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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Should Be Taken For Swollen Face With High Fever And Chest Pains Post Tooth Removal ?

went to hospital over weekend.. back on march 1 had a tooth get pulled. got infected.. face swallon..had high fever .. and started to get very very bad chest pains.. went to hospital,heart machine keep beeping low RR and low heart rate .. ER doc keep in dark for 7 hours not telling me anything.. wanted to admitt me but instead i paniced and left.. should i be worried
Tue, 3 Apr 2012
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General & Family Physician 's  Response
Hi Rob,

There is no need for you to panic. My suggestion would be to go back to the doctor in ER and get yourself evaluated properly so that the correct cause can be found out and the right treatment started.

A low respiratory and low heart rate is not good sign. Please do not hurry, be patient and take a wise decision.

Hope this helps.

Regards,
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Dentist, Periodontics Dr. Arati C Koregol's  Response
Hello

Thanks for the concern.

Infection after the tooth extraction seems to be very severe. as you are complaining of chest pain ,a matter of concern. You need to take good antibiotics to control infection . If left untreated for long time infection can spread causing space infections and some times leading to severe involvement of other organs of the body. so need cosult the doctor if your symptoms dont reduce, get tested for the cause of chest pain and follow the treatment prescribed by the doctor. So dont be paniced.

Take care
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Internal Medicine Specialist Dr. Rudramani Swami's  Response
HELLO
THANKS FOR POSTING QUERY
YOUR SYMPTOMS SUGGESTIVE OF SPACE INFECTION WHICH IS QUITE COMMON AFTER DIFFICULT EXTRACTION.CONTINUE YOUR ANTIBIOTICS AND CONSULT ORAL SURGEON FOR SPACE INFECTION AS LOW HEART RATE AND RESPIRATORY RATE IS NOT A GOOD SIGN. SINCE YOU HAVE ALREADY STARTED HAVING CHEST PAIN WHICH INDICATES INFECTION IS QUITE SEVERE AND SPREADING RAPIDLY.SO TAKE IMMEDIATE AND INTELLIGENT STEP.I HOPE ,I HAVE ANSWERED YOUR QUERY.I WILL BE AVAILABLE FOR FURTHER QUERIES IF ANY.
REGARDS.
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General & Family Physician Dr. Abeed Basheer's  Response
From your history I could gather the fact that you have a wound infection after getting your tooth extracted.When you went to the hospital you were connected to a pulse oximeter which showed that you had a low respiratory rate and a low heart rate.Usually in fevers your heart rate increases unless you are taking medicines like beta blockers which reduce your heart rate.If your chest pain persists and you are a diabetic it is better for you that you get admitted .Get a basic blood work up done.you can also have an ecg taken which will give you an idea if the chest pain is related in any way to your heart.
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  Anonymous's Response
Anonymous's  Response
Get ur Echocardiography done...Ask doctor to rule out Infective Endocarditis....if it is not there....then no need to worry!!

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What Treatment Should Be Taken For Swollen Face With High Fever And Chest Pains Post Tooth Removal ?

Hi Rob, There is no need for you to panic. My suggestion would be to go back to the doctor in ER and get yourself evaluated properly so that the correct cause can be found out and the right treatment started. A low respiratory and low heart rate is not good sign. Please do not hurry, be patient and take a wise decision. Hope this helps. Regards,