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I Need Some Advice Please.

Posted on Fri, 5 Jun 2020

Question: I need some advice please.

Answered by Dr. Lekshmi Rita Venugopal (54 minutes later)

Brief Answer:
Please provide additional information

Detailed Answer:
Hello,

Could you please follow up with additional information regarding your health question here so that I can provide appropriate guidance.

Regards,
Dr.Lekshmi Rita Venugopal

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Lekshmi Rita Venugopal (1 hour later)

I have symptoms of a high-pitched sound when I move my jaw up and down while eating, yawning and even when I turn my head sideways to the affected side as well as grinding the teeth. I also have fullness/pressure in the ear when the jaw is motionless. I have now had these symptoms for about 6 months. I went to see the doctor last week who thought it was due to the jaw joint although there is no pain or soreness and recommended that I see a stomatologist but she didn't think it was because the Eustachian tube is blocked. Does this make sense?

I also had an x-ray performed on the jaw a few months ago and it said that the left mandibular condyle is positioned very slightly in front of the most pronounced point of the temporal condyle

Answered by Dr. Lekshmi Rita Venugopal (26 hours later)

Brief Answer:
Need to rule out ENT issues

Detailed Answer:
Hello,

Thank you for the follow up with additional details.

Your symptoms could most likely be due to blocked eustachian tube/middle ear issues. Middle ear infection s, chronic allergy, etc can cause such problems. Through physical and ear, nose and throat examination and Xray of sinuses are required at this point. So please be advised to follow up with an ENT specialist.

The tempero-mandibular Xray result shows a slight malpositioning of the condyle. However, it shouldn't cause many issues, except for jaw locking in some individuals.

So it is best to rule out ear issues first. If ENT problems are ruled out, then consider following up with a stomatologist or dentist.

Regards
Dr. Lekshmi Rita Venugopal

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Lekshmi Rita Venugopal (2 hours later)

I went to see an ENT doctor recently who said my ear was clear but there was still some mucus lodged when he examined my nose.

However, I saw the GP last week and she thought the high-pitched sound in the ear when the jaw moves and fullness/pressure in the ear was due to the temporomandibular joint dysfunction.

Answered by Dr. Lekshmi Rita Venugopal (15 hours later)

Brief Answer:
Follow up with dentist

Detailed Answer:
Hello,
Thank you for following up.

As we had discussed previously, if ENT doctor has ruled out ear problems, then the next step is to schedule an appointment with stomatologist/dentist to undergo detailed evaluation regarding temperomandibular joint issues.

Regards
Dr. Lekshmi Rita Venugopal

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Above answer was peer-reviewed by : Dr. Yogesh D