18-Month Struggle with a Persistent Dental Abscess
Age: 45 Gender: Female Height: 5'2" Weight: 170 lbs Duration: 18 months Condition: B12 deficiency I have been grappling with a long-term dental abscess that has been draining persistently for a year and a half. On multiple occasions, I sought help at an emergency dentist’s office to receive antibiotics. Currently, I have an appointment scheduled for sedation in five weeks. Over the last few months, my health has deteriorated significantly, both mentally and physically. I suspect my symptoms may be linked to a B12 deficiency, as I’ve experienced tingling and numbness in my arms and legs, accompanied by debilitating feelings of depression and anxiety that have confined me to my home. I can't help but wonder if my deteriorating mental health has been a result of the persistent abscess. I am eager to resolve this issue promptly, but I feel overwhelmed at the thought of attending the upcoming appointment. A traditional tooth extraction would likely be quicker than undergoing sedation, yet even the idea of making it to the office seems daunting. I have not ventured anywhere for an extended period, save for quick trips to local stores, driven by my anxiety. It’s becoming increasingly difficult to cope with my condition; I feel trapped in a cycle of despair and uncertainty about the next steps to take. I'm searching for ways to navigate this situation, but I feel lost.
Answers (1)

8/29/2025, 10:41:51 AM
OpenHealth AI
It sounds like you're going through a very challenging time with your dental abscess and the connected symptoms. It’s completely understandable to feel overwhelmed, especially when dealing with both physical and mental health issues. Let’s break down the situation and focus on some practical next steps to help you feel more in control.
Main Points
- Persistent Dental Abscess: This needs thorough medical attention as it can lead to further complications.
- B12 Deficiency Symptoms: The tingling and numbness may indicate a vitamin deficiency that needs addressing.
- Mental Health Impact: Your feelings of depression and anxiety are valid, especially with ongoing pain and health issues.
Explanation
A dental abscess is essentially an infection that can lead to chronic pain and possibly systemic effects on health, including mental well-being. Your B12 deficiency can contribute to neurological symptoms and mood changes, which seems to be exacerbated by the stress of your dental issue.
Sedation for a dental procedure can be helpful but may add anxiety. If you feel more confident about a straightforward extraction without sedation, discussing this option with your dentist might be beneficial.
Your symptoms are interconnected; resolving the abscess could potentially alleviate some of your mental health struggles as you may experience less discomfort and worry about your health.
Next Steps
-
Focus on Your Appointment: Even though you feel anxious, preparing mentally for your upcoming appointment can empower you. Write down your concerns and any questions to discuss with your dentist.
-
Communicate with Your Dentist: When you meet with your dentist, express your preference for a traditional extraction if you believe it would help ease your anxiety. They can inform you of your options and what might be best given your current health.
-
Address the B12 Deficiency: Consider discussing vitamin B12 supplementation with a healthcare provider. Incorporating B12-rich foods (like dairy, meat, eggs, and fortified cereals) might also help, if you can tolerate them.
-
Mental Health Support: Reach out to a mental health professional or a support group. Sharing your experience can help, and they can provide coping strategies while you navigate this period.
-
Gradual Exposure: If you’re finding it challenging to go out for extended periods, consider gradually increasing your time outside. Start with short walks or time in a park to build your comfort again.
-
Self-Care Routine: Prioritize self-care practices, such as gentle exercises, breathing techniques, or mindfulness, to manage anxiety and improve your mood.
Reassurance
You're taking significant steps by seeking help and planning for your dental care. Remember, it’s completely normal to feel overwhelmed at times, but you are not alone in this. Focus on one step at a time, and gradually you will regain a sense of control over your situation. Please continue to care for yourself, and know that you can reach out whenever you need support.
Related Questions
Understanding Breast Pain: When to Be Concerned
Over the last week, I’ve experienced some unusual symptoms including a light period accompanied by spotting and various minor annoyances like fatigue, slight nausea, and headaches. However, my primary concern revolves around the persistent pain in my breasts. Their tenderness has increased significantly, becoming quite uncomfortable and heavy. I even resorted to placing ice packs inside my bra to relieve some of the discomfort. This level of pain is atypical for me, which adds to my worries. Unfortunately, with no health insurance at the moment, I hesitate to visit a doctor unless it’s absolutely necessary. I’m a 26-year-old female, not on any medications, and I currently have a Kyleena IUD that will reach its five-year mark in May. I really appreciate any insights you might have on this matter as it’s causing me quite a bit of stress. I generally don’t let medical issues make me anxious, but this situation is making me uneasy, especially considering that my paternal grandmother had breast cancer. Thank you for your help!
