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Suggest Treatment For Acute Right-sided Pain In Upper Teeth And Severe Cold

Posted on Wed, 16 Sep 2015

Question: Iam having acute pain right side upper teeth and right face just below eye, I taken roxid 150 twice with wikoryle usually I take it when I had severe cold , few months ago I consulted ent surgeon, he said needed surgery for PND, but I skip that because I did not feel souch uncomfortable, now last 3 days iam facing this pain severly, and taking roxid 150 with wikoryle and celin 500 , but my symptoms not changed , what medicine should I take, kindly note this is the first time I face , is it maxillary sinus ? What antibiotic I need for ?

Answered by Dr. Sumit Bhatti (1 hour later)

Brief Answer:
Maxillary Sinusitis.

Detailed Answer:
Hi,

Thank you for your query.

1. The roots of the upper teeth are closely related to the floor of the maxillary sinus of that side. The roof of the maxillary sinus is the floor of the orbit. (bony socket of the eye).

2. The combination of amoxicillin + clavulanic acid will be a good first line antibiotic. However this should be taken only under strict medical supervision. Supportive treatment will include anti allergic, mucolytic, anti inflammatory, steam inhalation, saline nasal washes and short term OTC nasal decongestant drops.

3. A plain CT PNS ( Para Nasal Sinuses ) is the gold standard investigation. Get it done if there is no response after 4-8 weeks of maximum medical therapy.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumit Bhatti (47 hours later)

Hello Doctor, according to your advise I consulted ent surgeon , who prescribed me medicine 1)cifran oz twicedaily 2) zycold twice daily, 3)momeflo nasal spray, 4)zerodol P incase of severe pain for3 days ,and advised X-ray pns,
X-ray pns shows report as under
1) right maxillary antrum opacified
2) haziness is noted in bilateral sinuses
3) osseous outlines are maintained
4) mild deviation of the nasal septum is seen
with convexity to the left side,

I was advised to visit. Him with X-ray report on Thursday,
Now please advise if the medicine prescribed is OK ? And can it be cured by medicines ? I had severe pain in the noon and I compelled to take zerodlp,

Please suggest further.
Thanking you,

Answered by Dr. Sumit Bhatti (2 hours later)

Brief Answer:
Sinusitis.

Detailed Answer:
Hi,

Thank you for writing back.

1. This is Sinusitis. Upload the scan images.

2. I would recommend a broad spectrum antibiotic such as amoxicillin + clavulanic acid in addition Rest of your medications are fine.

3. The sinusitis should respond to the medication.

4. Let me know the progress.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sumit Bhatti (20 hours later)

Dear Doctor

Please find my Xray, uploaded for your perusal should i stop taking cifran ? and follow your medicine ?
please advise, i had only 5% relief, pain starts exact 24 hours time what it was yesterday

Answered by Dr. Sumit Bhatti (17 hours later)

Brief Answer:
Get the Sinus CT done.

Detailed Answer:
Hi,

Thank you for writing back.

1. The X-ray shows maxillary sinusitis.

2. You may complete the course of Cifran since you have started taking it and add the medication that I have recommended (in consultation with your doctor).

3. Get the Sinus CT done if the pain persists.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar