Acute toothache. Causes of pain. How to relieve severe pain?

What to give a child with a fever?

Monday, January 10
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Content

• What temperature is considered elevated in a child?
• What medications should not be given to a child with fever?
• How can you lower your child's temperature?
• Which antipyretic to choose for a child
• Top 8 best antipyretics for children
• Paracetamol
• Calpol
• Panadol
• Efferalgan
• Tsefekon-D
• Ibuprofen
• Ibufen
• Nurofen
• What not to do if a child has a high temperature

When a child is sick and his temperature rises, the body experiences excessive stress. Pediatricians advise lowering the temperature if it exceeds 38-38.5 degrees. Antipyretics have been developed especially for children and should definitely be in your home medicine cabinet. When choosing such drugs, it is necessary to take into account not only the age of the child, but also the active ingredient of the fever remedy.

What medications should not be given to a child with fever?

Children with elevated temperatures should not be given the following medications:

• "Analgin" (metamizole sodium). In civilized countries, “Analgtn” is prohibited because it negatively affects hematopoiesis and is highly toxic. In post-Soviet countries it is used, for example, as emergency aid as a component of the “lytic mixture”. "Analgin" can be administered once only if other antipyretic drugs are not available. Continuous use of this drug is unacceptable for both adults and children.
• "Aspirin" (acetylsalicylic acid). It is prohibited to use this drug for viral diseases before the age of 12 - the child has a high risk of developing Reye's syndrome (toxic encephalopathy with liver damage).
• "Nimesulide" ("Nise", "Nimulid"). Preparations with such an active substance are prohibited in children under 12 years of age, since there is a high risk of developing toxic hepatitis (severe liver damage).

In the following days

It should be borne in mind that quite a lot of swelling may develop on the second day after surgery, which is a normal reaction to surgery. The swelling will subside on its own at the end of 3 or the beginning of 4 days. Also during this period, a rise in temperature to 38°C, the appearance of hematomas in the projection of the operation area, and difficulty opening the mouth are possible.

To reduce or completely avoid a number of unpleasant symptoms, you should:

• avoid physical exertion and hypothermia (3-4 days) . It is worth reducing physical activity for a few more days, and it is also important not to overcool so that the healing process proceeds at the right pace.
• exclude thermal procedures (for 2 weeks) . Visiting the bathhouse, sauna, solarium, and swimming pool is prohibited. Exposure of the body to high temperatures provokes the development of edema in the wound area.
• do not injure the removal site . To avoid complications and suture dehiscence, it is necessary to protect the surgical area: do not injure the gums with fingers, a toothbrush, or other objects, follow a soft or liquid diet for 7-10 days, and do not open your mouth wide.

How can you lower your child's temperature?

Pediatricians recommend reducing the temperature of children with paracetamol or ibuprofen. It is also important that the dosage of the drug is calculated based on the baby’s weight (there is always a special measuring spoon or syringe in the box with syrup). Ordinary teaspoons are not used in such cases, just like the “by eye” method. You can buy an antipyretic for a child in the form of syrup or suppositories if the baby cannot yet take a pill.

How to reduce a child's temperature

Complications after sedation

Do nausea and fainting occur after sedation, or can such nuances be clarified before it begins? Of course, the characteristics of patients may be different: for some it may be nausea, for others it may be dizziness, etc. All this, of course, is discussed in advance in consultation with an anesthesiologist-resuscitator. It determines the patient’s health characteristics and determines the reactions that are possible due to the action of the drug. Any sedative drug can cause:

• drowsiness throughout the day after the manipulation, especially if the treatment was carried out in the morning,
• weakness,
• mild nausea
• It may make some people feel hungry, while others may feel the opposite.

There may be peculiarities, and this is not something pathological or something negative, this is the norm.

Which antipyretic to choose for a child

The ideal form of the drug for fever for infants is rectal suppositories.

The drug is absorbed in the large intestine and begins to work within half an hour after administration. Candles are very convenient when you need to bring down the temperature, but the child is spitting up or vomiting.

