Quickest way to relieve pain?

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# 609076 13-Apr-2012 23:16

nakedmolerat: if you go to emergency, they should be able to give you something stronger for tonight until you see a dentist tomorrow.

Don't go to emergency. It's not an emergency. If you're really hurting, go to your nearest 24 hour medical centre (e.g. http://www.whitecross.co.nz/) - but as previously mentioned, unfortunately the solution is likely to be with a dentist +/- antibiotics rather than throwing analgesics at it.

SandyJ

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# 609079 13-Apr-2012 23:25

Don't go to emergency. It's not an emergency.

Agreed. Sam you have already taken the voltaren (and Im willing to bet you took it before you posted) so there is very little else they can give you on top of it. It will work. Just top up with panadol.......and listen to what Dr KevinL says.

@blackjack17 .. Voltain is world of warcraft...lol

nakedmolerat

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# 609080 13-Apr-2012 23:28

i don't say it's an emergency problem. if it is too sore, just go there and explain what you need. it will take less than five minutes for a doc there to chart something stronger... that will help you for the nite. you can't get tramadol or something stronger by going to the chemist. in your first post, it sounds like you have already tried various otc meds.

tardtasticx

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# 609082 13-Apr-2012 23:32

Yeh I really considered getting slammed tonight to try help but I think that might cause more problems in the long run haha.

And I've worked enough in ED to know how bloody annoying people with a bit of pain are. I know it hurts but it just makes everyones night worse, increasing wait times and all that crap. By the time I get seen I'd probably have to leave for my appointment anyway. Not worth it.

I'm all out of Voltaren now, so thats a total of 100mg tonight. Its getting better now finally. Might try go to bed soonish and see what happens. What should I take if I wake up during the night though? I have:

Panadol (Paracetamol 500mg)
1 Nuromol (ibuprofen 20mg & paracetamol 500mg)
Nurfen cold and flu pe (Ibuprofen 200mg and phenylephrine 5mg)
Nurofen Zavance (sodium ibuprofen dihydrate 256mg)
Nurofen Zavance (Ibuprofen 200mg liquid capsules)

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nakedmolerat

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# 609083 13-Apr-2012 23:33

they can give you codeine, tramadol, oxynorm, or even inject you with local anaesthetic in ED. these are definitely stronger than voltaren. (just to help you through the night). i think OP already knew that he need to see a dentist!

tardtasticx

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# 609085 13-Apr-2012 23:34

Yes I know I have to see a dentist lol. I'm booked in fro 11am or 11.30am, cant remember but they ring before and confirm anyway so less than 12 hours to go now ><

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KevinL

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# 609086 13-Apr-2012 23:36

tardtasticx: Yeh I really considered getting slammed tonight to try help but I think that might cause more problems in the long run haha.

And I've worked enough in ED to know how bloody annoying people with a bit of pain are. I know it hurts but it just makes everyones night worse, increasing wait times and all that crap. By the time I get seen I'd probably have to leave for my appointment anyway. Not worth it.

I'm all out of Voltaren now, so thats a total of 100mg tonight. Its getting better now finally. Might try go to bed soonish and see what happens. What should I take if I wake up during the night though? I have:

Panadol (Paracetamol 500mg)
1 Nuromol (ibuprofen 20mg & paracetamol 500mg)
Nurfen cold and flu pe (Ibuprofen 200mg and phenylephrine 5mg)
Nurofen Zavance (sodium ibuprofen dihydrate 256mg)
Nurofen Zavance (Ibuprofen 200mg liquid capsules)

You can take 1g of paracetamol every 6 hours as required.

Ibuprofen and Diclofenac are in the same class of drugs - you could take 400mg of ibuprofen, but I'd wait 8 hours since your last dose of voltaren.

nakedmolerat

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# 609088 13-Apr-2012 23:38

if you already take voltaren that much, you should'nt take further nurofen until morning (i saw that you have taken few nurofens prior)

KevinL

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# 609089 13-Apr-2012 23:46

nakedmolerat: they can give you codeine, tramadol, oxynorm, or even inject you with local anaesthetic in ED. these are definitely stronger than voltaren. (just to help you through the night). i think OP already knew that he need to see a dentist!

In most emergency departments a toothache would generally be triaged as a category 5 (4 if you get lucky) - welcome to the end of the queue, expect at least a 2 hour wait (and realistically up to 6 hours if it's busy). Emergency departments are for emergencies - there are plenty of after hours accident and medical places around that will serve the same function you are talking about.

