Swelling in the oral cavity with pain below the left jaw and ear?
Hello, Doctor.
About a week ago, I noticed that after inflating my mouth, I experienced a tingling and aching sensation near the bone under my left jaw, just below my ear.
When I pressed on that area after inflating my mouth, I heard a popping sound, which felt like bubbles moving or bursting.
This situation usually occurs in the morning right after I wake up, especially when I haven't had any water.
After drinking water or eating, the symptoms disappear.
Today, I visited a doctor who examined me by pressing from the outside and looking inside my mouth with it open, but did not find any abnormalities (no lumps or anything like that) and did not prescribe any medication.
However, they did order a puncture test.
If the puncture test results are normal, what could this condition likely be?
Jeff, 10~19 year old female. Ask Date: 2020/11/23
Dr. Ji Zhaoyun reply Otolaryngology
Hello, based on your description, if a biopsy has indeed been scheduled, it is advisable to wait for the biopsy report.
There should be several tissue analysis results that you can discuss with your attending physician during your follow-up appointment.
Wishing you peace and good health.
Reply Date: 2020/11/23
More Info
The symptoms you are experiencing, particularly the tingling and aching sensation near your left jaw and ear after inflating your mouth, could be indicative of several underlying issues. Given the context of your symptoms, it is essential to consider the relationship between the jaw, ear, and oral cavity, as they are interconnected through various anatomical structures.
One possible explanation for your symptoms is related to the temporomandibular joint (TMJ), which connects the jawbone to the skull. TMJ disorders can manifest as pain or discomfort in the jaw, ear, and surrounding areas, especially when engaging in activities that involve jaw movement, such as chewing or yawning. The popping or clicking sounds you describe when pressing on the area could be due to the displacement of the joint or associated ligaments, which can occur when the joint is not functioning correctly.
Another potential cause could be related to Eustachian tube dysfunction. The Eustachian tube connects the middle ear to the back of the throat and helps equalize pressure in the ear. When you inflate your mouth, it may inadvertently affect the pressure in the Eustachian tube, leading to sensations of fullness, popping, or discomfort in the ear. This is particularly common in the morning when you may be dehydrated, as you mentioned, which can lead to a thicker mucus that may obstruct the Eustachian tube.
Additionally, the sensation of bubbles moving or popping could be related to the presence of air trapped in the tissues or cavities of the oral cavity or the middle ear. This could occur if there is an imbalance in pressure or if there is a minor inflammation affecting the surrounding tissues.
Since your doctor did not find any significant abnormalities during the examination and has recommended further testing, it is wise to follow through with the puncture test. This test can help assess for any underlying issues, such as fluid accumulation or infection in the ear, which could be contributing to your symptoms.
In the meantime, there are several self-care strategies you can implement to alleviate your discomfort. Staying well-hydrated is crucial, as dehydration can exacerbate symptoms related to the Eustachian tube and oral cavity. Gentle jaw exercises may also help improve mobility and reduce tension in the TMJ. Avoiding hard or chewy foods can prevent further strain on the jaw.
If you experience any worsening of symptoms, such as increased pain, swelling, or fever, it is essential to seek medical attention promptly. Persistent or severe symptoms may require further evaluation by an ear, nose, and throat (ENT) specialist or a dentist specializing in TMJ disorders.
In summary, while your symptoms may be benign and related to common issues such as TMJ dysfunction or Eustachian tube dysfunction, it is essential to monitor your condition closely and follow up with your healthcare provider as needed. Proper hydration, gentle jaw exercises, and avoiding aggravating activities can help manage your symptoms effectively.
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