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Root canal and damage to nerve and multiple other symptoms

Resolved Question:

Two years back, I did root canal in one of my tooth, got injection in wrong place in the ..After that I lost the sense on half of my lower lips in the left side, half of lower tooth behind the affected area from the lips in the left side and the exact area between my chin and my lips. I tried to find solution with many doctors here ...All were relling me to take vitamin B complex and it that will sound good..

My main case right now I have extra symptoms I faced ass in the following :



1- chronic Lymph nodes in both sides of my neck ; They took pictures for both sides and doctors told me just to take antibiotic for two weeks with no luck.

2- Main pain in mandible ( Seems related to it neural internally ) from time to time.

3- Ears drumming recently symptom.

4- chronic many gases from my mouth with high voice and not related to the eating matter as it is always regardless the stomach is empty or full. ( More than 5/ hour). Every day !! with bad smell from mouth.

5- Difficulties during eating, breathing and even talking.

6. High blood pressure during the afternoon time.

7-Acid refluxing from time to time.

8- headache from time to time .


I need your help especially for the mandible as sson as you cann..

Appreciate your help on that


Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
 25 Doctors Online

Hello,

Thank you for choosing DoctorSpring.

I have gone through the medical history. An important fact to consider here is that the symptoms and signs you have listed here is unlikely to be related to each other.

The lack of sensation at the left lower lips and teeth is probably due to a damage to a nerve called inferior alveolar nerve. This is a nerve that supplies that particular area. The nerve could be entrapped in the canal filling and since it been more than months since the procedure unfortunately there is very less chance that the nerve can be recovered. However please discuss this with your Dental Surgeon and see whether it is a good option to explore the nerve by removing the filling (and thereby easing the pressure on it). The pain in mandible could be realted

The lymph nodes can be due to infection or inflammation. If no other nodes are enlarged (to be assessed by your Doctor) and if you have no singnificant symptoms you can just leave it alone. You may also do a blood tests called Complete Blood Count + Peripheral smear to make sure that your blood counts are alright. If this is normal and if you have no other major symptoms you can just leave it alone. Remember lymph nodes are normal glands in the body

In view of other symptoms you need to get a baseline blood (complete blood count) and ECG done. You can take an OTC anti ulcer medication like Prilosec once a day for 14 days. Take it just before bed time. This should help in the stomach related symptoms.

Please get back to me with a Complete Blood count and ECG. Alternatively you can review with your GP.

Hope this helps
Feel free to ask followups
Thank you


Patient replied :

Hi,

I already did those requESTS; As per the doctor every thing is going normal results except of the high uric acid and the high blood presure from time to time. ECG done also with no abnormality in results.

I have doubts that my issue is related to the 5th nurve pair as I have read about them and saw many similar syptoms with that.

For stomach issues; i Would like to let you know that Iam taking nexium/40 right now every morning once aday; Should I stop it and start using the Prilosec


Nexium is a good option, you need not change it . Just make sure you are taking it without food.

The nerve which I talked about - " inferior alverolar nerve " is one of THE BRANCHES of 5th Nerve you are talking about. I am pretty sure this nerve is involved. May be you can ask specifically about this nerve. I am bit surprised to learn that your Doctors are not giving you proper guidance.

The approach should be like : - Access whether the nerve is salvageable , if yes - proceed with removal of the filling

If not - Measure to prevent injuries and trauma to lips and gums. Make sure that you not having too hot food items as you might burn your lower lips. Also avoid injuries and accidental bites. Have self examination for any injury or wounds every day before brushing.

Hope this helps
Feel free to ask followups
Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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