[24F] With recurrent swelling and pain in lower jaw/chin

Patient Description

A 24-year-old female has been experiencing recurrent swelling and pain in the lower jaw and chin for over a year. The swelling flares up about once a month and lasts for 1 to 4 days. During flare-ups, the area hardens, but when inactive, the bone feels squishy. There are no specific triggers for the swelling, and no imaging studies have been done. Occasionally, the patient experiences a fever along with the swelling. She has always been underweight and has not experienced night sweats. Sometimes, it feels like there is something caught in her throat, and it can become difficult to chew because her tongue and jaw feel fatigued. There are no changes in saliva, and she has not experienced nausea or vomiting. The patient has one broken tooth and severe crowding of three separate teeth in the affected area. She has been recently diagnosed with Ehlers-Danlos syndrome and HPV. She is not aware of any allergies or adverse reactions to medications and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for your condition:

  1. Dental Abscess or Infection:

    • Rationale: The presence of a broken tooth and severe crowding in the area, along with the clear, watery, foul-smelling fluid, suggests a possible dental abscess or infection. Dental abscesses can cause swelling, pain, and sometimes fever.
    • Typical Treatments: Treatment usually involves antibiotics to clear the infection and dental procedures to address the underlying cause, such as draining the abscess or extracting the affected tooth.
  2. Salivary Gland Infection or Blockage:

    • Rationale: The swelling and clear fluid could also indicate an issue with your salivary glands, such as an infection (sialadenitis) or a blockage (sialolithiasis). These conditions can cause swelling, pain, and sometimes fever.
    • Typical Treatments: Treatment may include antibiotics, warm compresses, massage, and in some cases, surgical removal of the blockage.
  3. Ehlers-Danlos Syndrome (EDS) Complications:

    • Rationale: EDS can cause various complications, including issues with connective tissues that might contribute to your symptoms. However, this is less likely to be the primary cause of the swelling and pain in your jaw.
    • Typical Treatments: Management of EDS involves addressing specific symptoms and complications as they arise, often with the help of a multidisciplinary team.

What you can do

Swelling and Pain in Lower Jaw/Chin:

  • See a Dentist: Given the presence of a broken tooth and severe crowding, it's important to see a dentist as soon as possible. They can evaluate the area for signs of infection or abscess and recommend appropriate treatment.
  • Warm Compresses: Applying a warm compress to the affected area can help reduce swelling and alleviate pain.
  • Good Oral Hygiene: Maintain good oral hygiene by brushing and flossing regularly to prevent further dental issues.
  • Avoid Pressing on the Swelling: Pressing on the swelling can worsen the condition. Instead, seek professional evaluation and treatment.

General Health and Monitoring:

  • Track Symptoms: Use MDandMe to journal your symptoms, track progress, and get insights. This can help you and your healthcare provider identify patterns and triggers.
  • Stay Hydrated: Drink plenty of water to help keep your salivary glands functioning properly.
  • Monitor for Fever: Keep an eye on your temperature. If you develop a high fever or if the swelling worsens, seek medical attention promptly.

What you should look out for

Given the potential seriousness of your symptoms, you should seek medical care if you experience any of the following:

  • Increased Swelling or Pain: If the swelling or pain becomes more severe or does not improve with initial treatment.
  • High Fever: A high fever could indicate a more serious infection that requires immediate medical attention.
  • Difficulty Breathing or Swallowing: If you experience significant difficulty breathing or swallowing, seek emergency care.
  • Pus or Severe Redness: If you notice pus or severe redness around the affected area, it could indicate a spreading infection.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.

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5 mo ago

People Also Ask


What are the common symptoms of a dental abscess?

Common symptoms of a dental abscess include severe toothache, sensitivity to hot or cold, swelling in the face or cheek, tender lymph nodes under your jaw or in your neck, and fever. If you notice these symptoms, it's important to see a dentist promptly.


How can Ehlers-Danlos syndrome affect dental health?

Ehlers-Danlos syndrome can affect dental health by causing fragile gum tissue, increased risk of periodontal disease, and complications with wound healing after dental procedures. It's important for individuals with EDS to maintain good oral hygiene and have regular dental check-ups.


What are the signs of a salivary gland infection or blockage?

Signs of a salivary gland infection or blockage include swelling and pain in the affected area, dry mouth, difficulty swallowing, and sometimes fever. You might also notice a foul taste in your mouth or pus draining from the gland.


What should I do if I experience swelling and pain in my jaw?

If you experience swelling and pain in your jaw, you should see a dentist to rule out any dental issues such as an abscess or infection. Applying a warm compress can help reduce swelling, and maintaining good oral hygiene is crucial. If symptoms worsen or you develop a high fever, seek medical attention immediately.


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