Rapid Jaw Tremors: Causes and Management - Neurology

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Rapid up-and-down shaking of the chin?


Hello Dr.
Tsai,
Yesterday, my mother experienced involuntary rapid shaking of her jaw (over 100 times per minute) and excessive drooling.
Today, the shaking continues (over 60 times per minute), but she no longer drools.
Could you please advise on the possible causes and how to manage this condition? Thank you.

Sincerely,
Li Shiyi from Taitung

Li Shiyi, 50~59 year old female. Ask Date: 2021/11/12

Dr. Cai Zongzhang reply Neurology


Hello, Li Shiyi: It is recommended to visit the neurology outpatient clinic nearby.

Reply Date: 2021/11/12

More Info


Hello, Li Shiyi. Thank you for reaching out regarding your mother's condition. Rapid jaw tremors, also known as jaw tremors or oromandibular dystonia, can be concerning and may arise from various underlying causes. Understanding the potential reasons for these tremors and how to manage them is crucial for your mother's health.


Possible Causes of Rapid Jaw Tremors
1. Dystonia: This is a movement disorder characterized by involuntary muscle contractions, which can lead to repetitive movements or abnormal postures. Oromandibular dystonia specifically affects the jaw and mouth muscles, causing tremors or spasms.

2. Medication Side Effects: Certain medications, particularly antipsychotics or other drugs that affect the central nervous system, can lead to tremors as a side effect. If your mother has recently started or changed any medications, this could be a contributing factor.

3. Neurological Disorders: Conditions such as Parkinson's disease, essential tremor, or multiple sclerosis can manifest as tremors in various parts of the body, including the jaw.

4. Anxiety or Stress: Psychological factors can also lead to physical symptoms, including tremors. If your mother has been experiencing increased stress or anxiety, this could be a contributing factor.

5. Metabolic or Nutritional Deficiencies: Deficiencies in certain vitamins or minerals, such as magnesium or vitamin B12, can lead to muscle spasms and tremors.

6. Toxic Exposure: Exposure to certain toxins or heavy metals can also result in tremors. If there has been any recent exposure to such substances, it should be considered.


Management and Next Steps
1. Medical Evaluation: It is essential for your mother to see a healthcare professional as soon as possible. A neurologist would be particularly well-suited to evaluate her symptoms. They may perform a physical examination, review her medical history, and possibly order tests such as blood tests, imaging studies (like MRI or CT scans), or electromyography (EMG) to assess muscle activity.

2. Medication Review: If your mother is taking any medications, it would be wise to review these with her doctor. They can determine if any of her medications might be contributing to the tremors and consider alternatives if necessary.

3. Stress Management: If anxiety or stress is a factor, exploring stress management techniques such as mindfulness, meditation, or therapy could be beneficial.
4. Nutritional Assessment: A healthcare provider can evaluate her diet and consider whether any nutritional deficiencies might be contributing to her symptoms. If deficiencies are identified, dietary changes or supplements may be recommended.

5. Symptomatic Treatment: Depending on the diagnosis, treatment options may include medications specifically for dystonia or tremors, physical therapy, or other interventions aimed at managing symptoms.

6. Monitoring: Keep a close watch on her symptoms. If they worsen or if new symptoms arise, seek immediate medical attention.


Conclusion
In summary, rapid jaw tremors can stem from various causes, and a thorough evaluation by a healthcare professional is essential for accurate diagnosis and effective management. Encourage your mother to seek medical attention promptly to address her symptoms and improve her quality of life. Thank you for your inquiry, and I wish your mother a swift recovery.

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