FAQ - Ludwig's Angina
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what is diffrence between angina and ludwig's angina?


Angina is a pain of heart that occurs due to myocardial ischemia. Ludwig's angina is a bacterial infection of the floor of the mouth. It involves swelling that may block the airway. At times tracheotomy has to be done.  (+ info)

How many types of angina are there?


I know about Stable, Printzmetal's (also know as Variant), Unstable, Vincent's. I've just watched a TV programme which referred to Ludwig's angina (which I had never heard of ) and I wondered if there were any more.
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Angina Pectoris is the name given to the heart condition associated with decreased coronary blood flow.
Its various presentation has given rise to various names eg. Stable, Printzmetal, unstable, etc.. There is also another type in this group which describes chest pain on lying down i.e. Angina decubitus.
The name Angina has also been used to describe non-cardiac condition eg Ludwig's angina for a throat infection
Angina Cruris is pain in the buttocks regions on walking and is a manifestation of Le Riche syndrome.
I hope this answers your question.  (+ info)

I think my dentist and oral surgeon are at fault for my 9 day hospital stay for Ludwig's Angina....?


The dentist knew the tooth was abcessed and referred me to the oral surgeon who also said the tooth was abcessed, and pulled the tooth anyway. No antibiotic was prescribed by either. Also, the oral surgeon DID give me a prescription for a pain killer, but the pharmacy wouldn't fill it because I shouldn't combine it with another medication I take.
A surgeon had to perform two surgeries. I was in the ICU and on a ventilator. CAN I SUE????????
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Ludwig's Angina "simply" means (I know it's serious) that the infection started to spread out across the muscles of the floor of the mouth. So any infection of the teeth, especially those in the posterior lower jaw, may turn into Ludwig's. Nowadays we tend to catch them early enough, but it can be as simple as a strange root that happens to go deeper than other roots or closer to the outside of the bone so that the infection gets into the floor of the mouth faster.

Have you spoken to the dentist and oral surgeon about what happened? The first thing you need to do is to sit down with one or both of them and, in a non-accusatory manner (show that you are on top of the situation and mature enough to have a discussion), ask them what they think went wrong. Ask why antibiotics were not prescribed and ask how the Ludwig's may have been prevented.

Remember, though they should have kept you updated the whole time, there may be a specific reason why antibiotics weren't prescribed or why the infection spread out into your mouth. Let them educate you on their professional opinion and you can explain your experience in the hospital. They definitely owe you that meaning.

Remember that suing for malpractice is only for money. It will not erase time, and it will cause extremely negative relationships in your life. Be someone who stands up for yourself but does not hurt other people to "make a point." If you need the money from the hospital stay and you can prove that their lack of care directly led to the Ludwig's, then contact a lawyer and go ahead.

Just please know how dangerous ALL oral infections are. Most dentists don't explain this to patients, but the proximity of the roots to crucial structures like the brain, mouth spaces, throat, etc. makes any dental infection high risk.

Most importantly, be glad that you're all right now. Ludwig's can potentially be fatal. I'm sorry it happened.  (+ info)

ludwig's angina timing?


How quickly does it come on and would I know if I had it?
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when you know some of the signs like breathing problem, fever,swelling of the neck then its easy to know when it happens.

http://she-health-living.com/Ludwig-Angina.html  (+ info)

Does this sound like Ludwig’s angina?


i recently got a tongue peircing a week and three days ago. i've taken care of it and done what needs to be done for it to heal on a healthy note. about five days after the swelling on my tongue began to go down and by the sixth day was pretty much fine. but on tuesday i noticed below my ear on my jaw line some sort of swelling. over the past few days the swelling has grown a bit so it feels like someone has almost punched me in the face.

im not having any kind of pain in my tongue, that seems to be healed.
no trouble swallowing, no trouble breathing, etc.

only symptom is the swelling.
regardless i am making an appointment with my doctor and piercer today to see whatsup, but i would like some feedback if anyone has ever experienced this before, or what it may be if its not what i think it may be.
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it sounds like parotiditis.  (+ info)

How do you know the difference between angina and heartburn?


