Post-operative Update: Wisdom Tooth Extraction, Cyst Surgery, and Recovery Concerns
Hello, I underwent dental surgery three days ago where an 11mm cyst was removed, bone grafting was performed, and three wisdom teeth were extracted. Unfortunately, one of the extractions resulted in a perforation into my sinus. During the procedure, I received IV antibiotics, but I was not prescribed any for home use afterward. Since the surgery, I have been experiencing: - Significant swelling (more pronounced than I anticipated) - Episodes of night sweats and chills despite being in a cool environment - General feelings of fatigue and weakness - Persistent headaches accompanied by discomfort in my eyes - Sensitivity in my chest area - A heightened need for pain relief (using a combination of ibuprofen and oxycodone/acetaminophen) yet I'm still not feeling well - A drop in blood pressure (93/70) and a heart rate in the 90s - My temperature has reached 99°F, but I worry it’s not a true reflection since I’ve been taking Tylenol Additionally, I have a history of sickle cell disease, which puts me at an increased risk for infections and further complications. Considering these factors, do you think my recovery symptoms are still within the realm of normal following a sinus perforation and bone graft, or do they raise red flags for a possible infection or systemic issue?
Answers (1)
9/7/2025, 12:40:33 AM
OpenHealth AI
It’s important to pay close attention to your symptoms post-surgery, especially given the complexities of your procedure and your history of sickle cell disease. While some level of swelling and discomfort can be normal after such surgeries, the combination of your symptoms raises concerns that warrant further consideration.
Key Points:
- Significant swelling and ongoing fatigue after oral surgery might indicate an issue if they are beyond the typical healing process.
- Night sweats, chills, and headaches could be signs of an infection, especially in the context of sinus perforation and healing from cyst extraction.
- Your drop in blood pressure, elevated heart rate, and mild fever are additional signals that should be evaluated closely.
Explanation:
After extensive dental procedures, some swelling and discomfort are expected. However, if you are experiencing significant symptoms like persistent headaches, chills, and significant changes in blood pressure, these could be signs of infection or complication. Given your history of sickle cell disease, which can complicate recovery and increase infection risk, it’s crucial to monitor your symptoms closely.
Next Steps:
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Monitor Symptoms Closely: Keep a detailed record of your symptoms. Note any worsening of your headaches, changes in temperature, or any feelings of increased fatigue.
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Hydrate & Rest: Ensure you are drinking plenty of fluids (unless restricted) and getting ample rest, which helps your body recover.
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Pain Management: Continue to manage your pain with the medications prescribed. However, be mindful of their effectiveness and any accompanying symptoms.
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Seek Immediate Attention If:
- Fever exceeds 100.4°F (consider your Tylenol use).
- You notice significant or accelerating swelling, especially around your cheeks or eyes.
- You experience worsening chest discomfort, difficulty breathing, or dizziness.
- There are new or increasing symptoms, such as confusion, extreme fatigue, or higher heart rate.
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Follow-Up Communication: If your symptoms do not start improving within a few days, or if they escalate, reach out to your oral surgeon or healthcare provider to discuss your situation. Given your medical history, they may recommend imaging or lab work to rule out any complications.
Your recovery is a priority, and while some discomfort is expected, clear communication with your healthcare team is vital, especially when new symptoms arise. Take care, and stay attentive to how you feel.
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