HomeAnswersOtolaryngology (E.N.T)bacterial infectionEven after taking antibiotics for a bacterial infection, my gums are still white in color. What could be the reason?

What could cause white gums after a bacterial infection of the throat??

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At November 1, 2023
Reviewed AtNovember 1, 2023

Patient's Query

Hello doctor,

I had a bacterial infection last week with throat pain and white gums. I took Clavomox 1 gram, Maxigesic PE, and Clarinase for three days as per the doctor's recommendation.

My throat pain has relieved but my upper gums are still white.

What could be the reason? Please help.

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

I went through all the files you sent (attachment removed to protect the patient's identity). First, in the blood report, your hemoglobin is abnormally high. You need to meet a hematologist for the same. Usually, for a male of your age, it should not cross 16 to 17. 20.48 is relatively high. The vitamin D levels are too low. Low Vitamin D can be a cause of recurrent infections and suboptimal healing. You need vitamin D supplements for the same. Sometimes, the elevated hemoglobin level could be normal for you, but we need a hematologist consultation.

Second, the pictures of your mouth show details of the gum. They do appear slightly pale when compared to other people. But it does not look problematic. It is quite variable in people. Moreover, there are no white patches or membrane over it. So, I would say it is healthy. You can use a multivitamin tablet for a few weeks and rinse your mouth with warm saline water a few times daily for a few weeks. Unless you have any symptoms in your gums like pain, sensitivity, bleeding, or burning you need not worry.

I would suggest you take the antibiotic, Clavomox for another three days. You may reduce the dosage to 625 mg twice daily from the current 1000 mg (1g) twice daily. Avoid smoke, dust, and pollution. Avoid direct blowing of AC air onto your face and nose. Drink plenty of warm fluids every now and then.

Please let me know if you need any further support or help.

Thank you.

Patient's Query

Hi Doctor, thank you so much for the reply.

My gums are not painful or bleeding. I will follow your recommendation. Regarding antibiotics, I had the last pill on Friday. I had a break for two days in between. If you confirm I will start taking the medicine from today for three days.

And for vitamin D, do I need a receipt for it, or can I approach any pharmacy?

Thank you.

Hello,

Welcome back to icliniq.com.

For vitamin D deficiency, I suggest you take Vitamin D3 supplements capsule Uprise D3 or capsule Corcus D3 60000 I.U. once a week for eight weeks, then the same tablet once a fortnight for two months, and then once a month for a year. Thereafter you can make it once in three to four months for a long time. We can obtain Vitamin D from the sun naturally, but for that, we need to expose maximum parts of our body to the sun for many hours daily, like sunbathing practiced by certain western communities on beaches.

The high hemoglobin could be due to polycythemia rubra, but we need a professional opinion regarding it. If the throat is absolutely fine and you have been given a gap of two days then no need to take the antibiotic now. We can leave it.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Shyam Kalyan. N
Dr. Shyam Kalyan. N

Otolaryngology (E.N.T)

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