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tiggertenn
Regular Member


Date Joined Jun 2007
Total Posts : 48
   Posted 3/12/2009 7:11 PM (GMT -6)   
Hey guys...quick question...
 
I'm having my wisdom teeth extracted tomorrow.  My oral surgeon told me to ask my GI is there is a particular antibiotic he should use so not to aggravate the colitis too much.  I asked my GI and he said it didn't matter.  Also, the oral surgeon said that since I haven't been off of Prednisone for too long he would give me a shot of steriod throught the IV.  My GI said this isn't necessary, but the surgeon is insisting. 
 
Does all of this sound right to you guys?  I just ended a flare at the end of January.  I took the last Prednisone pill on Jan. 31 and switched to Sulfasalazine and have felt great ever since.  I really don't want this sugery to throw me back into a flare...
 
TIA!
Tiggertenn
Diagnosed with UC March '07
Colazal 3 pills 3x a day
Prednisone Oct. '08 - Jan. '09
Imuran (It didn't work for me, I wrote it a Dear John letter)
Sulfasalazin 9 pills a day
Folic Acid
Levoyxl
Glumetza


Red_34
Elite Member


Date Joined Apr 2004
Total Posts : 23551
   Posted 3/12/2009 8:02 PM (GMT -6)   
I had my wisdom teeth out a year or so ago. I had sedation (obviously) and he put steroids in the IV because even though I wasn't on oral, I was on steroid enemas within a years time. It has something to do with the trauma of extracting the wisdom teeth stimulating the adrenal glands or something like that. I felt totally fine with the steroids and it didn't cause me any issues. Also, the oral surgeon should have given you an antibiotic rinse instead of oral. This would make things so much easier. But if you have to take any antibiotics, steer clear of the 'cyclines and 'cilians. Good luck!


 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Year-round allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome-'04-Norvasc~Sacroiliitis-epidural injections~bulging and herniated discs C5/C6 & C6/C7~3 epidural injections-second series starts 2/17, OA in my fingers -Celebrex, Tylonel Arthritis and Voltaren Gel
To help Healingwell - click here: DONATE
 
 
 
 

 
 


tooth fairy
Regular Member


Date Joined Jan 2008
Total Posts : 98
   Posted 3/12/2009 8:15 PM (GMT -6)   
The steroid in your IV is to help the extraction sites heal faster. I routinely inject a little directly into extraction sites when I remove wisdom teeth, it does wonders to bring swelling at the site down. (and it's the swelling that hurts after wisdom tooth extraction--if you can keep that at bay with lots of ice and as much ibuprofen as your belly can handle, you'll be in good shape).

I like zithromax as an antibiotic for patients who have GI problems. The short course seems to be a little gentler on the gut than some of the other antibiotics.

Good luck with your surgery tomorrow!! If your surgeon doesn't give you ibuprofen prior to your appointment, you may want to take some before you go in--that way it's already in your system before they get going.

The only other advice I have is to remember that the "worst" day is usually the 3rd day following surgery. This comes as a surprise to a lot of people, who think they're in the clear after the first and second day go smoothly.

You're going to do great! Good luck!
Erica, 32
Pancolitis, diagnosed July 2006, at age 29
(Colonoscopy January 2008 showed active disease just in sigmoid and below!)
Imuran & colazol daily; Rowasa and/or canasa rectal meds as needed for maintenence
Currently pregnant-due October 2009


suebear
Veteran Member


Date Joined Feb 2006
Total Posts : 5698
   Posted 3/12/2009 8:16 PM (GMT -6)   

If you were on prednisone in the past year for a length of time, you oral surgeon is correct, you will need the boost. 

Sue


dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


tiggertenn
Regular Member


Date Joined Jun 2007
Total Posts : 48
   Posted 3/12/2009 8:33 PM (GMT -6)   

Thanks for the replies, I really appreciate it.

Tooth Fairy - I'm allergic to Ibuprofen(sp?) would Tylenol help?

My biggest concern is the anitbiotic, I DO NOT want to go into a flare because of my teeth.  The surgeon says an IV antibiotic is best for GI issues, by doc says it doesn't matter.  Oh well, I guess whatever happens, happens.

 

Thanks again!


Diagnosed with UC March '07
Colazal 3 pills 3x a day
Prednisone Oct. '08 - Jan. '09
Imuran (It didn't work for me, I wrote it a Dear John letter)
Sulfasalazin 9 pills a day
Folic Acid
Levoyxl
Glumetza


tooth fairy
Regular Member


Date Joined Jan 2008
Total Posts : 98
   Posted 3/12/2009 8:39 PM (GMT -6)   
yes, tylenol works nearly as well. it doesn't reduce swelling quite as well as ibuprofen, but if you're icing your face regularly you should be just fine. and and IV antibiotic is best for GI--I forgot you have that option (I am a general dentist and don't routinely use IV meds...was thinking only of pills!) With antibiotics and GI trouble, it seems to be related to the length of time that you're taking the medicine; if you can get your whole dose via IV at once, that's best. The z-pack is only 5 days and is my favorite of the oral choices because of the short course.

