Conversation: The conversation between human and AI assistant.
[|Human|] Are you a board certified ENT Specialist? Hi Dr. Bhatti, Please bear with me, rather slow typing on IPad. Rather long history in attempt to resolve my problem with no avail. Root canal performed by dentist in 2007. Will have to refer to record for exact date. After root canal performed had to travel out of town to attend funeral. During lengthy vehicle travel, experienced fluid drainage from upper right side if mouth. Repeatedly having to spit, bad taste. While staying at hotel noticed small blue particles in fluid. Also experienced severe headaches, burning of mouth, redness of tissue on face (I have photos) extending to bridge over nose. During this time, Rheumatologist had perscribed Cellcept (Feb 2007-Feb 2008). Had tonsillectomy w/ adenoids removed Feb 2008). Tonsils positive for actinomycetes. Extreme pain, swelling redness resulted in 16 root canals within 6 months. No periodontal disease , always healthy, never smoked, no alcohol, not over weight and dental check ups, cleaning ex rays every 6 months through out life time. All root canals failed, and extracted one by one. Tooth number 5 was tooth that abscessed initially. Deep tissue biopsy of area in April of 2012 positive for anerobic bacteria. Oral Surgeon did not request identification on order, therefore, anerobic bacteria not identified or treated. Constant pain, with immediate flare, redness and swelling upon eating aand drinking. Numerous CT Scans, MRI s, have identified activity. Have been sent from specialist to specialist for past 4 years, all the while suffering pain, drainage to the point of nearly giving up. Constant draining from mouth, difficulty sleeping, mucus thick, chocking. Physically, lethargy, unable to work and have any life whatsoever. Presently, seeking to travel to large metro area for assessment at teaching hospital. Very ill, weak, etc. condition debilatating. Questions or suggestions?
[|AI|]  Your signs and symptoms described reveal that you have some chronic infections in your mouth which are bothering.  First forget about individual teeth having problem but just concentrate on improving your oral hygiene.  If there are active infections with symptoms like pain, fever, visible pus discharge, start one course of antibiotics under the guidance of some doctor.  I cannot prescribe antibiotics here because I cannot decide you one will suit you better.  Next, if you don't have these active signs but just constant irritation or mild pain, start improving your oral hygiene with the help of mouthwashes or just warm salt water gargling 3 times a day (provided you are not hypertensive).  The oral rinses containing HY Chat Doctor.  Next step is consulting again your dentist and starting some treatments to add