[46F] Experiencing jaw swelling and numbness

Patient Description

A 46-year-old female reports a 7-day history of jaw pain followed by unilateral swelling near the teeth and numbness resembling the effect of local anesthesia. The swelling is accompanied by a tight feeling and tingling sensation. A CT scan at the ER did not reveal any infection. Additionally, the patient has mild sinus congestion with a stuffy, runny nose that started 2 days ago. There is no difficulty breathing or swallowing, no fever or severe pain, and no changes in taste. The patient has no known allergies, no family history of neurological or autoimmune conditions, and is not on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, several conditions could be causing your symptoms:

  • Dental Abscess: An abscess is a pocket of pus that forms due to a bacterial infection. It can cause swelling, pain, and numbness in the jaw and chin area. However, since you've already been to the dentist and they prescribed antibiotics, this seems less likely. If the abscess was not adequately drained or if the infection was resistant to the antibiotics, the symptoms could persist.

    • Treatment usually involves draining the abscess and antibiotics.
  • Sinusitis: This is inflammation or swelling of the tissue lining the sinuses. It can cause sinus congestion and facial pain or swelling. However, it doesn't typically cause numbness.

    • Treatment usually involves nasal decongestants, nasal corticosteroids, and saline nasal irrigation.
  • 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 facial pain and numbness, but it doesn't typically cause swelling.

    • Treatment usually involves medications, injections, or in some cases, surgery.
  • Allergic Reaction: An allergic reaction to medication or food could cause swelling and numbness in the face. However, this would typically involve other symptoms as well, such as hives, difficulty breathing, or an itchy rash.

    • Treatment involves avoiding the allergen and taking antihistamines or corticosteroids.

What you can do

Given the persistence and severity of your symptoms, it's important to seek medical attention. Here are some steps you can take:

  1. Contact your dentist again and let them know your symptoms have not improved. They may want to reassess you or refer you to a specialist.
  2. If you're unable to reach your dentist, consider seeking help from an urgent care clinic or emergency department. They can evaluate your symptoms and potentially order further testing.
  3. In the meantime, continue to monitor your symptoms. If you develop difficulty breathing, severe pain, or other concerning symptoms, seek emergency medical attention immediately.

What you should look out for

Watch for the following symptoms, which could indicate a more serious condition:

  • Difficulty breathing or swallowing
  • Severe pain
  • Swelling that spreads to other parts of your face or neck
  • Fever or chills
  • Changes in your vision or ability to move your face

Remember, I'm an AI and not a doctor. It's important to seek care from a real health professional to receive a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What could cause jaw pain and unilateral swelling without an infection?

Jaw pain and unilateral swelling without an infection could be caused by conditions such as trigeminal neuralgia, an allergic reaction, or even a dental issue that hasn't been fully resolved. It's important to consult a healthcare professional for a thorough evaluation.


Can sinus congestion lead to facial numbness and swelling?

Sinus congestion typically causes symptoms like a stuffy or runny nose, facial pressure, and headache, but it usually does not cause numbness. Numbness might indicate involvement of nerves, which could be due to other conditions.


What are the symptoms of trigeminal neuralgia?

Trigeminal neuralgia is characterized by sudden, severe facial pain that can feel like an electric shock. It usually affects one side of the face and can be triggered by activities like chewing or speaking. Numbness is less common but can occur.


How can I differentiate between a dental abscess and sinusitis?

A dental abscess often presents with localized pain, swelling, and sometimes fever, and it may cause numbness if it affects nearby nerves. Sinusitis typically causes facial pressure, nasal congestion, and sometimes a headache, but not numbness. A dental evaluation and imaging can help differentiate between the two.


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