Gum Pain: Is It Nerve Inflammation or Something Else?

Pain in the gingival mucosa?

I went to see a neurosurgeon today, who referred me to an ENT specialist and then to a neurologist.
I have pain in my gums that feels like nerve pain, and I'm not sure if it's due to swollen gums.
I can't eat anything because any movement triggers nerve pain in my teeth, so I can only eat slowly with my side teeth.
I've been staying up late and haven't had much sleep, and suddenly I'm experiencing this.
Could this be nerve inflammation? Yesterday, I also vomited stomach acid and had excruciating nerve pain in my teeth.
I have autonomic nervous system dysregulation; could this be related? Please respond when you see this.
Thank you, doctor.

A-Kai, 30~39 year old female. Ask Date: 2021/10/09

Dr. Zeng Guanghui reply Dentistry

It is recommended to consult a dentist for further examination to check for gum inflammation or swelling, cavities, or pulpitis.
If none of these conditions are present and there is still tooth pain or discomfort while eating, it may be indicative of issues related to the trigeminal nerve or maxillofacial nerve.
In such cases, it would be advisable to seek further evaluation from a neurologist.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/10/09

More Info

Gum pain can be a complex issue that may arise from various underlying conditions, including nerve inflammation, dental problems, or even systemic issues related to autonomic nervous system dysregulation. Based on your description, it seems you are experiencing significant discomfort that affects your ability to eat and may be accompanied by other symptoms like acid reflux and nerve pain.
First, let's consider the potential causes of your gum pain. One common reason for gum pain is periodontal disease, which can lead to inflammation and infection of the gums. This condition can cause localized pain and swelling, and if left untreated, it can progress to more severe dental issues. Another possibility is a dental abscess, which is a collection of pus that can form at the root of a tooth or in the surrounding gum tissue. This can cause intense pain and may require immediate dental intervention.

You mentioned that you are experiencing nerve pain, which could indicate that the pain is not solely related to the gums or teeth but may involve the nerves that supply sensation to the oral cavity. Conditions such as trigeminal neuralgia, which is characterized by sudden, severe facial pain, could also be a factor. This condition can be triggered by various stimuli, including touch or movement, and may require specific treatment to manage the pain effectively.

Your history of autonomic nervous system dysregulation could also play a role in your symptoms. The autonomic nervous system regulates involuntary bodily functions, including heart rate, digestion, and pain perception. Dysregulation in this system can lead to heightened sensitivity to pain and discomfort, which may exacerbate your experience of gum pain and other symptoms. Stress and anxiety, which often accompany autonomic dysregulation, can also contribute to muscle tension and exacerbate pain conditions.

Given the complexity of your symptoms, it is essential to approach this issue from multiple angles. Here are some recommendations:
1. Dental Evaluation: Since you are experiencing significant gum pain and difficulty eating, it is crucial to see a dentist for a thorough examination. They can assess for periodontal disease, dental abscesses, or other dental issues that may require treatment.

2. Neurological Assessment: Since you have been referred to a neurologist, it would be beneficial to follow up with them to rule out any neurological conditions that may be contributing to your pain. They may recommend imaging studies or other diagnostic tests to evaluate the nerves in your facial region.

3. Management of Autonomic Dysregulation: Consider consulting with a healthcare provider who specializes in autonomic nervous system disorders. They can help you develop strategies to manage your symptoms, which may include lifestyle modifications, stress management techniques, and possibly medication.

4. Pain Management: Discuss pain management options with your healthcare provider. This may include medications specifically for nerve pain, such as gabapentin or pregabalin, which can help alleviate nerve-related discomfort.

5. Dietary Adjustments: Since you mentioned difficulty eating, try to consume soft foods that are easier to manage. Avoiding acidic or spicy foods may also help reduce irritation in your mouth.

6. Hydration and Oral Care: Ensure you stay hydrated and maintain good oral hygiene, as this can help prevent further complications. Rinsing with warm salt water may provide some relief for gum inflammation.

In conclusion, your gum pain could stem from a combination of dental issues and nerve-related problems, potentially exacerbated by autonomic nervous system dysregulation. A multidisciplinary approach involving dental care, neurological evaluation, and management of your autonomic symptoms will be crucial in addressing your discomfort and improving your quality of life. Please ensure you follow up with the appropriate specialists and communicate openly about all your symptoms for the best possible care.

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