[62F] Experiencing jaw pain and heartburn

Patient Description

A 62-year-old female presents with a one-day history of jaw pain described as a toothache located in the back right part of the jaw, rated as a 5/10 in intensity, not worsened by mouth movement, but more noticeable at night and during eating. The patient also reports a 3-day history of heartburn, rated 5/10 in severity, which is relieved by Maalox and triggered by fatty foods. The patient has a clicking or popping sound in the jaw when opening or closing the mouth. Past medical history includes 40 years of acid reflux and recovery from cancer, with no further details provided on the cancer diagnosis. No chest pain, shortness of breath, or severe pain radiating to the arm or neck has been reported. No other symptoms were mentioned.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Temporomandibular Joint Disorder (TMD): This condition affects the joint that connects your jaw to the side of your head. It can cause pain in the jaw, especially when eating or opening the mouth, and may also cause a clicking or popping sound.

    • Treatment often involves over-the-counter pain relievers, jaw exercises, and avoiding activities that cause jaw pain.
  • Gastroesophageal Reflux Disease (GERD): This is a more severe form of acid reflux, where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause heartburn.

    • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, stronger medications or even surgery might be needed.
  • Heart Disease: While you did not report chest pain or shortness of breath, jaw pain and heartburn can sometimes be symptoms of heart disease, especially in women. This is less likely given your symptoms, but should not be completely ruled out.

    • Treatment depends on the specific type of heart disease, but can include lifestyle changes, medications, and possibly surgery.

What you can do

  1. For TMD, try over-the-counter pain relievers and avoid activities that cause jaw pain. If this doesn't help, you may need to see a dentist or oral surgeon for further treatment.
  2. For GERD, try lifestyle changes such as avoiding fatty foods, eating smaller meals, and not lying down soon after eating. Over-the-counter antacids may also help. If these measures don't help, see a doctor for further treatment.
  3. If you have any concerns about heart disease, see a doctor immediately. They can perform tests to rule out this serious condition.

What you should look out for

  • If your jaw pain or heartburn worsens or does not improve with treatment
  • If you develop new symptoms such as chest pain, shortness of breath, or pain radiating to your arm or neck
  • If you have difficulty swallowing or notice blood in your stool or vomit

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional who can examine you and take a full history.

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1 yr ago

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People Also Ask


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

Common symptoms of TMD include jaw pain or tenderness, aching pain around the ear, difficulty chewing, and a clicking or popping sound when opening or closing the mouth.


How can Gastroesophageal Reflux Disease (GERD) be managed at home?

GERD can often be managed at home by avoiding trigger foods, eating smaller meals, not lying down immediately after eating, and using over-the-counter antacids to relieve symptoms.


Can jaw pain be a sign of heart disease in women?

Yes, jaw pain can sometimes be a sign of heart disease in women, especially if accompanied by other symptoms like chest pain or shortness of breath. It's important to consult a doctor if you suspect this.


What lifestyle changes can help reduce symptoms of GERD?

Lifestyle changes that can help reduce GERD symptoms include avoiding fatty and spicy foods, quitting smoking, losing weight if overweight, and elevating the head of the bed to prevent nighttime reflux.


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