Medical Forum / General / Dentistry / February 2007
Help - need advice - my eyes hurt after implant/sinus lift surgery
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JimSocal - 04 Feb 2007 02:47 GMT I had the surgery yesterday and today all day my eyes have been hurting. Light seems to hurt them, and it hurts to keep my eyes open. I've also had a splitting headache all day. The eye problem is kind of like if you stare into the bright sun, it hurts your eyes so you stop looking, or you squint. But this is just happening indoors with normal lighting.
I assume the headache is from all the POUNDING they did during the sinus lift, (osteotomes) but would that affect my eyes?
And why didn't my eyes hurt yesterday? The pain in my eyes only started today.
I've been taking tylenol and codeine (1 every few hours), and the amoxicillin he prescribed (500mg 3 times a day).
Any ideas what is going on with my eyes?
Steven Bornfeld - 04 Feb 2007 03:24 GMT > I had the surgery yesterday and today all day my eyes have been > hurting. Light seems to hurt them, and it hurts to keep my eyes open. [quoted text clipped - 13 lines] > > Any ideas what is going on with my eyes? I was going to ask what antibiotics you were on, as some (notably the tetracyclines) are photosensitizing. Some headaches are accompanied by occular disturbances such as you are describing. But I think the recent surgery is more than enough to explain your symptoms now. Give it a few days, and by all means keep your surgeon informed about this.
Steve
JimSocal - 04 Feb 2007 05:27 GMT >> I had the surgery yesterday and today all day my eyes have been >> hurting. Light seems to hurt them, and it hurts to keep my eyes open. [quoted text clipped - 22 lines] > >Steve Thanks for the reply! I have taken amoxicillin and tylenol-4 various times before (although not the 2 of them together, as far as I can remember) and never had either of them cause photo-sensitivity.
I'm thinking all the pounding on my head must have jarred something or upset something to do with my vision. Hope it's nothing permanent or hard to heal!
djackson@acs-htp.com - 04 Feb 2007 06:42 GMT > On Sun, 04 Feb 2007 03:24:29 GMT, Steven Bornfeld > [quoted text clipped - 36 lines] > > - Show quoted text - Sounds painful! Sorry to hear about your troubles.
JimSocal - 04 Feb 2007 19:54 GMT >Sounds painful! Sorry to hear about your troubles. Thanks. Yes, it was even more painful during the night. I had to take quite a bit more tylenol-codeine than I normally would, plus some valium to sleep through it. That helped, but when I finally woke up around 8am, the pain was so bad I couldn't sleep, nor did I want to wake up and suffer the pain. So I took more valium and more tylenol-codeine and went back to sleep.
Woke up at 11:40am and for the moment I feel better but not sure how long that will last. I have to go to work today. IF it wasn't Superbowl Sunday I'd call in sick, for sure, but that wouldn't go over well - they'd think I was faking it to attend a party, and they'd have a hard time replacing me. Bad timing. So I have to go in. I may have to dope myself up on tylenol-codeine all day to get through it if it's anything like yesterday. Last night I took to wearing sunglasses in the living room, the light was hurting my head so bad.
I'm calling my surgeon tomorrow to discuss all this.
>> On Sun, 04 Feb 2007 03:24:29 GMT, Steven Bornfeld >> [quoted text clipped - 36 lines] >> >> - Show quoted text - Alexander Vasserman DDS - 05 Feb 2007 22:46 GMT > >Sounds painful! Sorry to hear about your troubles. > [quoted text clipped - 56 lines] > > >> - Show quoted text - You might want to take a different antibiotic like Augmentin or Z- pack. Amoxicillin may not be working well these days and you may have infection from the surgery.
JimSocal - 06 Feb 2007 21:09 GMT >> >Sounds painful! Sorry to hear about your troubles. >> [quoted text clipped - 61 lines] >Amoxicillin may not be working well these days and you may have >infection from the surgery. Are you saying that the sensitivity to light could be caused from infection?
I am already 2/3 the way through my course of amoxicillin. Should I ask my doctor to stop it and instead prescribe me a whole new course of another antibiotic? Why do you say amoxicillin may not be good these days?
JimSocal - 06 Feb 2007 21:18 GMT p.s. The light sensitivity only lasted during the 2nd day after surgery, it was 90% better by the 3rd day and now on the 4th day I'm not even sure if I have it or not, if I do, it's very slight.