Syrup (or suspension)

It is usually given to children from 1 year of age, although it can be used earlier. This form of antipyretic begins to act quickly and is suitable even if the temperature rises rapidly. When purchasing a syrup or suspension for fever, be sure to read the composition of the drug: it may contain different dyes and flavors, which sometimes cause allergies.

Tablets for fever

can be given only to those children who know how to swallow them (usually at an older age).

Read also: The most effective antipyretics for adults 8 most effective drugs for high fever

Top 8 best antipyretics for children

We have compiled a list of the safest and most effective fever medications for children, recommended by pediatricians. In addition, these products have earned positive reviews from mothers on forums.

Antipyretics based on paracetamol

These are the most effective drugs that are suitable for children from 1 month. They quickly reduce body temperature and relieve pain. Paracetamol-based products help with acute respiratory viral infections, various inflammations and teething in babies. Contraindications to taking paracetamol include viral hepatitis, liver and kidney diseases, and diabetes. Possible side effects include nausea, vomiting, skin rash, and refusal to eat.

Paracetamol

This antipyretic works as an analgesic (reduces pain) and an antipyretic (lowers body temperature). In addition, Paracetamol has a slight anti-inflammatory effect. One dose can reduce the temperature by 1-1.5 degrees, and the effect lasts for about four hours. Paracetamol is prescribed for viral and colds, and for teething. Until a child is three months old, Paracetamol should be prescribed exclusively by a doctor. The dosage of the drug is also calculated by the doctor; the syrup or suspension should be given to the child before meals. It is important not to dilute the suspension in water, but to give it as is. The syrup can be diluted in a small amount of water or added to a feeding bottle. Among the advantages: safety, possibility of use at a very early age, absence of complications. Disadvantages: sometimes it is possible to develop an allergic reaction (skin rash, nausea, vomiting).

Paracetamol

JSC Pharmstandard-UfaVITA, Russia

Pain syndrome of weak and moderate intensity of various origins (including headache, migraine, toothache, neuralgia, myalgia, algodismenorrhea; pain from injuries, burns).
Fever in infectious and inflammatory diseases. from 2

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Read also: Choosing vitamins for children: 6 best complexes The best vitamin and mineral complexes for children of different ages.

When is the choice between sedation and local anesthesia in favor of sedation?

The doctor’s task is to show the patient, explain to him that everything can be done under local anesthesia, work with him and prepare him for this. There are patients who want to do everything faster, but they still feel afraid, do not want to take risks and, accordingly, ask that all treatment be carried out under sedation. Therefore, in the clinics of the German Implantology Center, we carry out manipulations on therapeutic, implantological and orthopedic treatment, also under sedation, when our patients come from cities in Europe, North America, Asia and we, accordingly, have a limited period of time for the patient’s stay in Moscow.

Therefore, we provide sedation to such tourist patients every visit as part of their one-time visit to Moscow, but we carry out a large amount of work with them.

Can you be allergic to sedation?

On the topic of allergic reactions, can you be allergic to sedation? An allergy, most likely, may occur not to sedation, but to the drugs used for sedation. When preparing for sedation, it is necessary to undergo tests, the patient must meet with an anesthesiologist-reanimatologist, collect a complete medical history of the patient, his body characteristics. And here it is important that the patient also conveys the information to the doctor as much as possible and without hiding or concealing anything. And, of course, the tests should be carried out in proven certified laboratories so that everything is clear, clear, and understandable without any distortion of the data, so that the doctor can also bear full responsibility for the patient’s treatment.

Recovery after sedation

How is the patient’s rehabilitation and recovery carried out after sedation at the German Implantology Center? Each patient’s reaction may be different: some recover from sedation a little slower, others come to their senses a little faster. Within about half an hour or an hour, the patient fully regains consciousness, but he still remains for some time in the Research Center clinic under the supervision of an anesthesiologist-resuscitator. Next, a taxi is called for the patient, which takes him directly to his home, or, if the patient comes with his relatives, then, naturally, his relatives take him home.

