[48F] Experiencing jaw misalignment and associated symptoms

Patient Description

A 48-year-old female presents with a misaligned jaw, causing her upper left molars not to touch the bottom molars, leading to significant pain rated 7/10. The pain is exacerbated by chewing and talking and persists throughout the day. The patient also reports loud snoring that has recently increased in frequency and volume, excessive drooling, fatigue, and a scratchy throat that began today, which seems to be alleviated by water and throat lozenges. There is no recent history of facial trauma or dental procedures, and no fever or chills are present.

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Arora's Assessment

What might be happening

Based on the symptoms you've provided, possible diagnoses include:

  • Temporomandibular Joint Disorder (TMD): This condition affects the joint that connects your jaw to the side of your head. Symptoms can include jaw pain, difficulty chewing, and a feeling of misalignment in your bite.

    • Treatment typically involves pain management, physical therapy, and in some cases, dental intervention or surgery.
  • Sleep Apnea: This is a serious sleep disorder where breathing repeatedly stops and starts. Loud snoring and daytime fatigue are common symptoms.

    • Treatment can involve lifestyle changes, use of a CPAP machine, or in some cases, surgery.
  • Throat Infection: Your scratchy throat could be due to a viral or bacterial infection.

    • Treatment for a bacterial infection typically involves antibiotics, while a viral infection is usually managed with rest, hydration, and over-the-counter remedies.

What you can do

  1. For your jaw pain, try to avoid hard or chewy foods and apply a warm compress to the area. Over-the-counter pain relievers may also be helpful.
  2. To manage your snoring and fatigue, try improving your sleep hygiene. This can include regular sleep hours, a comfortable sleep environment, and avoiding caffeine and heavy meals before bed.
  3. For your scratchy throat, continue to stay hydrated and use throat lozenges as needed.

Remember, it's important to consult with a healthcare professional who can provide a formal diagnosis and appropriate treatment options.

What you should look out for

If your symptoms worsen or you develop new symptoms such as difficulty breathing, severe pain, or a high fever, seek immediate medical attention.

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10 mo ago

People Also Ask


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

Common symptoms of TMD include jaw pain or tenderness, difficulty chewing, a clicking or popping sound when opening the mouth, and a feeling of misalignment in the bite.


How can sleep apnea affect my daily life?

Sleep apnea can lead to daytime fatigue, difficulty concentrating, mood changes, and an increased risk of cardiovascular problems due to interrupted sleep patterns.


What are some effective home remedies for a scratchy throat?

Effective home remedies for a scratchy throat include staying hydrated, using throat lozenges, gargling with warm salt water, and using a humidifier to keep the air moist.


When should I seek medical attention for jaw pain?

You should seek medical attention for jaw pain if it is severe, persistent, or accompanied by other symptoms such as difficulty breathing, swelling, or a high fever.


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