If I had infection wouldn't I have pain in my mouth that got worse each day? Instead, it is getting better each day.
I'm just trying to understand why you think I need a different antibiotic.
>Are you saying that the sensitivity to light could be caused from >infection? [quoted text clipped - 3 lines] >of another antibiotic? >Why do you say amoxicillin may not be good these days? Alexander Vasserman DDS - 07 Feb 2007 08:09 GMT > On 5 Feb 2007 14:46:46 -0800, "Alexander Vasserman DDS" > [quoted text clipped - 5 lines] > >> quite a bit more tylenol-codeine than I normally would, plus some > >> valium to sleep through it. That helped, but when I finally woke up l> >> around 8am, the pain was so bad I couldn't sleep, nor did I want to
> >> wake up and suffer the pain. So I took more valium and more > >> tylenol-codeine and went back to sleep. [quoted text clipped - 62 lines] > ask my doctor to stop it and instead prescribe me a whole new course > of another antibiotic? I would get another antibiotic into the picture. you could lose your eye sight from the swelling and pressure on the optic nerve which is right above your sinus, why take a chance. infections from sinus lifts are almost expected.
> Why do you say amoxicillin may not be good these days? because it not as effective as it once was. bacteria have mutated (natural selection) as a result of amoxicillin being over prescribed for everything including liability reasons such as lifetime pre- medication for dentistry on patients who had history of hip replacement surgery . Blame it on the lawyers for sticking their noses where they do not belong.
JimSocal - 07 Feb 2007 20:59 GMT So I'm waiting for a call back from my surgeon, I told him what you said about the amoxicillin not working well.
Do you maintain that I could still have infection even though the eye sensitivity is much better now, almost none?
>> On 5 Feb 2007 14:46:46 -0800, "Alexander Vasserman DDS" >> [quoted text clipped - 86 lines] >replacement surgery . Blame it on the lawyers for sticking their noses >where they do not belong. JimSocal - 07 Feb 2007 21:39 GMT >So I'm waiting for a call back from my surgeon, I told him what you >said about the amoxicillin not working well. > >Do you maintain that I could still have infection even though the eye >sensitivity is much better now, almost none? I have some Clindamycin at home as well as some Cephalexin. Will either of these work instead of amoxicillin to combat infection in my sinus area?
The Webby - 07 Feb 2007 21:45 GMT > >So I'm waiting for a call back from my surgeon, I told him what you > >said about the amoxicillin not working well. [quoted text clipped - 5 lines] > either of these work instead of amoxicillin to combat infection in my > sinus area? (I'm a fly on the wall)
JimSocal - 07 Feb 2007 22:46 GMT >(I'm a fly on the wall) ???? And...?
The Webby - 08 Feb 2007 01:03 GMT > >(I'm a fly on the wall) > ???? > And...? Observing... like a fly on the wall.
Dartos - 08 Feb 2007 14:12 GMT >>(I'm a fly on the wall) > > ???? > And...? My guess would be to see if anyone 'bit' on your question about antibiotic use.
It would be inappropriate for a dentist to recommend a specific antibiotic to a specific patient by reading posts on a newsgroup. No exam is possible. No accurate diagnosis is possible. No prescriptions are possible.
It is also not a recommended practice to take someone elses meds or even some of your own old prescriptions from a different doctor for a different ailment.
D
The Webby - 08 Feb 2007 16:05 GMT > >>(I'm a fly on the wall) > > [quoted text clipped - 14 lines] > > D Bingo.
W.
Alexander Vasserman DDS - 08 Feb 2007 17:11 GMT > >>(I'm a fly on the wall) > [quoted text clipped - 14 lines] > > D true.
JimSocal - 08 Feb 2007 19:37 GMT >>>(I'm a fly on the wall) >> [quoted text clipped - 14 lines] > >D But no one is prescribing, someone is just suggesting that I speak to my doctor about an alternative.
As to not a recommended practice to take old prescriptions, etc., let me say that in many other countries, one can go to the drugstore and buy whatever drug you want, except for narcotics.
I have treated myself with cephalexin when I have a sinus infection, based on my doctor here giving my sister that for the same thing, and lo and behold, it works. I have treated myself for years, with minor bacterial infections with no ill results. I try not to take antibiotics unless I really need them and I know the difference between a cold and a bacterial infection, I recognize the signs and symptoms. In Mexico, for example, many people treat themselves based on the pharmacist's recommendation.