Recovery after local anesthesia

There are special drugs that can quickly remove the feeling of anesthesia, but if the patient has had a large volume of medical work, then this should not be done, because the volume of interventions was large, and the effect of the local anesthetic can reduce the possible pain effect that can be caused by the volume work. Therefore, the patient is given a package of medical support, the drugs of which are recommended to be used for 2-3 days to a week, depending on the volume and number of manipulations performed. Dental treatment under local anesthesia is one thing, and complex operations under local anesthesia associated with bone grafting and implantation are another. Although it is worth noting that local anesthesia in surgery is now a rarity, it is being successfully replaced by sedation.

Calpol

Another antipyretic for children, which contains paracetamol. You need to take Calpol an hour to an hour and a half after eating. The drug is sold in the form of a suspension that cannot be diluted with water. The child should take the medicine and wash it down with enough liquid. "Calpol" is prescribed from the age of three months. It has virtually no side effects and quickly brings down the temperature. Among the disadvantages is that you can buy Calpol only in the form of a suspension, and it contains flavorings.

Calpol

GlaxoSmithKline, GSK, UK

Calpol is a syrup for children, an analgesic, has antipyretic and analgesic effects.
Used as: an antipyretic for acute respiratory diseases, influenza, childhood infections, post-vaccination reactions and other conditions accompanied by an increase in body temperature, an analgesic for pain of mild and moderate intensity, including: headaches, toothaches, muscle pain, neuralgia, pain from injuries and burns. from 75

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Acute toothache

It appears very unexpectedly and is rapidly gaining strength. Pain in the teeth can be so severe that a person may lose consciousness for a while.

Severe toothache can occur when eating, while talking, while drinking a cup of coffee, when clenching your jaw, turning or tilting your head, climbing stairs, and even just while breathing. During each of these actions, the sensitive tooth will encounter irritants and react with severe pain:

• For hot food or water;
• To cold air;
• To change pressure and increase blood circulation.

In this case, toothache can be short-term, occur only in the presence of irritating factors and subside after their removal, incessant, or it can appear and disappear.

In any case, toothache is a reason to immediately consult a doctor. Without delay and expectation of serious complications.

Panadol

You can take Panadol from 3 months; the antipyretic is sold in the form of a suspension and rectal suppositories. The doctor calculates the dosage of the drug based on the child’s weight. You can take no more than four doses of Panadol suspension per day at regular intervals. Candles - no more than three times a day. Panadol does not retain water in the body, so there will be no swelling. Among the disadvantages of the drug is individual dosage calculation, otherwise there is a risk of allergic reactions.

Panadol for children

GlaxoSmithKline, France

Used in children aged 3 months to 12 years: to reduce elevated body temperature due to colds, flu and childhood infectious diseases (including chickenpox, mumps, measles, rubella, scarlet fever);
for toothache (including teething), headaches, ear pain with otitis media and sore throat. In children 2-3 months of age, a single dose is possible to reduce body temperature after vaccination. from 57

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What to do if your tooth hurts

First aid for a toothache begins with identifying the causes of the discomfort and eliminating irritating factors. Toothache can be caused by various irritants:

• Hot or cold food and drinks;
• Cold air;
• Sweet, sour, salty foods and drinks;
• Pressure drop;
• Head position;
• By pressure or other influence;
• Food getting into the carious cavity;
• Other mechanical effects on the tooth.

As soon as it becomes clear why the tooth hurts at a particular moment, it is necessary to stop the irritating influence. After this, consult a doctor for help. If the appointment is postponed for a long time, then it is worth taking painkillers.

Efferalgan

Efferalgan has various forms of release, but only syrup and suppositories are suitable for children. Efferalgan can be taken by babies from 1 month old; it can be added to milk, water or juice. Efferalgan suppositories have different dosages of the active ingredient, so when purchasing such suppositories you need to take into account the age and weight of the child. Children over two years old can take Efferalgan in the form of a fruit-flavored powder for dilution in water. This antipyretic agent quickly reduces fever. Among the disadvantages are individual selection of dosage and possible allergic reactions.

