Head and Mouth Pain: When to Seek Medical Help - Neurosurgery

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Head issues


I had a sore on the corner of my mouth from October 9th, and I didn't see a doctor until October 12th.
The doctor said I had a painful lump on my lower jaw due to a bacterial and viral infection.
I only took medication for a little over a day and then stopped, but the sore on my mouth didn't improve.
On November 17th, I visited another clinic because my whole body was aching, and I also had my menstrual cycle.
The doctor diagnosed the sore on my mouth as herpes and noted that I had swollen lymph nodes in my neck and lower jaw.
Starting November 19th, I began experiencing stomach pain and hunger pangs.
Now, I often feel pain and soreness in various areas, and I have pain at the back of my head when I press on it.
What could be wrong with me? Which specialist should I see?

cherry, 30~39 year old female. Ask Date: 2016/11/09

Dr. Zhang Junwei reply Neurosurgery


General Internal Medicine is sufficient.

Reply Date: 2016/11/09

More Info


Based on your description, it seems you are experiencing a complex interplay of symptoms that may involve multiple systems in your body. The initial issue with your mouth, specifically the sore at the corner, could be attributed to a herpes simplex virus infection, commonly known as cold sores. This type of infection can cause localized pain and discomfort, and it can also lead to secondary bacterial infections if the area becomes irritated or if you inadvertently introduce bacteria into the sore.

The swelling of the lymph nodes in your neck and jaw area suggests that your body is responding to an infection, which could be viral or bacterial in nature. Lymphadenopathy (swollen lymph nodes) is a common response to infections, and it can be accompanied by systemic symptoms such as body aches, fever, and malaise. The fact that you are experiencing generalized body aches and discomfort, especially during your menstrual cycle, could indicate that your body is under stress, possibly due to the ongoing infection or another underlying condition.

The onset of stomach pain and the sensation of hunger leading to pain could be indicative of several issues. It might be related to gastritis, peptic ulcers, or even stress-related gastrointestinal disturbances. Stress and anxiety can exacerbate gastrointestinal symptoms, leading to discomfort and pain. It’s also worth noting that certain infections can affect your appetite and digestion, leading to feelings of nausea or discomfort.

Given the complexity of your symptoms, it is essential to seek medical attention from a healthcare professional who can provide a comprehensive evaluation. Here are some steps you might consider:
1. Primary Care Physician (PCP): Start with your primary care physician, who can assess your overall health, review your symptoms, and determine if you need referrals to specialists.

2. Ear, Nose, and Throat (ENT) Specialist: If your mouth sores and lymph node swelling persist, an ENT specialist can evaluate for any underlying infections or conditions affecting your oral and throat regions.

3. Gastroenterologist: If your stomach pain continues or worsens, a gastroenterologist can help investigate any gastrointestinal issues, including potential ulcers or gastritis.

4. Infectious Disease Specialist: If there is a suspicion of a more complex infection, especially if your symptoms do not improve with standard treatment, an infectious disease specialist may be necessary.

5. Neurologist: If you continue to experience headaches or any neurological symptoms, a neurologist can evaluate for any underlying neurological conditions.

In the meantime, here are some general recommendations:
- Hydration and Nutrition: Ensure you are staying hydrated and eating a balanced diet to support your immune system.

- Rest: Adequate rest is crucial for recovery, especially when your body is fighting an infection.

- Pain Management: Over-the-counter pain relievers may help alleviate some discomfort, but consult with your doctor before taking any medication, especially if you have other health concerns.

- Monitor Symptoms: Keep track of your symptoms, including any changes in pain, swelling, or new symptoms that arise, as this information will be valuable for your healthcare provider.

In summary, your symptoms suggest a multifaceted issue that may involve viral infections, potential bacterial complications, and gastrointestinal distress. Seeking medical advice promptly will help you receive the appropriate care and treatment to address your concerns effectively.

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