I'm not saying that is always the best way, but it's a hell of a lot cheaper and usually it works out okay.
Dartos - 08 Feb 2007 22:11 GMT > But no one is prescribing I never suggested that they were. I simply stated that it's beyond the reasonable practice of dentistry (in the US) to make specific drug recommendations without ever seeing a patient in person.
I think you asked about taking antibiotics that you had in the cabinet. There is no way that I could say, "that's a good idea".
> I'm not saying that is always the best way, but it's a hell of a lot > cheaper and usually it works out okay. The pat answer would be that I think the physicians and dentists have a little better idea what drugs should be prescribed and for what conditions.
There is even an old saying that a physician who treats himself has a fool for a doctor and a fool for a patient. If it is unwise for a physician to treat themselves, why would a lay person do better?
'Course I think many physicians pass out too many prescriptions already (mainly because the patients expect pills to cure their ills).
If lay people were left to buy any and all meds, many would be taking antibiotics for colds and sniffles.
JMO, D
JimSocal - 10 Feb 2007 20:39 GMT >I think you asked about taking antibiotics that you had in the >cabinet. There is no way that I could say, "that's a good idea". I'm not looking for a fight, but just for the sake of discussion: Why is there no way one could say "cephalexin will work better for infection after a sinus lift than amoxicillin". It's not prescribing, it's just informing someone of the uses of different antibiotics.
It is my understanding that certain antibiotics are better for certain things. One can look up this info on the internet or at the library. So why couldn't one say, for example, "The cephalexin is better after a sinus lift than amoxicillin"? I do understand that one has to be careful of lawsuits, but I believe it can be worded in such a way that it is not recommending or prescribing, but rather just informing one of the differences and which is better for which ailment. No?
>> I'm not saying that is always the best way, but it's a hell of a lot >> cheaper and usually it works out okay. > >The pat answer would be that I think the physicians and dentists >have a little better idea what drugs should be prescribed and for >what conditions. Yes, in complicated situations, yes. But for example, I have called my doctor many times in the past and asked for an antibiotic. He has then asked me, "Do you have yellow or green discharge from your nose?" and I have said "yes" and "do you have a fever?" and I have said "yes", and he has prescribed an antibiotic for me on the phone, often amoxicillin or similar.
So I bought amoxicillin, which the doctor at the pharmacy in Mexico told me was better than amoxicillin, and I use that when I get a similar bacterial infection. Works like a charm. It doesn't take a genius nor a doctor to prescribe antibiotics for a bacterial infection, nor to recognize a bacterial infection.
I've been treating myself successfully in this manner, for years, and so do other people I know.
Now, if I get bronchitis or pneumonia or something more serious, then I will go to the doctor. But why should I pay for an office visit, sit around all day with a bunch of sick people waiting for my appt., when I can prescribe antibiotics for myself?
Likewise, I could have taken the cephalexin I have in the cabinet for the sinus infection after my surgery. But I asked a couple of doctors first, just to be sure because it was NOT a common bacterial infection but rather a post-surgery infection.
Steven Bornfeld - 11 Feb 2007 03:11 GMT >> I think you asked about taking antibiotics that you had in the >> cabinet. There is no way that I could say, "that's a good idea". [quoted text clipped - 3 lines] > infection after a sinus lift than amoxicillin". It's not prescribing, > it's just informing someone of the uses of different antibiotics. One could say it; wouldn't make it true. Misuse of antibiotics--and resultant growth in bacterial resistance==is rapidly becoming one of the tragedies of modern medicine.
Steve
> It is my understanding that certain antibiotics are better for certain > things. One can look up this info on the internet or at the library. [quoted text clipped - 35 lines] > first, just to be sure because it was NOT a common bacterial infection > but rather a post-surgery infection. JS - 12 Feb 2007 02:28 GMT Yes, I am aware that antibiotics are over used. Yet I know that taking an antibiotic when I have a bacterial infection is better than not taking one, for my health. All I'm saying is that I think I can prescribe when I need one for a bacterial infection such as a common sinus infection that I get a couple times a year, as well as the doctor can. And I know if I don't take an antibiotic when I have one, I will get worse.