Again, good luck!
Erica, 32
Pancolitis, diagnosed July 2006, at age 29
(Colonoscopy January 2008 showed active disease just in sigmoid and below!)
Imuran & colazol daily; Rowasa and/or canasa rectal meds as needed for maintenence
Currently pregnant-due October 2009


Red_34
Elite Member


Date Joined Apr 2004
Total Posts : 23551
   Posted 3/12/2009 8:57 PM (GMT -6)   
For pain relief, I recommend either Tylonel #3 or Darvocet. It works really well and don't forget to use the ice - that works wonders!
 
Also too, wanted to mention that Erica is right.  The 3rd day was the killer for me too!


 @--->--SHERRY--<---@
Moderator for Allergies/Asthma and Co-moderator for UC
~Left sided Uc-'92-Colazal(9 daily),6mp(50-100mgs),Bentyl, Prilosec,Biotin,Forvia,Pro-Bio**Unable to tolerate Asacol, Rowasa or Canasa**~Year-round allergies-Singulair, Zyrtec~Secondary Reynauds Syndrome-'04-Norvasc~Sacroiliitis-epidural injections~bulging and herniated discs C5/C6 & C6/C7~3 epidural injections-second series starts 2/17, OA in my fingers -Celebrex, Tylonel Arthritis and Voltaren Gel
To help Healingwell - click here: DONATE
 
 
 
 

 
 


notsosicklygirl
Forum Moderator


Date Joined Dec 2008
Total Posts : 16710
   Posted 3/12/2009 9:47 PM (GMT -6)   
I had my wisdom teeth pulled a couple years ago and I was in a minor flare at the time. I didn't tell the oral surgeon. I guess I probably should have. The dentist who referred me didn't know either. I didn't have any antibiotics but I did have an oral rinse because something got stuck in the stitches and the surgeon was worried it could cause an infection. I don't think I had a steriod in my IV. I was under for 30 minutes or less. Mine were impacted. I had darvocet for pain. Last time I took Darvocet, a month or two ago, I got a minor flare later. I think it may have been due to eating greasy fast food and having my period though.
Diagnosed with proctitis in March 2007 - Treated with Canasa 2x Daily
Diagnosed with UC December 08 but had symptoms months ago - Treating with Asacol 400mg (9 a day)


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 3/13/2009 7:51 AM (GMT -6)   
A zpack works great for me - doesn't disturb my guts much - but a 'cillin creates havoc. I've taken it several times in the last few months for a tooth that keeps abcessing. (Appt with an endodotist on the 25th.) I think it was actually the infection around the tooth that was causing my UC to go a bit crazy. It seems to have settled down after the zpack took effect. (fingers crossed!)
Pan-colitis and GERD diagnosed May 2003
Osteopenia (hip and spine) diagnosed Feb 2006
Status:  Remission???
Asacol 12 per day,  Azathioprine 50mg, Aciphex, Effexor XR, Forvia, Fibercon, and Culturelle
Remicade: 1st infusion 06/17/08:  Next infusion: April 1
Last Prednisone dose:  7/15/08
 
Co-Moderator UC forum:  Keep HealingWell running smoothly:  www.healingwell.com/donate


tiggertenn
Regular Member


Date Joined Jun 2007
Total Posts : 48
   Posted 3/13/2009 4:09 PM (GMT -6)   

Thanks for all the replies and advice.  I had the extractions done this morning and this afternoon I'm not feeling too bad.  I took one pain pill about 3 hours ago, but they are very mild.  I just wanted to ward off any major pain.  Now I just feel like I did when I was 16 and would have my braces tightened.  Thankfully, I'm back on dairy so I'm stocked up on ice cream and I've also got plenty of mashed potatoes and oatmeal.

 

My surgeon used IV antibiotics and gave me a steroid, so I'm hoping no flare fromt he antibiotics, he told me the name and then knocked me out, so I can't remember what it was.  turn

 

Thanks agian!

Tiggertenn


Diagnosed with UC March '07
Colazal 3 pills 3x a day
Prednisone Oct. '08 - Jan. '09
Imuran (It didn't work for me, I wrote it a Dear John letter)
Sulfasalazin 9 pills a day
Folic Acid
Levoyxl
Glumetza


Peety
Veteran Member


Date Joined Mar 2008
Total Posts : 2855
   Posted 3/13/2009 4:56 PM (GMT -6)   
Feel better soon! pamper yourself...
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering. Asacol/5ASA 6x400 mg maintenance for 20+ years; use prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed wheat/gluten, other intolerances; eliminated all wheat/gluten from my diet. Probiotics (Ultimate Flora, 50 billion), trying Curamin. 
Flaring, seasonal? or supplements too harsh? Back on prednisone, trying 15/20 mg. Appt 3/6 to discuss Humira, etc.   


basa0806
Veteran Member


Date Joined Feb 2005
Total Posts : 2103
   Posted 3/13/2009 5:44 PM (GMT -6)   
I had mine out a little over a year ago and I don't think I was given antibiotics. I remember asking my dentist about it and nothing became of it. I was given vicodin for the pain but it was wussy and didn't help much.
Remember not to suck out the blood clots! I had a dry socket in one of mine (it wasn't my fault per se) and was lucky enough to get strep throat 3 days later. That was fun stuff tongue

Hope you don't look too much like a chimpmunk!! wink
Sam(antha)
20 year old medical technology/biology student
Remission since January/April 2006
4 400mg Asacol 2x daily, 10mg Elavil, 75mg Effexor XR for GAD, ortho lo

"Life is what happens when you are busy making other plans"
John Lennon

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