What should I do about swollen and painful gums due to excessive internal heat?

Jun 21, 2024 Source: Cainiu Health
Disease description:

When I can't fall asleep at night, my tongue hurts terribly—almost like a toothache. The doctor said it's caused by "excessive internal heat" (shang huo). What should I do for swollen and painful gums due to "shang huo"?

Doctor's answer (1)
Dr. He Haochen
When experiencing swollen and painful gums due to "heatiness," consider the following measures: 1. Identify the cause: Determine the underlying cause of gum swelling and pain, such as gingivitis, periodontitis, dental caries, or apical periodontitis, so that appropriate treatment can be administered. 2. Adjust diet: Avoid spicy, greasy, and other irritating foods. Increase intake of raw vegetables and fresh fruits to supplement vitamins and fiber, which helps alleviate symptoms of "heatiness." 3. Medication: If swelling and pain are severe, take anti-inflammatory medications such as metronidazole tablets or tinidazole tablets; amoxicillin may be used when necessary. Mouthwashes can also be used for local cleaning. 4. Physical therapy: Alternate between warm and cold compresses on the affected area to improve local blood circulation and reduce swelling and pain. 5. Seek medical evaluation: If symptoms persist or worsen, seek prompt medical attention for professional examination and treatment. Following these steps can effectively relieve gum swelling and pain caused by "heatiness." Maintaining good oral hygiene and regular dental cleanings are also important. Patients with concerns should consult a healthcare provider promptly.