On Feb 10, 7:11 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> wrote:
> > I'm not looking for a fight, but just for the sake of discussion: > > Why is there no way one could say "cephalexin will work better for [quoted text clipped - 48 lines] > > - Show quoted text - The Webby - 12 Feb 2007 03:25 GMT You might want to look into the new ideas/thinking on how and when to treat sinus infections with regard to effectiveness. The old ideas are being questioned in much the same way that antibiotics for ear infections in children is being questioned.
Webby
> Yes, I am aware that antibiotics are over used. Yet I know that taking > an antibiotic when I have a bacterial infection is better than not [quoted text clipped - 59 lines] > > > > - Show quoted text - JimSocal - 13 Feb 2007 11:15 GMT >You might want to look into the new ideas/thinking on how and when to >treat sinus infections with regard to effectiveness. The old ideas are >being questioned in much the same way that antibiotics for ear >infections in children is being questioned. > >Webby Okay... I'll do that. Thanks.
Steven Bornfeld - 12 Feb 2007 03:34 GMT > Yes, I am aware that antibiotics are over used. Yet I know that taking > an antibiotic when I have a bacterial infection is better than not [quoted text clipped - 3 lines] > doctor can. And I know if I don't take an antibiotic when I have one, > I will get worse. Do you know what a culture and sensitivity is?
Steve
> On Feb 10, 7:11 pm, Steven Bornfeld <dentaltwinm...@earthlink.net> > wrote: [quoted text clipped - 43 lines] >>> but rather a post-surgery infection.- Hide quoted text - >> - Show quoted text - JimSocal - 13 Feb 2007 11:22 GMT >> Yes, I am aware that antibiotics are over used. Yet I know that taking >> an antibiotic when I have a bacterial infection is better than not [quoted text clipped - 7 lines] > >Steve I do know what a culture is and I know that my M.D. often does not take one, he just asks me a few questions and then suggests the same antibiotic that I already have at home.
And that is not just one M.D. but several I have had over the past 10 years.
I'm not saying that one should take antibiotics at the first sign of a sniffle, not at all. I'm saying that if I tend to get sinus infections or sore throats and the doctor always prescribes the same thing, sometimes it is easier and cheaper for me to just self-prescribe.
In a perfect world I would go to the doctor every time I had anything I thought might be a bacterial infection and let him prescribe for me. However, sometimes the cost, the time and the annoyance factor makes me want to treat myself, and all I am saying is that I have been doing that SUCCESSFULLY for some time, now.
You guys may be right that it leads to overuse of antibiotics in general and thus makes them less effective in the long run. But for me, personally, it has been working. That's all I'm saying.
Your warnings, however, have served the purpose of making me re-evaluate this and maybe next time I'll give more consideration to pending the extra time and money to go to the doctor.
Mark & Steven Bornfeld - 13 Feb 2007 14:52 GMT >>>Yes, I am aware that antibiotics are over used. Yet I know that taking >>>an antibiotic when I have a bacterial infection is better than not [quoted text clipped - 33 lines] > re-evaluate this and maybe next time I'll give more consideration to > pending the extra time and money to go to the doctor. Fair enough. Let me say though that just because physicians (ie: those with the Magic Degree) prescribe empirically does not make this good medical practice. And if you are getting repeated bouts of sinus infections, it suggests to me that you have a chronic sinusitis that is not being dealt with.
Steve
 Signature Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
JimSocal - 14 Feb 2007 19:52 GMT > Fair enough. Let me say though that just because physicians (ie: those >with the Magic Degree) prescribe empirically does not make this good [quoted text clipped - 3 lines] > >Steve Have had chronic sinusitis most of my life.
About the only thing that works for me to help me not have stuffy/runny nose on a daily basis is one of those non-systemic corticosteroids like beconase or flonase. The slew of allergists and ent's I've been to all say that these are not health-damaging even though I've taken them for years on a daily basis. However every time I try something not corticosteroid, it causes me to have a long bout of the sniffles and stuffy nose until I give up and go back to the flonase or whatever.
I get the sinus infections from these sprays, I believe.
But it's only once or so a year, at best, and a quick bout of anti-b's usually knocks it right out.
Mark & Steven Bornfeld - 14 Feb 2007 19:58 GMT >> Fair enough. Let me say though that just because physicians (ie: those >>with the Magic Degree) prescribe empirically does not make this good [quoted text clipped - 19 lines] > But it's only once or so a year, at best, and a quick bout of anti-b's > usually knocks it right out. Sorry to hear about your problems. Yeah, chronic sinusitis seems to be something without a lot of good answers.
