[sohail99]

Originally Posted by CrAzY dRiVeR

Doc,

How normal is it to have blood tinge in sputum? After the patient vomited twice, may be due to food poisoning.

OMG! Blood tinged sputum is definitely not normal!!

What was the color of the tinge? Bright red or dull?

[CrAzY dRiVeR]

Originally Posted by sohail99

OMG! Blood tinged sputum is definitely not normal!!

What was the color of the tinge? Bright red or dull?

I guess dull red, although not sure. Frankly- noticing that never came to our mind.

This was after vomiting twice. Hasn't noticed any health issues after that though. On second thought, there is a red tinge to one eye from that week- one week. Put betnasol as a precaution, but didn't seem to have worked that much.

[sohail99]

Originally Posted by CrAzY dRiVeR

I guess dull red, although not sure. Frankly- noticing that never came to our mind.

This was after vomiting twice. Hasn't noticed any health issues after that though. On second thought, there is a red tinge to one eye from that week- one week. Put betnasol as a precaution, but didn't seem to have worked that much.

Do tell the age of the pt!
Dull red as in coffee colored?
Anyways, any other symptom? Like any gastric disturbances?
How's the diet of the pt!
Any history of injury etc.?

Sorry for so many questions lol!

[CrAzY dRiVeR]

Originally Posted by sohail99

Do tell the age of the pt!
Dull red as in coffee colored?
Anyways, any other symptom? Like any gastric disturbances?
How's the diet of the pt!
Any history of injury etc.?

Sorry for so many questions lol!

No no. Not coffee coloured. Dull red like Hyundai i20 red. Red, but darkish.

No history of injury. However, noticing a weak stomach recently. Let me explain- 1. Had taken medicine twice for some infection- forgot the name. (Heavy pain in stomach after eating, gets reduced after going to the loo) 2. Have a burning sensation from throat down recently- May be an after effect the erratic work schedules. Diet has suffered a bit due to the same shift schedules at office. 3.

No other symptoms noticed. Patient doesn't drink nor smoke.

Had honey that day, which he never used to it. Is honey known to cause allergic reactions?

Will need to consult an eye specialist this weekend. One eye feels reddish still.

[Parthasarathig]

Has anyone got any experience of dental implants? The dentist has recommended my mother to go in for dental implants. The 3 choices being offered are(according to decreasing price)
-Nobel Biocare(swedish)
-Skye (German)
-Osstem (Korean)

The prices differ by 10k each. Which would be the best option to go for? Or should we stick to the normal Cap and filling techiniques? She has been having a lot of toothache recently which has reduced only on analgesics.


Thanks.

[Eddy]

I got an implant done about 2 years ago. Do not remember which one was it, but costed me 35k.

Is the dentist sure that your mom's gums are strong enough to hold the implant ? I was told by my doc that the gums need to have a fair bit of strong bone to ensure that the implant is successful in the long term.

[Thad E Ginathom]

I have a bionic mouth --- three upper front teeth sitting on two pieces of titanium screwed into the gum.

Yes, you must have enough bone to support the implants. If the bone has receded, transplants are possible, but this moves things to an entirely different order of surgery.

Mine was done in UK (about £2,600 IIRC!) in 2004. I had various problems with the bridge, but none, so far, with the implants themselves.

From the patient's point of view, I can assure any potential implantee that it is, in practice, not nearly as bad as it sounds. As with many things dental, the anesthesia skill is critical (you can be sedated if you want: I was too interested in what was going on!) and, given that, even though it is like drilling a bolt out of an engine block, you should not feel a thing.

As the anesthetic wears off, things can be a bit sore. Although I persuaded my dentist to give me a prescription for codeine, I actually never needed more than the Ibuprofen (double dose on the first day) that he recommended.

[Parthasarathig]

Originally Posted by Eddy

I got an implant done about 2 years ago. Do not remember which one was it, but costed me 35k.

Is the dentist sure that your mom's gums are strong enough to hold the implant ? I was told by my doc that the gums need to have a fair bit of strong bone to ensure that the implant is successful in the long term.

Thanks for the advice. I think yours is the german one since that falls in that price range. Ive been given a quote of 47k for the swedish Nobel biocare one. The dentist hasnt told whether she will have strong bone. My mother already has some calcium deficiency. Need to confirm that with the dentist.

Have you face any problems with the implant?

Originally Posted by Thad E Ginathom

I have a bionic mouth --- three upper front teeth sitting on two pieces of titanium screwed into the gum.

£2600 is a lot now and definitely a whole lot more way back in 2004. Thankfully now its much less.
How has life been after the implant? Have you faced any problems with any particular type of food? We are non vegetarians and that may put lot of stress on the implant. Have you faced any such issues? And is an implant a lifelong thing or we need to keep replacing it at intervals?

