Swollen lymph nodes with canker sores, pus on gums, difficulty in swallowing and chewing. No improvement with amoxicillin, vitamin C. Suggestion?
Patient: Hi. I am from the Philippines. It s exactly one week now that my lymph nodes are swelling. Five days ago, crank sores started to built inside my mouth. I have one under my tounge, and then others look like pus in the gums. I have pus on my upper and lower gums. My tounge started to feel painful. My denstist recommended me to take amoxicillin 500 3 times a day and vitamin C .. she recommended also Pyralvex solution. I am also gargling Bactidol. It had been a week now that I am not feeling well. I eat almost nothing for it s painful to swallow and bite. please help. Doctor: hi.  as per the information provided by you , i can see that you are having acute periodontitis where there is acute infection in your gums. i would suggest tetracycline instead of penicillin , as tetracycline is more effective in soft tissue infections, the treatment for periodontitis should have been started also. i  dont think that your present dentist is capable of solving your problem. she should have started the treatment long back. consult a periodontist. he will guide you to perfect dental health after properly diagnosing and doing periodontal surgery and saving most of your teeth. take care.