Hi Parsons,
Wow that is a lot of clindaymcin to take in a short amount of time. I do believe this drug passes into the breast milk. Has your baby had any signs of intestinal distress? Even though you are no longer taking this drug it would be wise for you to take a probiotic every day and also give your baby one too for at least 30 days or longer. Ideally most people and children should take a probiotic daily for optimal health irrelevant of whether they have taken antibiotics or not. The brand Culturelle makes probiotics for infants and toddlers as well as adults.
Regarding the IV for oral surgery..... it is a light sedation called twilight. Yes you are asleep but the drugs used are not at all the same as general anesthesia. If you decide to have the surgery with the IV sedation, and you are not ready to stop nursing, you may be able to pump enough milk ahead of time to feed your baby for 24 hours which would be the day of your surgery. Then resume nursing on the next day. Just a thought....
It is not a question as to whether the clindamycin is strong enough to kill the bacteria.... it is whether or not the clinda is sensitive to the bacteria causing the infection. The only way to know which antibiotic is ideal for the bacteria is to have the site swabbed during the debridement and sent to a pathologist for culturing. Oral surgeons do this stuff routinely. Or I should say in cases where it is imperative to determine the proper antibiotic rather than keep prescribing the same one.
I think the site should be evaluated again by an oral surgeon. Discuss the treatment options prior to having anything done so you can plan ahead what you need to do for your baby.
Chronic jaw bone infections can become serious, so it is something that you really should have evaluated soon.
Please check back with us,
Bryanna
Quote:
Originally Posted by ParsonsP0403
I had my top and bottom left side wisdom teeth extracted at the end of November 2013 and was taking Clindamycin 150mg/4x a day. I felt as though the bottom never healed correctly as there was always a salty (I thought it was blood) taste in my mouth and sensitivity around the site. I returned to the dentist the first week of January and it was determined I did have an infection which they irrigated and prescribed Clindamycin 300mg/4x a day for. I went back after a week only to have the debridment procedure performed and more Clindamycin 300's prescribed. It has now been an additional 3 weeks, and the hole from the debridment procedure is still visible and quite "raw" with more foul tasting/smelling discharge. Here is a health history to better understand why I am concerned;
As a child I had scarlet fever multiple times (and yes, I am being serious. True diagnoses that baffled my small town doctors 3 summers in a row) and I've been told I should have been taking antibiotics prior to the procedure due to a higher risk of infection since I have had that illness before..not sure if this is true or relevant
I am allergic to Penicllin and it's family of antibiotics and I am wondering if Clindamycin is not strong enough to fight this infection.
I am currently breastfeeding so I am unable to go under IV sedation or take a stronger dose of antibiotics. I am considering weaning asap however if they need to do the debridment procedure again as I can not mentally be aware again for that (I was only under LA for the extraction in the first place) because now I am terrified of the pain and dentist.
Should I be concerned about such a persistant infection? Should I be seeking a second opinion from a different dentist/oral surgeon? Please offer any advice possible. I have heard horror stories of infections..
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