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 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 next to the painful ones.
I've been staying up late and haven't slept much, and suddenly I'm experiencing this.
Could this be nerve inflammation? Yesterday, I also vomited stomach acid, and my tooth nerve pain is extremely intense.
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: 2021/11/12

Dr. Zeng Guanghui reply Dentistry

It is important to check for any inflammation or swelling of the gums, as well as to examine the teeth for cavities or crown defects.
If the oral tissues appear normal but there is still gum tenderness and pain while eating, it may indicate an issue with the facial nerve or trigeminal nerve.
It is advisable to consult a neurologist for further evaluation.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/11/12

More Info

Gum pain can be a complex issue, often involving multiple factors that can lead to discomfort and pain. Based on your description, it seems you are experiencing significant pain in your gums and teeth, which is affecting your ability to eat and causing you distress. You also mentioned a history of autonomic nervous system dysfunction, which could potentially play a role in your symptoms.

First, let's address the possibility of nerve inflammation. Nerve pain, or neuropathic pain, can occur due to various reasons, including inflammation, injury, or irritation of the nerves. In your case, if the pain is localized around the gums and teeth, it could be related to dental issues such as gum disease, tooth decay, or even an abscess. These conditions can lead to inflammation and pain that may feel like nerve pain, especially if the inflammation is affecting the nerves in the area.

You also mentioned that you have difficulty eating and that even slight movements cause significant pain. This could indicate that the inflammation is severe enough to affect the surrounding tissues and nerves. Additionally, the fact that you experienced acid reflux and nausea could suggest that your body is under stress, which can exacerbate pain perception and contribute to autonomic nervous system dysregulation.

Given your symptoms, it is essential to consider both dental and neurological evaluations. A thorough dental examination is crucial to rule out any underlying dental issues, such as periodontal disease or infections that could be causing your gum pain. If dental problems are ruled out, then a neurological evaluation may be warranted to assess for any nerve-related issues.

Regarding your autonomic nervous system dysfunction, it is known that stress and anxiety can amplify pain perception. If you are experiencing heightened stress levels, it could contribute to your symptoms. Stress management techniques, such as mindfulness, relaxation exercises, or cognitive behavioral therapy, may help alleviate some of the discomfort you are experiencing.

In summary, your gum pain could be due to a combination of dental issues and potential nerve inflammation. It is advisable to see a dentist for a comprehensive evaluation of your oral health. If dental issues are excluded, then a referral to a neurologist may be necessary to explore any underlying nerve-related conditions. Additionally, addressing your autonomic nervous system dysfunction through stress management techniques may also be beneficial in managing your symptoms.

If you continue to experience severe pain, nausea, or any other concerning symptoms, it is crucial to seek immediate medical attention. Pain that significantly impacts your daily life should not be ignored, and timely intervention can lead to better outcomes.

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