (which you may describe as panic attack) etc are not uncommon. If antiemitic is given, symptoms like dissociation or disorientation can also be seen. But everything should wears off within 12 hours. Let him take enough rest. You can give one more dose of Valium tab 10mg after 12 hours of first dose and let him have a good sleep. He will be well soon.
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Dentist Dr. Bindiya Bhaskar's  Response
Hello,

Thanks for sharing your concern.

Post extraction of wisdom tooth usually shows th symptoms mentioned.

Allow your son to take adequate rest.

Take complete course of antibiotics-analgesics prescribed.

Plenty of fruits as well as nutritious diet has to be administered.

Take care.
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Had Wisdom Tooth Removed. Had Hallucination On Waking From Anesthesia. Gave Valium. Later Had Panic Attack. Normal?

Hello and welcome to HCM, Minor procedures like extraction of teeth is carried out under anesthetic agents which produce drowsiness and hallucinations as a side effect of the anesthetic agent. So, there is nothing to worry about the drowsiness and hallucinations. However, panic attacks are an accompaniment of the side effect of anesthetic agents. Is there past history of panic attacks? If yes then probably your son is suffering from panic attack disorder. If there is no history then it a new onset disorder. Consult your doctor (psychiatrist preferably) for clinical examination of your son. Thanks and take care Dr Shailja P Wahal