Right Jaw Pain: When to Seek Medical Attention - Family Medicine

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Pain on the right side of the jaw?


Hello doctor, I suddenly noticed that the right side of my jaw hurts when I adopt certain positions or apply specific pressure.
Since June of last year, I have noticed that the lymph node on the right side of my jaw has enlarged, but it hasn't been painful.
I have seen many doctors, and they all said that the size is actually normal (about 0.6 cm).
Should I continue to observe for 2-3 days before deciding whether to seek medical attention?

Xiao Xu, 30~39 year old female. Ask Date: 2016/05/05

Dr. Ye Qianyu reply Family Medicine


Thank you for your inquiry! I recommend that you visit an otolaryngologist for regular evaluation and follow-up.

Reply Date: 2016/05/05

More Info


Hello! Thank you for reaching out regarding your concerns about right jaw pain and the enlarged lymph node. It's understandable to feel anxious when experiencing new or persistent symptoms, especially when they involve areas like the jaw and lymph nodes.

Based on your description, it seems that you have two main issues: the sudden onset of pain in your right jaw and the previously noted enlargement of the lymph node on the same side. Here’s a breakdown of what you should consider:
1. Jaw Pain: Sudden pain in the jaw can arise from various causes, including temporomandibular joint (TMJ) disorders, dental issues, or even referred pain from other areas, such as the neck or ear. If the pain is associated with specific movements or pressure, it could indicate a TMJ issue, which is common and often related to stress or jaw clenching. However, if the pain is severe, persistent, or accompanied by other symptoms like swelling, difficulty opening your mouth, or fever, it would be prudent to seek medical attention sooner rather than later.

2. Enlarged Lymph Node: The enlargement of a lymph node can be a sign of infection, inflammation, or, in some cases, more serious conditions. Since you mentioned that the lymph node has been stable at around 0.6 cm and has not been painful, it may not be a cause for immediate concern. However, any change in size, consistency, or associated symptoms (like pain, fever, or night sweats) warrants further evaluation.
3. Observation Period: Observing the symptoms for a few days can be reasonable, especially if the pain is mild and there are no alarming signs. However, if you notice any worsening of the pain, new symptoms, or if the lymph node changes in size or becomes painful, you should seek medical attention promptly.

4. When to Seek Help: You should consider seeking medical attention if:
- The jaw pain becomes severe or debilitating.

- You experience swelling in the jaw or face.

- There are signs of infection, such as fever, redness, or warmth in the area.

- The lymph node increases in size or becomes painful.

- You have difficulty swallowing or breathing.

5. Potential Next Steps: If you decide to see a doctor, they may perform a physical examination and possibly order imaging studies (like an ultrasound of the lymph node or X-rays of the jaw) to determine the cause of your symptoms. They may also refer you to a specialist, such as an ENT (ear, nose, and throat) doctor or a dentist specializing in TMJ disorders.

In conclusion, while it may be reasonable to observe your symptoms for a couple of days, do not hesitate to seek medical attention if you feel concerned or if your symptoms change. Your health and peace of mind are paramount, and it's always better to err on the side of caution when it comes to new or worsening symptoms. Take care, and I hope you find relief soon!

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