Do I Have a Health Issue or Just High Temper? ENT Concerns Explained - Otolaryngology

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Is there a problem with this, or is it just excessive heat in the body?


Hello Doctor: My condition is similar to the one in the picture...
I only have one.
It doesn't hurt normally, but it does hurt when I bite down while eating.
Which specialist should I see?

Ri Yu, 40~49 year old female. Ask Date: 2016/03/01

Dr. Zheng Jueyi reply Otolaryngology


Hello, it may be related to inflammation or stones in the salivary gland openings.
It is recommended to visit an otolaryngologist or dentist for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/03/01

More Info


Based on your description and the image you referenced, it seems you may be experiencing a localized issue that could be related to your oral health. The pain you feel when biting down could indicate a few potential conditions, such as a dental abscess, a dental cavity, or even a problem with your jaw joint (temporomandibular joint disorder, or TMJ). Given that the pain is not constant and only occurs during specific actions like chewing, it is essential to consider the context of your symptoms.


When to See a Specialist
1. Dentist: The first step would be to consult a dentist. They can perform a thorough examination of your teeth and gums, take X-rays if necessary, and determine if there is any decay, infection, or structural issue with your teeth. If the pain is due to a cavity or an abscess, early intervention can prevent further complications.

2. Oral Surgeon: If the dentist identifies a more complex issue, such as impacted wisdom teeth or a need for extraction, they may refer you to an oral surgeon. Oral surgeons specialize in surgical procedures related to the mouth, jaw, and face.

3. ENT Specialist: If your symptoms extend beyond dental issues—such as if you experience persistent pain, swelling, or difficulty swallowing—you might consider seeing an Ear, Nose, and Throat (ENT) specialist. They can evaluate any potential issues related to the throat or sinuses that could be contributing to your discomfort.


Understanding Your Symptoms
- Localized Pain: Since you mentioned that the pain occurs only when biting, it suggests that the issue may be localized to a specific tooth or area in your mouth. This could be due to pressure on a nerve or inflammation in the surrounding tissues.

- Absence of Constant Pain: The fact that you do not experience constant pain is a good sign. It may indicate that the issue is not severe, but it still requires attention to prevent it from worsening.

- Potential Causes: Some common causes of localized pain when biting include:
- Dental Caries: Cavities can cause sensitivity and pain when pressure is applied.

- Cracked Tooth Syndrome: A crack in a tooth can lead to pain when biting down.

- Gum Disease: Inflammation of the gums can lead to pain and discomfort, especially when chewing.

- TMJ Disorders: Issues with the jaw joint can cause pain that may be felt in the teeth.


Next Steps
1. Schedule an Appointment: Make an appointment with your dentist as soon as possible. They will be able to assess your condition and provide a diagnosis.

2. Keep a Symptom Diary: Note when the pain occurs, what you were eating, and any other symptoms you might experience. This information can be helpful for your dentist.

3. Avoid Hard Foods: Until you see a dentist, try to avoid hard or crunchy foods that may exacerbate the pain.

4. Pain Management: Over-the-counter pain relief, such as ibuprofen or acetaminophen, can help manage discomfort temporarily, but it is not a substitute for professional evaluation.


Conclusion
While it is easy to dismiss dental pain as a minor issue, it is crucial to address it promptly to avoid complications. By consulting a dentist, you can determine the underlying cause of your pain and receive appropriate treatment. Remember, taking care of your oral health is an essential part of your overall well-being. Don't hesitate to seek help; your health is worth it.

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