The other thing to remember is that we don't really learn about teeth at medical school - so the best we can generally do is write a prescription for pain medications and/or antibiotics, and tell you to go see a dentist! It's a little bit like asking a plumber about an electrical problem...

nakedmolerat

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# 609090 13-Apr-2012 23:56

KevinL:
nakedmolerat: they can give you codeine, tramadol, oxynorm, or even inject you with local anaesthetic in ED. these are definitely stronger than voltaren. (just to help you through the night). i think OP already knew that he need to see a dentist!

In most emergency departments a toothache would generally be triaged as a category 5 (4 if you get lucky) - welcome to the end of the queue, expect at least a 2 hour wait (and realistically up to 6 hours if it's busy). Emergency departments are for emergencies - there are plenty of after hours accident and medical places around that will serve the same function you are talking about.

The other thing to remember is that we don't really learn about teeth at medical school - so the best we can generally do is write a prescription for pain medications and/or antibiotics, and tell you to go see a dentist! It's a little bit like asking a plumber about an electrical problem...

as i said earlier, OP already knew he needs to see a dentist (appointment is tomorrow)...

what i am saying, if this is too sore for him, he should drop by in ED. while waiting, the nurse can get a doctor to chart something stronger and if it works, he can just leave. if he is lucky, the ED doc will have a look at the tooth and prescribed antibiotics if needed. the dentist wont be doing any procedure tomorrow if it is swollen or infected (it will be another appointment and they will just prescribe antibiotics only)

KevinL

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# 609093 14-Apr-2012 00:02

nakedmolerat: what i am saying, if this is too sore for him, he should drop by in ED. while waiting, the nurse can get a doctor to chart something stronger and if it works, he can just leave. if he is lucky, the ED doc will have a look at the tooth and prescribed antibiotics if needed. the dentist wont be doing any procedure tomorrow if it is swollen or infected (it will be another appointment and they will just prescribe antibiotics only)

I don't disagree with what you are saying. But ED is for emergencies, which this is not. If he needs medical attention, then he should go to an after-hours accident and medical centre (of which there are many which are open 24 hours). It's an important distinction - ED is busy enough as it is!

KevinL

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# 609094 14-Apr-2012 00:05

http://auckland.scoop.co.nz/2011/05/keep-the-emergency-department-for-emergencies-only-campaign/

"Year on year, people are increasingly using the emergency department at our hospitals for minor or non-urgent health problems. This takes staff and resources away from patients needing genuine emergency treatment, and does nothing to foster the important relationship each patient should have with their GP.”

SandyJ

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# 609095 14-Apr-2012 00:08

LOL..now look what you have done Sam.

Suck it up kid...its probably an impacted wisdom tooth and will need to come out. The dentist will xray it...drain it if its an abscess..pull it if its not.

Take 2 more panadol at 2am .......and a Nurofen Zavance (256mg) at 6am.

Right...... now go to bed. :D

((night))

nakedmolerat

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# 609098 14-Apr-2012 00:15

KevinL: http://auckland.scoop.co.nz/2011/05/keep-the-emergency-department-for-emergencies-only-campaign/

"Year on year, people are increasingly using the emergency department at our hospitals for minor or non-urgent health problems. This takes staff and resources away from patients needing genuine emergency treatment, and does nothing to foster the important relationship each patient should have with their GP.”

getting a simple and stronger pain relief while waiting in the waiting room won't take any of the doctor's time.

KevinL

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# 609099 14-Apr-2012 00:21

nakedmolerat:
KevinL: http://auckland.scoop.co.nz/2011/05/keep-the-emergency-department-for-emergencies-only-campaign/

"Year on year, people are increasingly using the emergency department at our hospitals for minor or non-urgent health problems. This takes staff and resources away from patients needing genuine emergency treatment, and does nothing to foster the important relationship each patient should have with their GP.”

getting a simple and stronger pain relief while waiting in the waiting room won't take any of the doctor's time.

Yes, it will take time. You have to be seen by a receptionist who will register you into the system and request your old notes. Then you will need to see a triage nurse who will take a brief history and take a few vitals. Then you wait until your name is called (as mentioned, this may take anywhere from 1-2 to 4-6 hours for a triage 5 patient). No doctor will prescribe "stronger pain relief" without seeing the patient first and obtaining a history - if it were that easy, the ED waiting room would be full of drug seekers.

ED is for emergencies. It is not a substitute for GP care, or after-hours medical care.

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