Diabetes and related complication in Elderly

Questions
Doctors

My left wisdom tooth has been growing in side ways, but has not been able to come in fully. It started hurting about two days ago. I did not think anything of it and thought it was just growing in more. There was a flap of skin/gum covering part of the tooth. When I went to brush my teeth this morning, I noticed that part of it (underneath where the skin covered before) was now a blackish color. I got a sore throat and swollen lymph nodes only on the left side of my throat around the same time my tooth started hurting. Are these related? I have a dentist appointment in a week. Is there anything I can do to help it to make it better or ease the pain? It hurts to chew on that side of my mouth and it hurts when I swallow. Will my tooth be okay until I get to the dentist and what will be done by the dentist? Do you think my tooth is infected? Will I have to take antibiotics?

Angular eruption of third molar needs extraction.It is of no use anyway,get it removed by a good oral surgeon,it does not require replacement ...

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hi i have been using nicoret patches for 5 days now and i put them on the underside of my upper arm. i have the contriceptive implant in my upper arm. i am wondering if the patches can effect the implant at all as i have never had a period while having the implant and i have used them for years but this morning i had started with quite heavy bleeding is it related to the nicotine patch?

try nico gum (nicotine chewing gum) ...

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My husband was recently diagnosed with a thoracic aortic dilation of 4.2 during a preop echocardiogram. Cat scan was also done. No evidence of dissection. He is having bilateral knee replacement on January 17. His cardiologist has cleared him for surgery for both knees. Should we be getting a second opinion. I should mention he is 67 years old, no evidence of heart blockages, no diabetes.

surely get the second opinion from other cardiologist ...

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I am experiencing lower lip twitching and I believe it is related to recent dental work. I was given several injections to numb a back molar prepping for a crown. I have had injections in that area once a week for several weeks. The last time, 5 days ago, the dentist had to give a second and third injection to thoroughly numb the area. Is this possible? Should I be concerned?

Don't worry ,mostly this is reversible and does take care of itself within a couple of months . It is due to accidental nerve injury during the injecting of the local anesthesia ,though not common but can occur with even a single injection and not necessarily due to multiple injections . Just bad luck that it happened ,but take solace in the thought that it is reversible and you should be fine in some time . Neural vitamins like the ones suggested above will help regenerate / heal the nerve fast ...

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Hi I just started taking an oral contraceptive and my gums have started to bleed and are very tender. I brush my teeth twice a day and regularly go to the dentist. This is the first problem I have had with my teeth or gums. IS it possible the two are related?

Hi, main cause for the bleeding & tender gums is Bacterial Deposits on the tooth surface i.e. Plaque. Oral contraceptives can alter the response of Gums to the Plaque. Visit a dentist and get your Scaling done. Technique of teeth brushing is more important than the frequency of brushing. Maintain proper oral hygiene. Regards ...

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my husband has cellulitis that has reoccurred on his face, he was given strong antibiotics and now after about 2 months its back, NoW he has developed diabetic symptoms he also has swollen ankles, and sometimes hands, I dont know if the two are related, and his face is now numb, I dont know where to take him for treatment, because he also has a bad tooth that might have caused it. where do i go? ER? PCP? Dentist? HElp!!

Dear Patient, Please immediately check for diabetes, routine Blood and Urine at the start. This is to rule out Diabetes. Press your thumb on the swelling part at the ankles for a while and observe if the tissues regain their original shape immediately or return after sometime which indicates retention of water in the body. Please get a medical detailed profile for a proper diagnoses. This appears to be a systemic condition rather than dental who will take care of a bad tooth later ...

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GERD. It has been on and off since 2008. The condition worsened last month in Jan 2013 and I could hardly swallow any solid food. It just gets stuck in the throat and feel like I am choking till I push the food down with water. Liquids and semi solid foods are ok. The doctors did Nasal Endoscopy, Normal Gastro Endoscopy, Esopheagal Manometry, Barium Swallow X-Ray and all tests came up normal. I was told the swallowing problem is primarily related to GERD and I was advised Cintapro 1 mg tablet for 1 month. So far as I take the tablet, I am able to take in selected solid foods fine, but not all foods. If I do not take this tablet for one day, the problem recurrs back. Question 1: How long will this motility disorder be related to GERD ? Question 2: Are there any side effects of taking this Cintapro 1 mg to help in motility on a long term basis (Say if I need to take this for some more time) Questionj 3: Are there any other tests that will show the proper reason for this motility disorder of the esophaegus (Apart from Esopheagal Manometry, Gastro Endoscopy, Barium Swallow X-Ray) etc.

GERD will persist but the effect can be decreased by life style modification like good brisk walk for 40 mins, avoiding fat, consuming more curd and buttermilk rather than milk and keeping a gap of 2 hrs between food and sleep. Cintpro is by and large relatively safe drug for long term use till now. We need to see the reports of existing tests before we proceed with further tests Stress has significant role in symptoms so please be relaxed. ...

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Dear Doctor, Please help me to control my diabetes. I am a dibetic patient about 17 years and under insulin for the past 5 years.Before five years I underwent CABG surgery. My need for consultation is for Diabetes. Now i take Metformin 500 SR/Diapride 2mg and 30/70 fast acting Insulin 18 in the morning and night time I take diapride 2mg and Insulin 8 points only. My HbA1c is 7.9 and always PP is above 200 to 240 Today fasting is 121 and PP is 234.Please advice.

Hi, Since you are a known diabetic,few changes which have to be brought in are lifestyle modifications. If you have already not changed them or if you are not serious about them because they are the only steps which would help you the most. Drugs just bring down sugar for a few hours and then would raise back again and your body can become slowly resistant to the same drug dose so first you will have to bring lifestyle modification(changes) in yourself. 1)Eat a low-cholesterol, low-fat diet, ...

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Hi i am from india. I need advice on complication after tooth extraction. I had oroantral fistula and later it closed spontaneously . The extraction was in nov and i2012 since then my nose is blocked. Can any one advice me what should i do now

hello madam, kindly consult a ent or a oral maxillofacial surgeon and get it corrected. thanks Dr.rahul ...

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how sucessfull is stem cell therapy in diabetes

Hi, The treatment is mostly succesful in type 2 diabetes which you are suffering from(usually reserved for people in whom the sugar is not controlled by drugs and disease is chronic - you did not tell me anything about this point whether you are controlled on medicines or not.),but it will have to be confirmed by tests that you don't have any auto antibodies which means antibodies against your own cells. But the treatment is still not advocated commonly. ...

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