Q. I have pain and swelling in my gums with bleeding. Please help.

Answered by
Dr. Bharat Joshi
and medically reviewed by Dr. Preetha J
This is a premium question & answer published on Oct 25, 2020 and last reviewed on: Nov 02, 2020

Hi doctor,

I have pain and swelling in gums and sometimes bleeding as well.

#

Hello,

Welcome to icliniq.com.

Please do not worry. Thank you very much for sending pictures and for making my diagnosis clear. See, it is gingivitis along with a traumatic ulcer. Gingivitis is due to the accumulation of plaque and while the ulcer is due to hot food inhalation. I am prescribing some medications. Please follow these medications and report me if no improvement is there.


The Probable causes:

Plaque and calculus, while hot food caused the ulcer.

Probable diagnosis:

Plaque and calculus, while hot food caused the ulcer.

Treatment plan:

Medications are followed by scaling (whenever you find the time).
Apply Metrogyl gel (I hope you are not allergic to Metronidazole) twice a day for five days over the swelled gums.
Use Rexidine mouthwash (0.2 % Chlorhexidine) twice a day for five days.
Dologel (Choline Salicylate and Lidocaine) over the ulcer twice a day for five days.
Multivitamin therapy (which so ever suits you) once a day for one month.

Preventive measures:

Warm saline rinses six-hourly a day for seven days, and avoid eating very hot food from a traumatic ulcer site.

Regarding follow up:

Please follow my instructions, and do an update if there is no improvement.
Regards.

Hello doctor,

Thank you for your prescription.

I want to talk to you through video call or normal call and want to tell you some more issues because it is impossible to take a picture from each angle of the mouth. And also, it is not bleeding continuously only once or twice. Thank you.

#

Hello,

Welcome back to icliniq.com.

Please do not worry. You can book me on the site. I suggest you have all the records.


The Probable causes:

Need more details.

Investigations to be done:

What so ever done.

Regarding follow up:

Please do not worry. Your problem will be solved.
I am looking forward to solving your query with success.
Regards.


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