I am due to have a tooth extracted a week tomorrow, have just started antibiotics 3 x daily for an abscess under the tooth. I am on 7 mg Pred. I am taking a probiotic in the morning and wondering if I ought to take one in the evening as well.
Also, what is the advice for increasing my Pred for the extraction. I am quite nervous and feel a bit of a wimp, but I am dreading it !
(The tooth has to come out as I have a root filling that has fractured)
any advice gratefully received.
I had to have a big tooth extracted and my rheumy said not to increase pred. The dentist also said it wasn't necessary. All went well and there were no reprecussions, so go ahead and don't be at all nervous. Better out than in I say!
Some would say that probiotics are useless when still on antibiotics, but my personal opinion is, take as much as you can, possibly through foods which contain helpful bacteria like yoghurt, various fermented veggies, kefir, and carry on for some time after your antibiotic course is finished. Don't bother to eat the probiotic foods at the same time as you take the antibiotic, or take probiotic pills at the same time!
Ask your dentist for advice regarding increasing pred, or not.
Bet you'll be glad to have the procedure over with! Hope it goes well and you feel better soon.
I totally understand your concern. I'm scared to death even when I have my teeth cleaned. I have not had an extraction since being diagnosed with PMR/GCA however I had two root canals. The procedure went well but a couple of days afterwards I started having PMR pain in my jaws. It was over Thanksgiving holiday so I could not contact my PMD nor Rheumatologist so I increased the prednisone and the pain subsided. Good luck and keep us updated.
Thanks Diana that is very encouraging. Probably the waiting is the worst aspect of it !
Thank you for your good wishes Anhaga. Do you mean dont bother to take the probiotics or probiotic food at the same time of day as the antibiotics ? At present I am taking the probiotic pill in the morning at the start of breakfast, and the first antibiotic half way through breakfast. My other breakfast meds are fitted in around them !!
Antibiotics always upset my stomach, so my doc recommends the probiotics. I have yoghurt every day as well.
Roll on next Thursday !
Root canals are horrid. You have to keep your mouth open for such a long time, its no wonder that you started to have PMR pain in your jaw. I think most people dread a visit to the dentist. I wonder if its because as children it is used as a threat that if we dont clean our teeth properly or eat too many sweets we will have to see the dentist and have a filling !!
Can't reply because as yet my teeth okay but I've never thought about talking probiotics should I be doing because ive also got gastritis, I'm prescribed something to protect my tummy that I was also on while on prednisolone but GP has never suggested probiotics.Are they yoghurt based though because I cannot have anything with milk?
There isn't an awful lot of point taking a probiotic WHILE you are taking an antibiotic - the antibiotic will kill off those good bacteria too. But immediately you finish the abx you shoudl start.
I had a wisdom tooth out, while on pred AND an anticoagulant - I was worried because of the fuss they make in the UK, the dentist here in Italy wasn't in the least bit fazed. He was right! I think Iwas on about 7mg or a bit less at the time.
It used to be standard practice to increase pred for anything, but especially surgery. Then some years ago it was decided there was no need, the patient should be monitored properly and given more pred IF REQUIRED. And it very rarely is unless it is a major intervention or severe illness.
If the gastritis is due to the pred tablet itself irritating the stomach lining it probably doesn't make a lot of difference but this paper
Potential role of probiotics in the management of gastric ulcer by GHALIA KHODER et al
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4906699/
discusses the role of probiotics in reducing inflammation in general as well as gastritis. The evidence is limited but it does appear that they will do much the same job as a PPI in preventing the damage done by stress, which you'd think is probably the same as done by pred once it is in the bloodstream.
You obviously know about the probiotic yoghurts that have added probiotic bacteria but you can also buy them as capsules from the chemist or health food shops and they tend to have far more - the amounts in dairy products are relatively small in comparison. One lady on here was told to take probiotic capsules by her gastroenterologist after gall bladder surgery that left her very unwell. Within a couple of months she was much better and swears by them. She was told to take a particular one - and it is quite expensive - but she says it is worth every penny. The doctor almost apologised she couldn't have them on the NHS - and to be honest, I'd bet a lot of doctors just poo-poo the concept of probiotics being serious medicine!
It's ranitidine that I'm on.Thanks for the tip about the tablet form of probiotics I'll look into it
My mate uses one called vsl No3 - it is made in Italy and comes highly recommended. According to Wiki it is prescribable - anywhere but the UK I suspect!!!
Won't let me tell you what it is! Oh well...
Your antibiotic will kill off the good bacteria in the probiotic. I suggest giving the probiotics time to leave your stomach and be further along in the gut before siccing the antibiotics on them! However there is something called prebiotics, which are the foods which support health of the microbes. I think those are, basically, unrefined foods like fresh vegetables and unrefined grains, but not sure, better google it, and it can only do good to be eating those anyway.
I Would definitely think twice before having a tooth extracted, once it's gone, it's gone forever. I had an extraction of a cracked tooth a few years ago and sincerely wish I'd gone to a specialist to see if there was any way to preserve it. Problems ever since. However, if there is absolutely no other choice, I hope it goes well. Implants are also time consuming and expensive. Good luck! Elinor
I was taking one probiotic a day for my gastritis. My doc suggested I take a second one while taking the antibiotics.
The dentist said she thought Pred would make the bleeding worse with an extraction. I hadnt heard this before, do you know if there is any truth in it ?
Thanks for the info on the Probiotics and the question of whether to increase the Pred for the extraction. That is good to know.
Unfortunately one of the roots is fractured, so I have no alternative. It was a tooth that I had root canal treatment on a few years ago. Thanks for your good wishes
Good idea, I will check it out. Thanks Anhaga
Pred can make the capillaries (the very small blood vessels) fragile and that is what leads to the unsightly bruising in skin. Theoretically that can be said to increase bleeding risk - but at the dentist it made no difference to me at all. He packed the socket with a cottonwool roll and told me to bite on it to stop the bleeding. I was not to drink/eat for a couple of hours and to chew on the other side to start with. Hardly the end of the world when the anaesthetic is still there!
In fact, it now occurs to me, I also had anaesthetic without adrenaline because it makes me feel really unwell, always has done and for many years I had dental work done without anaesthetic. Then a dentist told me it was probably the adrenaline which is used to make the effect last longer and also reduces the bleeding during the procedure. Without it I am fine - and it didn't make the bleeding worse. If you have the more usual lignocaine plus adrenaline the bleeding should be less in any case.
Thank you Eileen that is all extremely useful information. I shall go armed with knowledge which is fantastic.
Happy New Year to you