Concerned About Possible Melena or GI Bleeding
A 19-year-old male with no family history of cancer seeks advice regarding a recent change in bowel habits. After enjoying a dinner that included chicken Tuscan and two brownies, he felt unsatisfied with his bowel movement, likely due to insufficient fiber intake. The following day, he noticed his stool was dark brown, but he initially dismissed it as normal. However, he began experiencing frequent flatulence and, without another bowel movement, wiped after using the toilet. To his alarm, he noticed dark brown stool smears with small black specks that had a greenish-blue tint, alongside some maroon or dark brown traces. Concerned about the possibility of melena or gastrointestinal bleeding, he eventually had a bowel movement characterized predominantly by brown stool with some green, seemingly undigested matter. He then had two subsequent normal brown stools, but he is anxious about the initial black specks and whether they indicate a serious condition. He wonders if anal residue could oxidize to a grey-black or dark brown color and admits to feeling somewhat constipated and experiencing some upper gastrointestinal discomfort, which has since resolved.
Ongoing UTI Issues: A Struggle for Treatment
I’m a 25-year-old woman with no smoking history or current medications. I do suffer from endometriosis and experience migraines with aura. At the moment, I’m dealing with mild flank discomfort, cramping, a burning feeling, and frequent urges to urinate—especially noticeable when not on antibiotics. My history shows only one previous UTI prior to this ongoing situation. About two months ago, I awoke to familiar UTI symptoms: a pressing need to urinate, a burning sensation, and other unpleasant signs. Curiously, I also noticed my urine appeared very bright green. This marks my second UTI episode ever, and I opted to use Goodr for my antibiotic prescriptions once again, as I did previously. However, the infection did not resolve. Here’s a summary of the antibiotics I’ve been prescribed: - GoodRX: Nitrofurantoin 100mg for 5 days - Urgent Care: Cephalexin 500mg for 7 days - Urgent Care: Ciprofloxacin 500mg for 5 days - ER Visit: Amoxicillin 500mg for 7 days I have undergone several diagnostic procedures, including CT scans with contrast, blood tests, and three separate urine cultures, yet nothing significant has been identified. During the initial quick urine culture, they confirmed a UTI due to unusual white blood cell counts and nitrites, but subsequent testing failed to identify the specific bacteria. Unfortunately, after every antibiotic treatment, my symptoms recurrently return within a day to a week. Each relapse proves to be more severe: I now experience fevers, lower back pain, nausea, and heightened UTI symptoms. When I mentioned the bright green urine, one doctor suggested it could be linked to pseudomonas aeruginosa; however, they deemed it unlikely. Since then, other doctors have not pursued that lead seriously. The options I've been presented with include visiting a urologist or returning to the ER if symptoms worsen to involve my kidneys. Sadly, I currently lack insurance, having lost it recently, which leaves me concerned about my ability to afford a specialist or even guarantee that I would be accepted as a patient. I’m feeling increasingly anxious about not being able to identify the underlying bacteria causing this issue. I would greatly appreciate any advice on how to navigate this troubling situation!
Inquiry on Psychiatric Practices in the US
I'm a 32-year-old male, and while this is not directly about my own experiences, I do want to address good health habits and issues like caffeine overconsumption and intermittent burnout. While watching the HBO series "The Pitt," a procedural aspect captured my attention. The show portrays a thorough organic evaluation before admitting patients to psychiatric services. However, my experiences in Australia tell a different story. Here, any case that even remotely relates to mental health is quickly redirected to psychiatry, often without any fundamental examinations—frequently skipping even a basic CT scan for initial episodes of psychosis. This trend is largely driven by stringent regulations regarding emergency department wait times; if a patient is kept for over 24 hours, the hospital faces penalties from the state. I find this approach quite alarming for numerous reasons, yet there seems to be little political motivation or opportunity to address the issue. I would appreciate your insights on how these situations are managed in your practice.
Day 3 of Migraine and Eye Discomfort
I am a 37-year-old woman standing at 5 feet 1 inch and weighing 228 pounds. Currently, I am prescribed Synthroid at a dosage of 75, and I was previously taking hydroxychloroquine at 200 mg, though it has been nearly two weeks since my last dose. I have a connective tissue disorder, which I prefer to keep private. On Wednesday night, I experienced a severe migraine. I took my regular medication, enjoyed a hot shower, and managed to sleep. However, the following morning, while my headache had diminished somewhat, I was plagued by excruciating eye pain; it felt as though my eyes could burst from their sockets. Moving them side to side caused sharp discomfort, and quick movements resulted in flashes of light at the periphery of my vision. I chose to remain at home to rest, and as the day progressed, both my headache and the eye discomfort improved, though the issues were not entirely resolved. Later that night, I woke up due to my baby and noticed that my headache had returned. It wasn’t at migraine intensity but still quite pronounced, and the eye pain re-emerged, reminiscent of its initial severity. I should also note that since the onset of this discomfort, I've experienced some vision changes. It's nothing alarming, just a halo effect around light, akin to what one sees with astigmatism. I have an appointment scheduled with my ophthalmologist later today (Friday) and am contemplating whether it’s prudent to wait for that consultation or to seek emergency care. I’ve never experienced a prolonged migraine before, with symptoms lingering beyond 24 hours. Additionally, I've noticed my urine is clear even though I haven't been consuming a large amount of water lately.