Patient's Query
Hi doctor,
For two to three weeks I have been experiencing buccal bleeding. I have inflamed gingiva behind one of the upper teeth. I can sense the lump with my tongue on the gum.
I went to the dentist, and he told me that it was gingivitis, and he gave me a special mouthwash for gingivitis. But I have not seen any improvement since two weeks ago, even after using the mouthwash.
Every one or two days that inflamed part of my mouth starts bleeding, and I have to spit and start suctioning with my own mouth to get all the blood off, and then the bleeding stops. I have managed to take some pictures with my phone.
Please help.
Hi,
Welcome to icliniq.com.
The photos sent are not clear enough to give an exact diagnosis (attachment removed to protect patient identity). You should start taking antibiotics like Amoxicillin and Metronidazole for five days to reduce the gum swelling. If you can buy medicine over-the-counter, then buy the following:
1. Capsule Amoxicillin CV 500 mg (combination of Amoxicillin and Clavulanate) thrice daily for five days.
2. Take Betadine gargle or warm saline gargle thrice daily.
3. Send a good picture also. Consult a dentist and ask about flap surgery for the affected area.
I hope this helps.
Patient's Query
Hi doctor,
Thanks for the response.
I went to an endodontist, and she gave me Amoxicillin for five days. I did not take Metronidazole as she said I did not have any pus. She also said that she would not do any flap surgery, as it was not necessary. She said to wait for the antibiotic response, and then we would see.
After taking the antibiotic, bleeding stopped and the inflammation of that area decreased significantly. Then I realized that what I had was a bacteria accumulation problem of some sort in that area. But yesterday I began to feel inflammation in that area again, but no bleeding. I really would like to avoid flap surgery.
Kindly guide.
Hi,
Welcome back to icliniq.com.
If you are again having swelling so soon after taking antibiotics, then it means that you have some sort of pathology in that area.
Get an X-ray done of the area to rule out infection of any teeth. If the inflammation is just due to some gum problem, then you should consult a periodontist and at least do curettage and root planing, and if not, flap surgery.
Thank you.
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Answered by Education: BDS Professional Bio: Dr. Naveen Thomas is an expert in Dentistry. He is experienced and well-versed in all treatment modalities of Dentistry. This doctor is not available for online consultations on the platform anymore. Dr. Naveen Thomas
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Naveen Thomas
Dentistry
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