[31F] Experiencing excessive saliva, sore jaw, and sore lymph nodes

Patient Description

A 31-year-old female presents with symptoms of excessive saliva production, soreness in the jaw, sore throat, and sore lymph nodes, with the onset of symptoms starting 2 days ago for the jaw and 1 day for the sore throat. The jaw pain is described as a tightening sensation, rated at a 5 on the pain scale, and is located in front of the ears, exacerbated by spitting out saliva and eating. The sore throat is noted to be painful when swallowing, but temporarily relieved by cough drops. Additionally, the patient reports a pounding headache. No fever or chills were initially reported, but the patient later indicated experiencing them. No further information on the headache was provided. The patient has not indicated any known allergies or existing medical conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Temporomandibular Joint Disorder (TMD): This is a condition that affects the joint connecting your jaw to the side of your head. It can cause jaw pain, headaches, and excessive saliva production. The pain can be especially noticeable when eating or opening your mouth wide.

    • Treatment for TMD often involves physical therapy, pain relief medications, and in some cases, surgery.
  • Sialorrhea (Excessive Saliva): This condition can be caused by various factors, including certain medications, oral infections, or neurological conditions. It can lead to discomfort and may contribute to soreness in the jaw and throat due to constant swallowing.

    • Treatment usually involves addressing the underlying cause. In some cases, medications can be prescribed to reduce saliva production.
  • Viral or Bacterial Infection: Conditions like the common cold, flu, or strep throat can cause a sore throat, swollen lymph nodes, and headaches. Excessive saliva production can also be a response to throat irritation.

    • Treatment typically involves rest, hydration, over-the-counter pain relievers, and for bacterial infections, antibiotics.

Please note, these are just possibilities and not a definitive diagnosis.

What you can do

  1. Try over-the-counter pain relievers for your headache and jaw pain.
  2. Stay hydrated and rest as much as possible.
  3. Try warm compresses on your jaw to help relieve the pain.
  4. Suck on throat lozenges or drink warm liquids like tea or soup to soothe your sore throat.
  5. If you suspect TMD, try to avoid wide yawning, loud singing, and chewing gum, which can strain the jaw joint.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms persist or worsen over the next few days.
  • You develop a high fever.
  • You have difficulty breathing or swallowing.
  • You experience severe, sudden headache.

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of excessive saliva production?

Excessive saliva production, or sialorrhea, can be caused by various factors including oral infections, certain medications, neurological conditions, and sometimes as a response to throat irritation. Identifying and treating the underlying cause is key to managing this condition.


How can Temporomandibular Joint Disorder (TMD) be managed at home?

Temporomandibular Joint Disorder (TMD) can often be managed at home with measures such as using over-the-counter pain relievers, applying warm compresses to the jaw, avoiding activities that strain the jaw like wide yawning or chewing gum, and practicing stress-reduction techniques.


When should I see a doctor for a sore throat and swollen lymph nodes?

You should see a doctor for a sore throat and swollen lymph nodes if the symptoms persist for more than a few days, worsen, or are accompanied by a high fever, difficulty breathing, or swallowing. These could be signs of a more serious infection that requires medical attention.


What are the signs that a headache might be related to a more serious condition?

A headache might be related to a more serious condition if it is sudden and severe, accompanied by symptoms like high fever, neck stiffness, confusion, or if it follows a head injury. In such cases, immediate medical evaluation is necessary.


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