Pain in the right submandibular area?
Hello doctor, recently I've been experiencing several small issues on the right side of my body.
In early April, I strained the fascia around my right rib while lifting heavy objects, which extended to a sharp pain under my armpit.
I saw a doctor and had a chest X-ray, which showed no problems.
It's getting better, but sometimes the rib still has sudden sharp pains.
In mid-April, I had pain in my right wrist and consulted a traditional Chinese medicine practitioner who said I had strained a tendon.
After treatment, it improved.
On April 13, I experienced sharp pain in my lower right abdomen, accompanied by burping and stomach gurgling.
I saw a doctor who suggested that it might be due to adhesions from my previous liver transplant surgery, and recommended that I take probiotics, which has helped.
On April 27, at 9 AM, I woke up with sharp pain below my right ear and jaw, which recurred at noon, again at 3:30 PM, 4:50 PM, 6:20 PM, and 7:40 PM.
I visited a clinic, and the doctor suggested it might be nerve pain, as the intervals between these sharp pains seemed to be getting closer together.
I'm quite worried because I tend to get very anxious about any minor health issues, especially since I have had a liver transplant and am more attentive to my health.
Wenwen, 30~39 year old female. Ask Date: 2017/04/27
Dr. Jiang Junyi reply Neurology
Hello, the neuropathic pain you mentioned may need to consider trigeminal neuralgia.
Trigeminal neuralgia often occurs in the areas supplied by its lower two branches, which is the location you mentioned regarding your jaw.
Patients typically describe experiencing sharp, stabbing, or electric shock-like severe pain in their cheeks, lower jaw, or inside the mouth, usually lasting for a few seconds and may recur repeatedly.
It is recommended that you consult a neurologist to discuss examination and treatment options.
Wishing you good health and peace.
Reply Date: 2017/04/27
More Info
Understanding right jaw pain, especially in the context of previous health issues, can be quite complex. Your description suggests that you are experiencing a series of symptoms that may be interconnected, particularly given your history of liver transplant surgery and the subsequent complications you've faced.
Firstly, the pain you're experiencing in the right jaw area, particularly under the ear and extending to the jaw, could be indicative of several potential issues. One common cause of jaw pain is temporomandibular joint (TMJ) dysfunction, which can arise from stress, teeth grinding, or even physical trauma. Given your recent history of lifting heavy objects and the associated strain on your body, it's plausible that this could have contributed to muscle tension or misalignment in the jaw area.
Another possibility is that the pain could be related to nerve issues. The trigeminal nerve, which is responsible for sensation in the face, including the jaw, can sometimes become irritated or compressed, leading to sharp, shooting pains. This condition is known as trigeminal neuralgia. If the pain is sharp and occurs in sudden bursts, this could be a potential diagnosis to consider.
Additionally, considering your recent abdominal issues and the history of liver surgery, it's important to rule out any referred pain. Sometimes, issues in the abdomen can manifest as pain in other areas of the body, including the jaw. For instance, if there are any complications related to your liver or gastrointestinal tract, they could potentially cause discomfort that radiates to the jaw.
Given your heightened sensitivity to bodily changes, especially post-surgery, it's understandable that you would feel anxious about these symptoms. Anxiety can also exacerbate physical symptoms, leading to a cycle of discomfort and worry. It's crucial to address both the physical and psychological aspects of your health.
In terms of management, here are a few recommendations:
1. Consult a Specialist: If you haven't already, consider seeing a neurologist or an oral and maxillofacial specialist. They can perform a thorough examination and may recommend imaging studies, such as an MRI, to rule out any structural issues or nerve compression.
2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate discomfort. However, it's essential to use these medications as directed and consult your doctor if you have any concerns about interactions with your current medications, especially post-transplant.
3. Stress Reduction Techniques: Since anxiety can amplify physical symptoms, incorporating stress management techniques such as mindfulness, meditation, or gentle yoga may be beneficial. These practices can help reduce muscle tension and improve your overall sense of well-being.
4. Physical Therapy: If TMJ dysfunction is suspected, physical therapy focused on the jaw and neck may provide relief. A physical therapist can guide you through exercises to strengthen the muscles around the jaw and improve mobility.
5. Follow-Up Care: Regular follow-ups with your healthcare team are crucial, especially after a significant surgery like a liver transplant. They can monitor your overall health and address any new symptoms that arise.
In conclusion, while your right jaw pain could stem from various causes, including nerve issues, TMJ dysfunction, or referred pain from abdominal complications, a comprehensive evaluation by a healthcare professional is essential. Addressing both the physical and emotional aspects of your health will help you manage your symptoms more effectively and improve your quality of life.
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