For a few days I have this burning like stabbing pain in my chest under my left breast that comes and goes a few times a day. I don't have acid reflux or anything but how can I know if it's angina without getting an EKG. I am not overweight and I don't have high blood pressure but I am constantly fatigued.
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you should get an EKG just to be safe. Chances are it's nothing serious, but it's best to rule it out. There are a lot of weird things that can happen in that area of the body.  (+ info)

Is Angina always accompanied by a sense of pressure on the chest or heart, and located more mid-thorax?


I've been researching Angina on internet and it appears that pressure on the chest is symptomatic. What about a simple, non-throbbing but continuous dull pain in the heart region on the left side of the chest but not mid-chest in location and no feelings of pressure? Could that be Angina? Or something else?

Please provide your information reference or source as this is a medical question where credibility, versus laymen's guess, is key.
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I had angina for 3 years. Then I had a heart attack
Then I had a triple by-pass .. That's my source, and I trust it is good enough for your purposes?
I never once experienced any "pressure" on my chest, (either mid- or LHS.. .) Many people I spoke with on the ward said the same, and my opinion is that the expression "pressure on the chest" is heard so often is (a) because it's difficult to describe angina pains, and this is one way of trying to get the 'feel" of it across, and (b) once it's been said, the phrase trips off the tongue very easily. It even sounds plausible, like the other phrase "tight bands round my chest"... which also crops up many times.

The most accurate description of the symptoms I felt is as follows:

First, a dull 'heart-burn' - like pain and discomfort in the pit of your stomach, which then got more and more intense, cold, and hostile, spreading from the centre outwards into the whole chest cavity, but then becoming an intense dull ache, not just pain.
This radiated out as the attack progressed and the heavy painful ache radiated into the upper arms, neck, and shoulder-blades.

Because the cause is pulsed blood trying to pass into the heart, it is a throbbing pain, obviously.

TNT alleviated it, as with the inhaler. This I would suggest, is one of the surest ways of telling if your dull throbbing pain is angina. Get a spray and try it.
The other way is to experiment, and exert yourself physically.
Angina will come and go, precisely in line with the exertion. You can induce it, and then alleviate it. THat's Angina.
If it doesn't, then it's not.

But when the heart attack came, the additional symptom was a steadily rising pulse (up to about 200 bpm +) and falling BP readings.  (+ info)

What is the difference between a heart attack and Angina ?


How do you know if you are having a heart attack or it's just "Angina" ?
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Angina and heart attacks are both severe forms of chest pain associated with the heart muscle being deprived of oxygen. This is usually caused by atherosclerosis blocking the coronary arteries wgich supply the heart with blood. When the blockage first happens, the pain felt is referred to as angina pectoris. The longer the vessel remains blocked is the less oxygen the muscle has left and it eventually begins to die. After one hour, the condition is usually called a heart attack, since even after restoring the blood supply to the area, some tissue already would have died and start to form scar tissue.
Angina is a warning sign that you might have a heart attack if you do not do something about your arteries, but after the attack, the heart is able to go back to normal. Angina also is a warning sign for strokes and other vascular problems that can affect different systems of the body.  (+ info)

What is the likelihood of having a heart attack after an attack of pectoral angina?


My grandfather had an angina attack on the weekend and I was just wondering the likelihood of him now having a heart attack. And also if it is highly likely how soon after the angina attack?
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ask a cardiologist.  (+ info)

What kinds of heart conditions cause angina pain?


There is someone that plays an important role in my life that suffers from angina pain. This person is sensitive to shock and emotional unrest. What kinds of heart problems cause this and is there any way to ease the symptoms or cure the problems?
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Angina, means heart pain due to decreased blood supply to a particular portion of the heart, mostly it is due to narrowing of the blood vessels (coronary arteries) supplying the heart. The narrowing is due to scar and what is known as plaque formation a process termed as atherosclerosis, the blood vessels become stiff and narrow, when the plaque ruptures or ulcerate, locally blood clots are formed which further occlude the arteries of heart known as coronary vessels

There are several risk factors which include, smoking, drugs cocaine, meth etc., High blood pressure, high cholesterol and triglycerides, diabetes, overweight, lack of exercise, hereditary factors, men in general, race and most importantly stress and bad food choices  (+ info)

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