One of my patient had severe pain due to impacted molars and I told surgical extraction is needed to be done.I had written prescription for the same.Patient took multiple course on its own and has been abusing the prescription for long later developed peptic ulcer.She is under GP for the same.Patient came to me today.what to do? Accept this case or refuse it?
Proper counseling Have you confirmed the peptic ulcer or it is simple gastritis Yes you should accept the case for dental problems and take help of gasteroenterologist for peptic ulcer
NEED'S.. TO TREAT..PEPTIC ULCER.. WITH.. PPI .. PANTAPRAZOLE + ONDANCETRAN.. H PYLORI MANAGEMENT WITH.. AMOXYCLAV AND CLARITHROMYCIN.. ANTACIDS.. SYMPTOMATIC T/T.. ANXIOLYTIC..SOS.. DENTAL MANAGEMENT WITH.. PRECAUTIONS FOR PEPTIC ULCER.. ENDOSCOPY AND GASTROENTEROLOGIST OPINION..
Peptic Ulcer peptic ulcer will be there.... You are missing something....Take Case Again on Ayurved Ground.... Kaaran Binaa Kaarya Nahi.... sarve rogaSpi mandegnau.... So Take Case Again And Then Try To Find Medicines from Grantha.Or Repost It For Suggestions... Secondly, As Patient is not getting any Upashay From Peptic Ulcer Treatment, Hetoo (Root Cause) is 100% different... Try To Find It....As Nidaan Parivarjan Is Basic Treatment in any case
Refuse treatment or may treat pt after reassurance and counciling. Take help from GP if Peptic ulcer is there you just treat dental ailments after explaining prognosis.
Write proper case history of patient with advised treatment from your side. Take countersignature of patient on the case sheet with the note that patient has been made to understand all the above written in case sheet. Take patient for treatment after signature on consent form. Get patient consulted from gastroenterology side for suspected peptic ulcers. Give Tramadol or selective Cox 2 inhibitors like celecoxib/valdecoxib for controlling pain and ask patient to get treatment done asap. In the meantime local treatment like irrigation/ curettage can be done for pericoronitis. Check for caries in second molar/ third molar for suspected pulpitis and do rc opening if it's there.
Peptic ulcer proper diagnosis and treatment needs and endoscopic examination.so kindly refer him for that..regarding treatment of dental infection you can give antibiotics with Tramadol and an anti-inflammatory enzyme combination like trypsin chymotripsin and rutoside
Accept this case Dr.try to give pain killer by IM .Intra muscular to reduce the severe pain .
Cases that would interest you
- Login to View the image
30year old male complaints of pain in mouth from last three days after having icecream known paitent if hypothyroidism 7.5 on thyronorm 25 mcg no habits of smoking or gutka plz advise treatment n diagnosis
Dr. Shaheda Khan1 Like13 Answers - Login to View the image
hi...this is iopa irt 47 48 .patnt c/o swelling and posterior to 48 on lingual side ..after taking med. it subsides..swelling d'nt remain always..it happens sometimes and on taking med. it subsides.but there is no pain in 48 ..pt wants permanent solun of this...so what is the treatmnt ..should 48 be extracted or anythng else...
Dr. Naveen Sangwan0 Like9 Answers - Login to View the image
A 32 year old patient complains of pain in left region of upper tooth. On observation there was limited mouth opening. Any suggestion for diagnosis treatment plan is welcomed.
Dr. Praneeta Princy5 Likes7 Answers - Login to View the image
33yr old male patient epileptic with slight mental retardation...needed extraction of impacted carious 48..what all should be considered?
Dr. Thasneem R0 Like6 Answers - Login to View the image
a 37 told alcoholic continuously drinking alcohol since 2days presented with sudden onset of abdominal pain since today morning,o/e vital are stable with no urine output since morning x-ray abdomen erect attached how will. u manage the. case
Dr. Chapparam Srinivasarao1 Like18 Answers
2 Likes