Steve (going home to bed with a garden-variety cold)
 Signature Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
JimSocal - 14 Feb 2007 20:03 GMT > Sorry to hear about your problems. Yeah, chronic sinusitis seems to be >something without a lot of good answers. > >Steve (going home to bed with a garden-variety cold) Hope you get well soon! If I may suggest: plenty of liquids and rest! ;-) (and if it were me, I'd also take some vitamin c powder (love the one called Emergen-C - lemon lime) and herbal teas - the ones that say cold care or such in the name...
But as we have established: I am not a doctor and am not prescribing the above!
Steven Bornfeld - 15 Feb 2007 03:16 GMT >> Sorry to hear about your problems. Yeah, chronic sinusitis seems to be >> something without a lot of good answers. [quoted text clipped - 9 lines] > But as we have established: > I am not a doctor and am not prescribing the above! That's OK, neither is my wife, and she's pushing the Emergen-C (yes, lemon-lime)--and the echinacea too. Don't know if it's helping me, but we want her to be happy...
Steve
Newbie - 15 Feb 2007 14:21 GMT >>> Sorry to hear about your problems. Yeah, chronic sinusitis seems to be >>> something without a lot of good answers. [quoted text clipped - 15 lines] > >Steve A study that came out not to long ago (summer 06 ?) concluded that echinacea did nothing for a cold.
Like most of alt.med
Mark & Steven Bornfeld - 15 Feb 2007 15:27 GMT >>>> Sorry to hear about your problems. Yeah, chronic sinusitis seems to be >>>>something without a lot of good answers. [quoted text clipped - 21 lines] > > Like most of alt.med I heard that one. Several years ago there was an article in Consumer Reports doing a survey of the best-known alternative meds. Most in their estimation were of little or no value. They were circumspect about echinacea specifically--there had been some studies (out of Germany, IIRC) that showed a benefit if taken early in the clinical course of a cold. Apparently no one has been able to replicate that one under solid lab protocols and get it published. So I take some of this stuff for what I call "placebo effect by proxy". ;-)
Steve
 Signature Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
Dartos - 15 Feb 2007 18:58 GMT "placebo effect by
> proxy". ;-) > > Steve Nice!
D
Mark & Steven Bornfeld - 15 Feb 2007 20:22 GMT > "placebo effect by > [quoted text clipped - 5 lines] > > D You've been married a long time--I'm sure you've learned to pick your battles.
Steve
 Signature Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
Dartos - 15 Feb 2007 21:34 GMT I try to run and hide, but it doesn't always work.
D
> You've been married a long time--I'm sure you've learned to pick > your battles. > > Steve Mark & Steven Bornfeld - 15 Feb 2007 21:43 GMT > I try to run and hide, but it doesn't always work. > [quoted text clipped - 4 lines] >> >> Steve Nah, they always find you, don't they?
Steve
 Signature Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
Newbie - 15 Feb 2007 19:15 GMT >>>>> Sorry to hear about your problems. Yeah, chronic sinusitis seems to be >>>>>something without a lot of good answers. [quoted text clipped - 33 lines] > >Steve I love it !
JimSocal - 15 Feb 2007 21:19 GMT > I heard that one. Several years ago there was an article in Consumer >Reports doing a survey of the best-known alternative meds. Most in [quoted text clipped - 3 lines] >course of a cold. Apparently no one has been able to replicate that one >under solid lab protocols and get it published. I wouldn't put too much stock in CR's reports on anything, except maybe cars. Their product reviews are sometimes lacking, and definitely biased.
> So I take some of this stuff for what I call "placebo effect by proxy". > ;-) Well, a placebo effect even by proxy is okay, if it helps! ;-)
Here's a couple studies I found on echinacea, not major studies but they show some evidence: http://archpedi.ama-assn.org/cgi/content/abstract/158/3/217 http://tinyurl.com/2tbh76 The case for vitamin c is much stronger, and I can personally testify that taking 4-6grams of vitamin c per day plus Immune Herbal (Zand) with echinacea and goldenseal (and other herbs) when I start to feel under the weather will make my cold less severe and last fewer days. I realize this is just anecdotal evidence and not worth much, but I am pretty sure it works for me.
