Jaw Pain: When to Seek Medical Attention - Family Medicine

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Pain in the jaw area?


Hello: Last Tuesday night, I suddenly felt something strange in my left jaw (the area where the jaw connects to the neck), which was painful.
The next morning, I noticed swelling, and the pain persisted, but I didn't experience any throat pain when swallowing saliva or eating.
I tried using a medicated patch for three days, but it didn't seem to reduce the swelling, although the pain has subsided.
However, it still hurts when I press on it, and I can feel a small round mass when I touch it, which is painful to the touch, but I don't feel anything when I'm not touching it.
It's been almost a week, and it's still swollen, and pressing on it still causes pain.
Could you please advise me on which specialist I should see? Thank you!

Xiao Ji, 30~39 year old female. Ask Date: 2019/07/30

Dr. Ye Qianyu reply Family Medicine


Hello! Based on your description, it may be lymphadenopathy.
I recommend that you visit an otolaryngology clinic for evaluation.
Thank you for your inquiry, and I wish you a speedy recovery!

Reply Date: 2019/07/30

More Info


Hello! It sounds like you are experiencing some concerning symptoms related to your jaw pain. Based on your description, it seems that you have swelling and localized pain in the area where your jaw connects to your neck, along with a small, painful lump that you can feel when you press on it. Given that these symptoms have persisted for nearly a week, it is important to seek medical attention.


When to Seek Medical Attention for Jaw Pain
1. Duration of Symptoms: Since your symptoms have lasted for almost a week without significant improvement, it is advisable to consult a healthcare professional. Persistent pain and swelling can indicate an underlying issue that may require treatment.

2. Location of Pain: The fact that the pain is localized to the jaw area and is associated with swelling raises the possibility of several conditions, including infections, inflammation, or even issues related to the temporomandibular joint (TMJ).

3. Presence of a Lump: The small, painful lump you mentioned could be a lymph node, a cyst, or another type of mass. Lymph nodes can become swollen due to infections or other inflammatory processes in the body. It is crucial to have this evaluated, especially if it continues to be painful.

4. Associated Symptoms: While you mentioned that swallowing and eating do not cause throat pain, any additional symptoms such as fever, difficulty opening your mouth, or radiating pain should be noted, as they can provide important clues to your healthcare provider.


Recommended Medical Specialties
Given your symptoms, you should consider seeing one of the following specialists:
- Otolaryngologist (ENT): An ENT specialist can evaluate issues related to the throat, neck, and jaw. They can assess for infections, inflammation, or other conditions affecting the area.

- Oral and Maxillofacial Surgeon: If the problem is related to the jaw or teeth, an oral surgeon can provide a thorough examination and determine if surgical intervention is necessary.

- Dentist: A dentist, particularly one who specializes in TMJ disorders, can evaluate your jaw alignment and function. They can also check for dental issues that might be contributing to your pain.


Possible Conditions to Consider
1. Infection: Conditions such as a dental abscess or a salivary gland infection can cause swelling and pain in the jaw area. These often require antibiotics or drainage.

2. TMJ Disorders: Problems with the temporomandibular joint can lead to pain, swelling, and difficulty moving the jaw. Treatment may involve physical therapy, medications, or dental appliances.

3. Lymphadenopathy: Swollen lymph nodes can occur due to infections or other inflammatory processes. If the lump is indeed a lymph node, further evaluation may be needed to determine the cause.

4. Cysts or Tumors: While less common, cysts or tumors in the jaw area can present with similar symptoms. A healthcare provider may recommend imaging studies, such as an ultrasound or CT scan, to evaluate the lump further.


Conclusion
In summary, it is important to seek medical attention for your jaw pain, especially since the symptoms have persisted for a week. An evaluation by an ENT specialist, oral surgeon, or dentist will help determine the underlying cause and appropriate treatment. Early intervention can prevent complications and help alleviate your discomfort. Please take care of yourself, and I hope you find relief soon!

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