Efferalgan Children's

UPSA, France

Efferalgan for children is an analgesic non-narcotic drug.
Efferalgan contains the active substance - paracetamol - a drug from the group of non-narcotic analgesics. - as an antipyretic for acute respiratory infections, influenza, childhood infections, post-vaccination reactions and other conditions accompanied by an increase in body temperature; - as an analgesic for pain of mild or moderate intensity, incl. headache and toothache, muscle pain, neuralgia, pain from injuries and burns. from 76

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Tsefekon-D

The active substance in this fever remedy is also paracetamol. You can buy "Cefekon-D" in the form of rectal suppositories (for the youngest patients). "Cefekon-D" is suitable for reducing fever during ARVI, colds and after vaccination. The drug not only relieves fever, but also has anti-inflammatory and analgesic effects. Among the disadvantages is a possible allergic reaction in case of overdose.

Tsefekon D

OJSC "Nizhpharm", Russia

Cefekon D is an analgesic-antipyretic, which is used: - as an antipyretic for acute respiratory viral infections, influenza, childhood infections, post-vaccination reactions and other conditions accompanied by an increase in body temperature;
- as an analgesic for pain of mild and moderate intensity, including: headache, toothache, muscle pain, neuralgia, pain from injuries and burns. from 22

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When choosing an antipyretic for a child, it is important to consider his age and weight

Antipyretics based on ibuprofen

Ibuprofen-based fever medications for children are recommended if paracetamol-based medications do not work or are contraindicated for the child. But it is worth remembering that ibuprofen is contraindicated for intestinal diseases, bronchial asthma, liver diseases or hematopoietic organs. Antipyretics with ibuprofen are suitable for children from three months. It is important to calculate the dosage correctly, since allergic reactions, nausea, vomiting, and diarrhea are possible.

Possible causes of toothache

Caries at different stages can cause pain in the teeth. As a result of poor oral hygiene, tartar forms on the teeth, and as a result, caries develops. Gradually, the tooth enamel will be destroyed, and the internal sensitive tissues of the tooth will begin to be affected. In the first stages of caries development, the tooth may react painfully to hot and cold. When the nerve is already inflamed, toothache may occur as a result of food or water coming into contact with it. Self-medication will not help here: the cause of pain can only be eliminated in a doctor’s office;

abscess or gumboil. Purulent deposits form directly in the gums. In this case, the pain in the teeth is quite sharp and throbbing. There is severe swelling in the oral cavity; in particularly severe cases, the entire cheek may become swollen;

Pulpitis is a logical continuation of advanced caries, which causes severe pain in the teeth. When a tooth hurts due to pulpitis, unexpected severe attacks can be experienced at any time of the day or night, with irradiation into the ear or temple;

Mechanical damage . Tooth trauma, chipped enamel, damage to the crown of the tooth - all this will inevitably lead to pain. If the enamel is damaged, but the nerve remains intact, then pain may not occur immediately, but if you do not consult a doctor in a timely manner, an inflammatory process of the pulp may begin;

Various gum diseases - periodontitis, periodontitis, exposure of the necks of teeth. All these diseases often begin with bleeding gums and have very serious consequences, including tooth loss. Therefore, they definitely require treatment at the dentist’s office.

Ibuprofen

Before using this medication for fever, be sure to consult your pediatrician. If there are no contraindications, Ibuprofen is prescribed even to newborns. Children usually tolerate this drug from the group of non-steroidal anti-inflammatory drugs well. You can buy Ibuprofen in the form of a suspension with strawberry or orange flavor. It is prescribed to reduce temperature during acute respiratory viral infections and various infectious diseases. This drug is also suitable for fever after vaccination. Ibuprofen quickly reduces fever. Disadvantages include a short period of use and a ban on combination with paracetamol.

Ibuprofen for children

Rafarma, Russia

Used in children from 3 months to 2 years of age as: - an antipyretic for acute respiratory diseases, influenza, childhood infections, post-vaccination reactions and other infectious and inflammatory diseases accompanied by an increase in body temperature;
- an anesthetic for pain of mild or moderate intensity, incl. headaches and toothaches, neuralgia, pain in the ears and throat, pain due to ligament damage and other types of pain. from 76

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Ibufen

This antipyretic is allowed for children from 12 months, whose weight is more than seven kilograms. You can buy Ibufen only in the form of a suspension, which is taken undiluted. For a single dose, the dosage is selected taking into account the child’s condition. The maximum frequency of taking Ibufen per day is four times with the same time interval. This fever medicine for children works quickly and effectively. Among the disadvantages is the need for individual dosage selection, as well as rare allergic reactions to the drug.

