[33F] With right-sided ear, throat, and jaw pain, and swelling

Patient Description

A 33-year-old female presents with right ear pain, sore throat on the right side, jaw pain, swollen right tonsil, and burning tongue pain. The patient reports that the pain and swelling have been present on and off for months. The jaw pain has been persistent but fluctuates in intensity since a parotid gland removal two years ago. The swelling is usually soft but becomes firm when the patient is sick. The patient finds relief from tongue pain with all drinks and feels best when asleep.

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Arora's Assessment

What might be happening

Based on the symptoms you have described, here are some possible explanations:

  • Tonsillitis or Pharyngitis: Inflammation of the tonsils or throat can cause pain, swelling, and discomfort in the throat, jaw, and ear. This is often due to a viral or bacterial infection.

    • Treatment: Typically involves rest, hydration, and over-the-counter pain relievers. If bacterial, antibiotics may be prescribed by a doctor.
  • Ear Infection (Otitis Media): An infection in the middle ear can cause ear pain, swelling, and sometimes jaw pain due to the proximity of the structures.

    • Treatment: May include antibiotics if bacterial, pain relievers, and warm compresses.
  • Temporomandibular Joint (TMJ) Disorder: Issues with the jaw joint can cause pain in the jaw, ear, and surrounding areas. This can be exacerbated by stress, teeth grinding, or previous surgery.

    • Treatment: Often involves pain management, physical therapy, and sometimes dental appliances.
  • Post-Surgical Complications: Given your history of parotid gland removal, it's possible that some of your symptoms are related to post-surgical changes or complications.

    • Treatment: Follow-up with your surgeon or a specialist may be necessary to evaluate and manage any ongoing issues.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Stay Hydrated: Drink plenty of fluids to keep your throat moist and help reduce pain.
  2. Warm Compresses: Apply warm compresses to the affected areas to help alleviate pain and swelling.
  3. Over-the-Counter Pain Relievers: Medications like ibuprofen or acetaminophen can help manage pain and reduce inflammation.
  4. Rest Your Voice: Try to minimize talking to reduce strain on your throat and tongue.
  5. Soft Foods: Eat soft, easy-to-swallow foods to avoid irritating your throat and jaw.
  6. Use MDandMe: Journal your symptoms, track your progress, and get insights. This can help you share detailed information with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Pain: If your pain becomes unbearable or significantly worsens.
  • High Fever: A fever over 100.4°F that doesn't go away with over-the-counter medications.
  • Difficulty Swallowing or Breathing: If you have trouble swallowing or breathing, seek immediate medical attention.
  • Persistent Symptoms: If your symptoms do not improve or worsen over time.

Remember, while this advice can help manage your symptoms, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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6 mo ago

People Also Ask


What are the common causes of ear pain and sore throat on one side?

Common causes of ear pain and sore throat on one side include infections such as tonsillitis or pharyngitis, ear infections, and issues related to the temporomandibular joint (TMJ). Post-surgical complications can also contribute to these symptoms.


How can I differentiate between a viral and bacterial infection causing tonsillitis?

Viral infections often cause milder symptoms and resolve on their own, while bacterial infections may cause more severe symptoms, such as high fever and swollen tonsils with white patches. A healthcare provider can perform a throat swab to determine the cause.


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

Symptoms of TMJ Disorder include jaw pain, difficulty chewing, clicking or popping sounds when opening the mouth, and pain around the ear. It can be exacerbated by stress, teeth grinding, or previous surgeries.


What should I do if I experience severe pain or difficulty swallowing?

If you experience severe pain or difficulty swallowing, it's important to seek medical attention immediately. These could be signs of a more serious condition that requires prompt treatment.


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