I drink about one of those 1000mg Emergen-C drinks every day, plus a multi vitamin and I have noticed less colds since I started doing so.
Mark & Steven Bornfeld - 15 Feb 2007 21:42 GMT >> I heard that one. Several years ago there was an article in Consumer >>Reports doing a survey of the best-known alternative meds. Most in [quoted text clipped - 7 lines] > maybe cars. Their product reviews are sometimes lacking, and > definitely biased. I'm inclined that they leave something to be desired in both the timeliness factor (some manufacturers rush out new product lines so quickly that models reviewed in CR may no longer be available; they also seem (to me) geared to the needs of the average consumer. Someone who is an enthusiastic amateur sportsman, photographer, audiophile, etc. is likely I think to view their tastes as very "vanilla" and pedestrian, more concerned with ease of use and durability than high quality (I say this based on my feelings about their reviews of products I know about). However, I can't say I remember seeing any displays of outright bias. Even in the area of health care, I remember them being very strongly against the use of thimerosol preservatives in vaccines, and also against the use of cellular preparations in DTP vaccines. In this regard, they are much more closely positioned to the so-called "alternative health" camp than they are to the pharmo industry.
>> So I take some of this stuff for what I call "placebo effect by proxy". >> ;-) > > Well, a placebo effect even by proxy is okay, if it helps! ;-) It's far better than a placebo to me!!
> Here's a couple studies I found on echinacea, not major studies but > they show some evidence: [quoted text clipped - 9 lines] > I drink about one of those 1000mg Emergen-C drinks every day, plus a > multi vitamin and I have noticed less colds since I started doing so. I don't get too many colds, but when I get one it's (as they say) "a beaut". I've tried C, echinacea, zinc, etc.--I don't claim that my personal experience means anything, but I haven't noticed any difference regardless of what I do.
Steve
 Signature Mark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
Le Huart - 14 Feb 2007 20:43 GMT I had endoscopic sinus surgery 13 years ago. It was a long procedure under GA. The ENT opened all the meati between the sinuses so that every thing would drain properly. After He removed the tampons from my nose, I could breath easily through it. I haven't had to use Afrin or had a sinus infection since then.
JimSocal - 14 Feb 2007 22:12 GMT >I had endoscopic sinus surgery 13 years ago. It was a long procedure >under GA. The ENT opened all the meati between the sinuses so that every >thing would drain properly. After He removed the tampons from my nose, I > could breath easily through it. I haven't had to use Afrin or had a >sinus infection since then. After just having a sinus lift, I think I'll avoid surgeries for awhile! ;-D But thanks for the info.
Newbie - 12 Feb 2007 21:47 GMT That's great !
Now all you need is a DEA license.
>Yes, I am aware that antibiotics are over used. Yet I know that taking >an antibiotic when I have a bacterial infection is better than not [quoted text clipped - 3 lines] >doctor can. And I know if I don't take an antibiotic when I have one, >I will get worse. Alexander Vasserman DDS - 13 Feb 2007 09:23 GMT > That's great ! > [quoted text clipped - 7 lines] > >doctor can. And I know if I don't take an antibiotic when I have one, > >I will get worse. 1)you don't need DEA for antibiotics. 2) when you are talking about an infection that is over the weekend, there is no time to culture you need to hit it with a shotgun as you put it. But if you are going to use a shotgun use a 12 guage not 28 guage. :)
Newbie - 12 Feb 2007 18:12 GMT >I'm not looking for a fight, but just for the sake of discussion: >Why is there no way one could say "cephalexin will work better for >infection after a sinus lift than amoxicillin". It's not prescribing, >it's just informing someone of the uses of different antibiotics. Because it's complete and utter nonsense.
>It is my understanding that certain antibiotics are better for certain >things. Different antibiotics are better at killing or controlling different types of bacteria, period.
You can use a shotgun approach and this can be effective. In resistant infections, cultures and sensitivity tests should be performed. So it comes down to what bacteria are targeted, not what procedure was performed.
>One can look up this info on the internet or at the library. >So why couldn't one say, for example, "The cephalexin is better after >a sinus lift than amoxicillin"? I do understand that one has to be >careful of lawsuits, but I believe it can be worded in such a way that >it is not recommending or prescribing, but rather just informing one >of the differences and which is better for which ailment. No? No.