Ibufen

Medana Pharma SA (Medana Pharma), Poland

As an antipyretic: for colds, acute respiratory viral infections, influenza, sore throat (pharyngitis), childhood infections accompanied by fever, post-vaccination reactions.
As a pain reliever: for toothache, painful teething, headaches, migraines, neuralgia, muscle pain, joint pain, injuries and burns. from 88

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Muffled pain in teeth

This is a toothache that a person is used to putting up with and has adapted to live with. It is not as severe as an acute toothache, but it is unpleasant and poisons life. It can be permanent or periodic, occur with a certain pattern, in response to known stimuli, or on its own.

The cause of muted pain is various diseases of the oral cavity. Even the first sensations of pain are a reason to consult a doctor. Most serious illnesses begin with a completely tolerable pain reaction. But if you don’t visit the dentist in time, you can get pulpitis instead of regular caries, and instead of bleeding gums, you can lose a tooth. To prevent this from happening, you don’t have to endure it when your tooth hurts; you need to immediately make an appointment with a doctor.

Nurofen

Perhaps one of the most popular antipyretic drugs for children. It not only effectively reduces temperature, but also relieves inflammation and reduces pain. You can buy Nurofen for children in the form of a suspension with different flavors or candles. Nurofen quickly reduces fever and reduces other unpleasant symptoms of acute respiratory viral infections and colds. Sometimes, when taking this antipyretic, the stomach lining may be irritated, causing nausea, vomiting, or pain. When calculating the dosage, it is necessary to take into account the age and weight of the child. Nurofen is approved for use from three months and is usually well tolerated.

Nurofen for children

Boots UK, UK

For children from 3 months to 12 years of age as an antipyretic for infectious and inflammatory diseases and conditions accompanied by an increase in body temperature, incl.
for: acute respiratory diseases; flu; childhood infections; other infectious and inflammatory diseases and post-vaccination reactions. As an analgesic for pain of mild or moderate intensity, incl. for: toothache; headache; migraine; neuralgia; ear pain; sore throat; pain from sprains; muscle pain; rheumatic pain; joint pain. The drug is intended for symptomatic therapy, reducing pain and inflammation at the time of use, does not affect the progression of the disease. from 90

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Folk remedies for toothache relief

The most popular folk remedies are also based on rinsing the mouth with a decoction of various herbs, as well as applying various non-heating compresses to the sore tooth.

The most effective rinses are:

Pain in the teeth is well relieved by compresses or acupressure on the sore tooth. To do this, use tampons or cotton pads soaked in a medicinal solution or containing a medicinal substance. This may serve as:

• Propolis;
• Essential oils;
• Alcohol or strong alcohol;
• Garlic or onion-garlic mixture with salt.

Do not forget about the simplest and surest way to temporarily numb the tooth that is bothering you. Just take an ice cube out of the freezer and apply it briefly to the sore area. The cold freezes and stops all processes, so the pain will subside for a while. Do not apply cold for a long time, as it can chill the nerve endings.

What not to do if a child has a high temperature

We have all heard about such folk methods of reducing fever as, for example, cooling the body or rubbing with vinegar.

In fact, this cannot be done. cold compresses or ice to a child who has a fever

skin vessels may spasm. A very dangerous condition when the skin is cooled and the temperature of the internal organs rises.

Another danger is rubbing the skin with vinegar or alcohol.

These substances penetrate the blood through the skin, the child can inhale their vapors - poisoning of the body occurs.

*This article is for informational purposes only and is not an advertisement or purchase guide. Information is provided for reference purposes. Self-medication is unacceptable. Before purchasing any drug or if there are signs of illness, you must consult a doctor.