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 in my teeth, and I'm not sure if it's due to swollen gums.
I can't eat anything because any movement causes nerve pain in my teeth, so I can only eat slowly with the teeth on the side of my mouth.
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 the nerve pain in my teeth is extremely intense.
I have autonomic nervous system dysregulation; I wonder if this is related.
Please respond when you see this.
Thank you, doctor.
A-Kai, 30~39 year old female. Ask Date: 2021/10/17
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 related to issues with the trigeminal nerve or the maxillofacial nerve.
In such cases, it would be advisable to see a neurologist for further evaluation.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.
Reply Date: 2021/10/17
More Info
Understanding gum pain can be quite complex, especially when it involves potential nerve inflammation or other underlying issues. Based on your description, it seems you are experiencing significant discomfort in your gums and teeth, which may be exacerbated by your existing condition of autonomic nervous system dysregulation. Let’s break down the possible causes and considerations regarding your symptoms.
Possible Causes of Gum Pain
1. Gum Disease: One of the most common causes of gum pain is periodontal disease, which can lead to inflammation and infection of the gums. This condition can cause pain, swelling, and even tooth loss if not treated properly.
2. Nerve Inflammation: Given your mention of nerve pain, it is possible that you are experiencing a condition known as trigeminal neuralgia, which affects the trigeminal nerve responsible for sensation in the face. This can lead to severe, shooting pain in the gums and teeth, often triggered by simple actions like chewing or talking.
3. Dental Issues: Cavities, abscesses, or other dental problems can also lead to significant pain in the gums and teeth. An abscess, for instance, is a localized infection that can cause swelling and severe pain, and it may require immediate dental intervention.
4. Autonomic Nervous System Dysregulation: Your existing condition of autonomic nervous system dysregulation could be contributing to your symptoms. This condition can lead to various physical symptoms, including pain perception issues, which might make you more sensitive to pain in your gums and teeth.
5. Gastroesophageal Reflux Disease (GERD): You mentioned experiencing acid reflux, which can lead to irritation of the throat and mouth, potentially causing discomfort in the gums and teeth. Chronic acid exposure can erode tooth enamel and lead to sensitivity and pain.
Recommendations
1. Dental Evaluation: It is crucial to see a dentist for a thorough examination. They can assess for gum disease, cavities, or abscesses and provide appropriate treatment. If you are unable to eat due to pain, this is a sign that you should seek dental care as soon as possible.
2. Neurological Assessment: Since you have been referred to a neurologist, it may be beneficial to follow up with them to rule out any nerve-related issues, such as trigeminal neuralgia or other neuropathic pain conditions.
3. Managing Autonomic Dysregulation: Addressing your autonomic nervous system issues may help alleviate some of your symptoms. This could involve lifestyle changes, stress management techniques, and possibly medication adjustments. Consulting with a healthcare provider specializing in this area could be beneficial.
4. Dietary Considerations: If you are experiencing nausea or vomiting due to acid reflux, consider dietary modifications to avoid trigger foods that exacerbate your symptoms. Eating smaller, more frequent meals may also help.
5. Pain Management: Over-the-counter pain relief medications, such as ibuprofen or acetaminophen, may provide temporary relief for your gum pain. However, it’s essential to consult with a healthcare provider before starting any new medication, especially considering your existing health conditions.
Conclusion
In summary, your gum pain could stem from various sources, including dental issues, nerve inflammation, or exacerbated by your autonomic nervous system dysregulation. It is essential to seek comprehensive evaluations from both dental and medical professionals to determine the exact cause of your symptoms and to develop an appropriate treatment plan. Taking proactive steps to address your pain and underlying conditions will be crucial in improving your overall health and well-being.
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