Chemical Gastroenterocolitis After the Root Canal Therapy - A Case Report

Abstract

A 46-year-old patient with history of treated previously for colitis, was reported with severe abdominal discomfort, pain or uneasiness in colon area after the dental re root canal therapy was initiated.His physician started treatment with Xifan (Rifaxin 200mg), Proflora (intense Probiotic high potency), Divigest ADS digestive enzymes, Gasdep (lactobacillus acidophilus) ever since the reroot canal therapy started two months ago. When he developed his abdominal pain rectal discomfort, he was prescribed mesalazine rectal suppositories for his colitis. He was advised further investigations to perform gastroscopy, colonoscopy, to check for any edematous mucosa, any polyps like change in the whole mucosa of the stomach, duodenum, first part of jejunum, distal ileum, complete colon and rectum. With the history from the dentist, Formacresol was given as the intra canal medication after removing the gutta-percha. And his previous endodontic sealer was endomethasone. The diagnosis would be complicated without any of to achieve in synopsis with use of any dental materials like Formacresol, Endomethasone. Intracanal medication was changed to calcium hydroxide paste, his colitis symptoms decreased, calcium hydroxide paste was continued as intracanal medicament during the retreatment. Keywords: Chemical Gastroenterocolitis, Gastroenteritis, Root canal therapy, RCT