[32F] Experiencing headaches, facial pain, and other symptoms

Patient Description

A 32-year-old female presents with a persistent aching headache at the back of the head, rated 8/10 for intensity, lasting for over two months. She also reports throbbing ear pain for over a month, a tender and slightly painful swollen lymph node on the right side of her neck for two months, and discomfort with swelling on the right side of her face, extending from her chin bone towards her ear, for the past month. Additionally, she experiences tingling or irritation on the right side of her tongue, which has been present for two months. The patient has issues with balance and dizziness but no changes in vision or speech. She also experiences jaw pain when moving her jaw. The patient has a history of high cholesterol and a Transient Ischemic Attack (TIA) three years ago. She is currently taking Praluent (40 mg every two weeks) and Rosuvastatin (20 mg every night). No known allergies to medications have been reported.

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Arora's Assessment

What might be happening

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

  • Temporomandibular Joint Disorder (TMJ): This condition affects the joint that connects your jaw to the side of your head. It can cause pain in your jaw, face, and ear, as well as headaches. The swelling on the side of your face and the pain when moving your jaw could be due to inflammation in this joint.

    • Treatment typically includes pain relievers, muscle relaxants, or a mouth guard to prevent teeth grinding. Physical therapy and certain exercises could also help.
  • Trigeminal Neuralgia: This is a chronic pain condition that affects the trigeminal nerve, which carries sensation from your face to your brain. It can cause severe facial pain that might feel like a shock or burning sensation. It's usually triggered by normal activities like eating, talking, or brushing your teeth.

    • Treatment usually involves medications to lessen or block the pain signals sent to your brain.
  • Infection: The swollen lymph node could be a sign of an infection. Infections in the ear or the salivary glands can cause pain and swelling in the face and neck. The tingling in your tongue could also be due to an oral infection.

    • Treatment for an infection typically involves antibiotics.

Please note that these are just possibilities and not a definitive diagnosis. You should consult with a healthcare provider for a formal diagnosis.

What you can do

  1. Over-the-counter pain relievers might help with the pain and swelling.
  2. Try to rest your jaw as much as possible. Avoid chewing gum and eating hard foods.
  3. Apply a warm compress to the painful areas to help relieve pain.
  4. Stay hydrated and maintain good oral hygiene to help prevent infections.

What you should look out for

If your symptoms worsen or if you develop new symptoms, you should seek medical attention immediately. These could include:

  • Severe pain that doesn't improve with over-the-counter medications
  • Difficulty opening or closing your mouth
  • Fever, chills, or other signs of an infection
  • Changes in your hearing or vision

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

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10 mo ago

People Also Ask


What are the common symptoms of Temporomandibular Joint Disorder (TMJ)?

Common symptoms of TMJ include pain or tenderness in the jaw, aching pain around the ear, difficulty chewing, and a clicking sound when opening the mouth. Headaches and facial pain are also common.


How is Trigeminal Neuralgia typically treated?

Trigeminal Neuralgia is typically treated with medications that help reduce or block pain signals, such as anticonvulsants or muscle relaxants. In some cases, surgical options may be considered if medications are not effective.


What could cause a swollen lymph node on one side of the neck?

A swollen lymph node on one side of the neck could be caused by an infection, such as a viral or bacterial infection, or inflammation. It can also be due to other conditions like an abscess or, less commonly, a malignancy.


What should I do if I experience persistent dizziness and balance issues?

If you experience persistent dizziness and balance issues, it's important to consult a healthcare provider. They can assess your symptoms and determine if further evaluation or treatment is needed, as these symptoms can be related to various conditions, including inner ear problems or neurological issues.


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