Thanks once again.

[Eddy]

Originally Posted by Parthasarathig

Have you face any problems with the implant?

Nopes, touchwood.

Also, how long has she been missing the tooth ? The gum bone recedes fairly quickly in case of no tooth.

[dockap]

Originally Posted by CrAzY dRiVeR

Doc,

How normal is it to have blood tinge in sputum? After the patient vomited twice, may be due to food poisoning.

Most likely it is a Mallory Weiss tear since it occurred after 2 bouts of vomiting. Nothing to worry about. As for the burning sensation throat downwards it could be gastro oesophageal reflux (reflux of acidic contents of the stomach back into the oesophagus)
Some antacids and gastric motility increasing drugs would help also not advisable to lie down for at least 30 to 45 minutes soon after food intake and elevate the head end of the bed or use good elevation pillows for the reflux.
Please consult a gastroentrologist if symptoms persist as the patient may need a gastroscopy.

General info about Mallory Weiss tear

Mallory

[Parthasarathig]

Originally Posted by Eddy

Nopes, touchwood.

Also, how long has she been missing the tooth ? The gum bone recedes fairly quickly in case of no tooth.

It has been almost 10 years since she underwent root canal. I dont think she has been missing the tooth. Itseems she is wearing a cap with a bridge however due to poor quality of the work done she has been having problems on and off. The new dentist therefore recommended implant as the only solution.
The implant being costly im worried about its effectiveness. I shall have to ask.her about the absence of the tooth though.

Thanks again.

[Thad E Ginathom]

Originally Posted by Parthasarathig

£2600 is a lot now and definitely a whole lot more way back in 2004.

This was in London, UK and it was at a small clinic: I could have paid much more!

How has life been after the implant? Have you faced any problems with any particular type of food? We are non vegetarians and that may put lot of stress on the implant. Have you faced any such issues? And is an implant a lifelong thing or we need to keep replacing it at intervals?

I'm a meat eater too. My implants support my front top (incisor) teeth, so no heavy chewing. Except for the fact that the three-tooth crown has worked loose, I am completely unaware of the implants: as good as natural teeth! Better, I suppose I could say, as it was a repetition of regular problems and infections of those teeth over years that led to their eventual loss.

We need our pros to come forward with answers to your other questions. Whilst there is certainly no need for regular replacement, it is possible for implants to fail. I believe that the technology had become mature at the time that I had mine done: older procedures and methods were known for causing trouble. Also, some practitioners might over-hurry the process: my implants were left to "set" in the bone for several months before the crowns were fitted. I was then advised to take the heavy biting easy for at least a few months. Mine came with a charge for an insurance policy to cover renewal in case of failure. I could have renewed it in UK, but it did not cover overseas.

I think that's about as much as I can usefully say as being patient's point of view. Professionals?

[CrAzY dRiVeR]

Originally Posted by dockap

Most likely it is a Mallory Weiss tear since it occurred after 2 bouts of vomiting. Nothing to worry about. As for the burning sensation throat downwards it could be gastro oesophageal reflux (reflux of acidic contents of the stomach back into the oesophagus)
Some antacids and gastric motility increasing drugs would help also not advisable to lie down for at least 30 to 45 minutes soon after food intake and elevate the head end of the bed or use good elevation pillows for the reflux.
Please consult a gastroentrologist if symptoms persist as the patient may need a gastroscopy.

General info about Mallory Weiss tear

Mallory

Thank you.

Could well have been the reason. Nice to know there is nothing to worry about. Thanks.

Do we have any psychologists on the forum?

[Parthasarathig]

Originally Posted by Thad E Ginathom

This was in London, UK and it was at a small clinic: I could have paid much more!
I'm a meat eater too. My implants support my front top (incisor) teeth, so no heavy chewing. Except for the fact that the three-tooth crown has worked loose, I am completely unaware of the implants: as good as natural teeth! Better, I suppose I could say, as it was a repetition of regular problems and infections of those teeth over years that led to their eventual loss.

Thank you very much for the info. Indeed the dentist did tell us that he would put the crowns after 3 months. However no such thing as insurance to replace a failed implant was given.

After having shown numerous dentists for my mother, the problems continue to remain. Hopefully the search has ended and the problems have been attributed to improper size of the crowns that had been affixed by the earlier dentists.

With regards to the teeth only the left middle premolars of both upper and lower jaw have been referred for implants i.e 2 implants each for the upper and lower jaw and the surrounding teeth will later be capped off with crowns. This is what we've been advised.

Thanks once again Thad and Eddy.
Regards.

[condor]

FBS with the OneTouch testing device showed 111
Glycated Hb - 6
MBG (as part of the Glycated Hb test) = 138
FBS was not tested with the test for Glycated Hb

Question - is FBS & MBG (Mean Blood Glucose) the same ?