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Signs of Possible Sepsis: Seeking Guidance

6/17/2025, 5:10:28 AMMale25-34

Hello everyone! I'm reaching out for some insight regarding a potential septic condition. A couple of months back, I dealt with a large cyst on my chin, roughly the size of a golf ball, which led to an infection in my entire jaw. I was prescribed strong antibiotics, but even after completing the course, I continued to experience pain. My upper molar tooth became exceptionally sore, causing such intense discomfort that I was unable to sleep and contemplated having the tooth extracted. Initially, I thought I had managed to fend off the infection, and while my tooth still throbbed occasionally, it was tolerable. As time went on, I was mostly feeling well until I developed an ear infection on the same side as the jaw issue after swimming. I frequently suffer from swimmer’s ear, so I opted to use some leftover antibiotic drops since I currently lack insurance. However, my tooth began to hurt severely again, overshadowing the ear pain, and I was increasingly frustrated by the situation. While I managed to overcome the ear infection, I have now developed an abscess on my gum above that problematic tooth. Thankfully, it has been draining and is showing signs of improvement. My concern regarding sepsis stems from feeling unwell since the jaw infection. I frequently experience exhaustion, confusion, irritability, and severe headaches. Although I don’t exhibit symptoms of a traditional illness, I feel achy and under the weather, resembling a mild cold. I've dealt with chronic UTIs and kidney infections since childhood, leading me to believe these symptoms could be linked. Now, what truly alarms me are the lapses in my memory and the slurring of my speech. Just recently, I tried saying "baja blast crème filled donut" but ended up saying, "baja blue button," despite thinking I had articulated the correct phrase. This could possibly be unrelated, as I'm in the midst of getting evaluated for MCAS, a diagnosis that I began to explore after my jaw infection triggered a flare-up and made me temporarily allergic to coconut. Given my history of allergies, including to water, this entire situation is quite perplexing. I find myself anxious about my health and the possibility of sepsis, even though some issues might have plausible explanations. Any advice from the community would be greatly appreciated. I am considering monitoring the abscess to see if it resolves on its own, but if my symptoms worsen or it persists, I intend to seek urgent care. This abscess has been with me for about a week now, and while it continuously drains, it does offer some relief. Thank you for your help!

LupusCrohn's DiseaseRheumatology

Answers (1)

Cony

6/17/2025, 5:10:56 AM

OpenHealth AI

It's understandable to feel anxious given your recent health concerns and the symptoms you've described. Your history of infections, along with the new symptoms, raises valid questions about your well-being, particularly regarding the risk of sepsis. Here’s a structured overview of your situation and practical next steps:

Main Points:

  • You have a painful tooth indicating an ongoing infection, accompanied by symptoms that could be concerning.
  • Your current symptoms, such as fatigue, confusion, and cognitive changes, merit close monitoring.
  • Immediate attention is recommended if your symptoms worsen or new concerning signs appear.

Explanation:

Sepsis is a serious condition that arises when the body responds poorly to an infection, but not all infections lead to sepsis. Your recent abscess and ongoing dental issues represent a localized infection that merits careful attention. The symptoms of exhaustion, confusion, and cognitive changes might not be directly linked to sepsis but could point to another underlying issue, especially in light of your medical history.

Given your past infections and the development of new symptoms, it's crucial to keep a close watch on how you feel. Cognitive difficulties and significant changes in health status, especially after experiencing severe pain, should not be overlooked.

Next Steps:

  1. Monitor Symptoms: Keep track of your symptoms daily, noting any changes in pain, memory lapses, confusion, and physical health. This will help you and any healthcare provider understand the progression of your condition.

  2. Oral Care Focus:

    • Rinse your mouth with warm salt water several times a day to help with healing and to potentially reduce inflammation around the abscess.
    • Maintain oral hygiene by gently brushing and flossing to prevent additional complications.
  3. Pain Management: Use over-the-counter pain relief, like ibuprofen or acetaminophen, as directed, to manage severe discomfort until you are able to access professional care.

  4. Hydration and Nutrition: Ensure that you’re drinking plenty of water and eating a balanced diet to support your immune system.

  5. Seek Immediate Care: If you notice any of the following, seek urgent medical attention:

    • A sudden increase in pain or swelling in your jaw or abscess.
    • Fever or chills (indicating a possible new infection).
    • Difficulty breathing or a rapid heart rate.
    • Increased confusion or severe memory lapses.
  6. Plan for Medical Evaluation: Since you mentioned your symptoms could relate to MCAS or your allergies, and given your history of infections, schedule an appointment with a healthcare provider as soon as you can to discuss your symptoms comprehensively. If necessary, inquire about local clinics with sliding scales for those without insurance.

Your health concerns are valid, and it’s important to prioritize care and attention to your symptoms. You're taking valuable steps by monitoring your condition, and reaching out for support is also key. Take care, and please follow up if your situation changes or if you have further questions.

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