JimSocal - 07 Feb 2007 22:49 GMT >>So I'm waiting for a call back from my surgeon, I told him what you >>said about the amoxicillin not working well. [quoted text clipped - 5 lines] >either of these work instead of amoxicillin to combat infection in my >sinus area? My oral surgeon/periodontist called me back and I told him what you (Dr. Alexander) said about amoxicillin not working well and he agreed to prescribe me the Augmentin. I'll start on it today (assuming the pharmacy has it so I can get it today. Thanks for the concern and recommendation - I'd rather be safe than sorry, as I told my surgeon, and so he agreed. He also seemed to think I shouldn't still be having so much pain after 5 days. It's not a lot of pain, but enough that I'm still taking 400-600mg of ibuprofen several times a day.
Alexander Vasserman DDS - 08 Feb 2007 08:45 GMT > >>So I'm waiting for a call back from my surgeon, I told him what you > >>said about the amoxicillin not working well. [quoted text clipped - 15 lines] > of pain, but enough that I'm still taking 400-600mg of ibuprofen > several times a day. good Augmentin is pretty strong stuff expensive but strong. with sinuses being so close to your brain etc... it's important to clear the infection fast. I'm not saying that it was a mistake to give you amox, just that you developed an infection that was resistant to it to a point where things got worse than better. catching it early and maintaining contact with the surgeon is important in these cases. Orafacial infections are not a joke and can be fatal if not treated fast. glad to hear your eye is getting better. These things sometimes happen.
Alexander Vasserman DDS - 08 Feb 2007 08:38 GMT > >So I'm waiting for a call back from my surgeon, I told him what you > >said about the amoxicillin not working well. [quoted text clipped - 5 lines] > either of these work instead of amoxicillin to combat infection in my > sinus area? cephalexin will work better just take that vs amox same directions. you could still have some residual infection, but if the eye is getting better then chances are the amox is kicking in just slow for the reasons I described.
JimSocal - 08 Feb 2007 19:42 GMT >> >So I'm waiting for a call back from my surgeon, I told him what you >> >said about the amoxicillin not working well. [quoted text clipped - 10 lines] >getting better then chances are the amox is kicking in just slow for >the reasons I described. My doc gave me the generic form of augmentin; it says Amox TR-K CLV 500 125 mg. Tatev What does that all mean? Is this as good as augmentin? What is the difference between cephalexin and this generic augmentin they gave me. I could ask my doc if I could take the cephalexin instead. (the augmentin generic only cost me $10)
This is the 6th day after surgery and I still have a headache almost all day, albeit a mild one most of the time. Sometimes it's strong enough I need to take ibuprofen or tylenol-codeine.
My doc said that wasn't too unusual considering how he pounded on my head during the sinus lift. But it seems like I shouldn't still be having all-day headaches...?
Newbie - 07 Feb 2007 14:54 GMT >Are you saying that the sensitivity to light could be caused from >infection? No, ITHM photo-sensitivity from the antibiotic.
JimSocal - 07 Feb 2007 20:50 GMT >>Are you saying that the sensitivity to light could be caused from >>infection? > >No, ITHM photo-sensitivity from the antibiotic. Thank you for the info. Now, getting my dentist to prescribe another round of antibiotics based on an internet thread is going to be a challenge...
JimSocal - 07 Feb 2007 20:55 GMT >>Are you saying that the sensitivity to light could be caused from >>infection? > >No, ITHM photo-sensitivity from the antibiotic. What the heck does ITHM mean? I looked it up in 2 internet acronym sites and they don't have it.
Newbie - 08 Feb 2007 17:09 GMT >>>Are you saying that the sensitivity to light could be caused from >>>infection? >> >>No, ITHM photo-sensitivity from the antibiotic. >What the heck does ITHM mean? >I looked it up in 2 internet acronym sites and they don't have it. I Think He Meant
Stormin Mormon - 08 Feb 2007 22:33 GMT Ideally Totally Happy Mastication? Idiots Type Half Meanings I Totally Hate Meetings Indians Teepee Hummers and Mercedes
 Signature Christopher A. Young You can't shout down a troll. You have to starve them. .
> >>Are you saying that the sensitivity to light could be caused from > >>infection? > > > >No, ITHM photo-sensitivity from the antibiotic. > What the heck does ITHM mean? > I looked it up in 2 internet acronym sites and they don't have it.
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