What to do if…
you have sudden worsening pain, redness, or discharge after a recent procedure or dental work
Short answer
Treat this as urgent: contact your treating clinic/surgeon or dentist today for advice, because worsening pain, redness, or discharge can be signs of infection. If you have trouble breathing or swallowing, rapidly increasing swelling (especially face/neck), confusion, or you feel severely unwell, call 999 or go to A&E now.
Do not do these things
- Do not “wait it out” if symptoms are worsening after they were stable or improving.
- Do not squeeze, pick at, or try to drain a wound or gum area yourself.
- Do not take leftover antibiotics or someone else’s antibiotics.
- Do not remove dressings, packing, or stitches early unless you were specifically told to.
- Do not scrub the area or put undiluted antiseptics/chemicals into a wound; only use rinses/cleansers exactly as written in your aftercare.
- Do not exceed painkiller doses, or mix medicines you’re unsure about (especially if you have other conditions or take regular meds).
- Do not drive yourself to A&E if you feel faint, confused, very sleepy, or have severe facial swelling—get help.
What to do now
- Check for “go now” emergency signs (act immediately if any apply):
Call 999 or go to A&E if you have any of the following:- Trouble breathing or swallowing, drooling, or a sense your throat is tightening
- Rapidly increasing swelling of the mouth/face/neck, or swelling affecting an eye/vision
- Blue/grey/pale/blotchy skin, new confusion, slurred speech, severe breathlessness, or you feel suddenly much worse
- Uncontrolled bleeding from a dental site or a wound you cannot stop with the instructions you were given
- Contact the right place for same-day clinical advice (in this order):
- If it’s after surgery/medical procedure: call the post-op number on your discharge paperwork (ward/clinic, day-surgery unit, specialist nurse line, or on-call service). Tell them: “worsening pain + spreading redness + discharge” and whether you have fever/chills.
- If it’s dental: contact your dentist/oral surgeon. If you cannot reach a dentist promptly, use NHS 111 (online or by phone) for urgent dental triage and arrangements.
- If you cannot reach any treating team and it’s not dental: use NHS 111 for urgent clinical advice on where to be seen today.
- Gather the key details before you speak to anyone (takes 2 minutes):
- Your procedure/date and where it was done
- Current symptoms (where, how fast worsening, colour/amount/smell of discharge)
- Your temperature if you can check it, and any chills/shaking
- Any medicines you’re taking (including antibiotics, painkillers, blood thinners), and any allergies
- Make the area safer while you arrange care (follow your aftercare first):
- Keep hands off the area; wash hands before touching any dressing.
- If you were given wound/dental aftercare instructions, follow those exactly until a clinician advises otherwise.
- If there is a dressing, keep it clean and dry unless you were told to change it.
- For dental sites: avoid poking the area with fingers/tongue; avoid smoking/vaping (especially after an extraction).
- If you’re higher risk, lower your threshold for urgent help:
Seek advice sooner (same day) if you are immunosuppressed, have poorly controlled diabetes, have a prosthetic heart valve or certain serious heart conditions, are pregnant, or the procedure involved an implant/prosthesis.
What can wait
- You do not need to decide “what it is” (infection vs normal healing) right now—your job is to get clinical assessment.
- You do not need to write complaints, post online, or gather lots of background information before seeking help.
- You do not need to finish chores, travel plans, or work tasks first if symptoms are clearly worsening.
Important reassurance
Worrying after a procedure or dental work is common, especially when symptoms change quickly. Many causes (including infections) are treatable, and getting advice early is a sensible, protective move—not an overreaction.
Scope note
This guide covers first steps to reduce risk and get you to the right help fast. Follow-up treatment (e.g., antibiotics, drainage, dressing changes, imaging) depends on an in-person assessment.
Important note
This is general information, not a diagnosis. If you think you may be seriously unwell, symptoms are rapidly worsening, or you cannot get prompt advice from your treating team/dentist, use 999/A&E.
Additional Resources
- https://www.nhs.uk/conditions/sepsis/
- https://www.nhs.uk/nhs-services/dentists/how-to-find-an-nhs-dentist-in-an-emergency/
- https://www.guysandstthomas.nhs.uk/health-information/surgical-wounds-and-preventing-infections
- https://www.nice.org.uk/guidance/ng125/chapter/recommendations
- https://www.leedsth.nhs.uk/patients/resources/post-operative-wound-care-2/