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What Causes Dizziness, Ear Pain And Fatigue When Diagnosed With Temporomandibular Joint?

Posted on Tue, 13 Dec 2016

Question: I have been very dizzy headed. Stuffy. Ear ache. Fatigue, no energy, Ears pop. Went to an ENT he said ear looks great. Went to dentist he said TMJ. Now i have pain in my clavical and under my ribs. Not sure if the 2 are related. Im very tired today and just not able to focus.

Answered by Dr. Shuba hariprasad (1 hour later)

Brief Answer:
Need clarifications please

Detailed Answer:
Hello,
Thank you for your query.
I'm Dr. Shuba Hariprasad and will be answering your query today.

Would you clarify a few things for me, please?
# what is your height and weight?
# how long have you been feeling like this?
# do you have any medical conditions or take any medications?
# did you have a recent cold, ear/throat infection or sinusitis?
# do you have any allergies?
# do you smoke or consume alcohol?
# are you sexually active?
# are your menstrual cycles regular?
# any swelling in your feet or ankles?
# any sudden weight changes?
# where exactly is the pain on your clavicle and ribs? Which side? And what triggers the pain? Does it hurt to touch?
# any other joint pain?
# do you have to use your voice a lot during the day? Or shout?

Based on your symptoms I would like to check for throat inflammation, thyroid disorders and cervical spondylosis

I recommend :
-a physician consult
-blood tests (complete blood count, TSH, free t3 and free t4, blood glucose panel, lipid profile, kidney and liver function tests)
-urine analysis
-drink plenty of water a day (about 3 liters if not medically contraindicated by other illness)
-Gargle with warm saline or plain warm water thrice a day.
-steam inhalations thrice a day
-x-rays of the cervical spine and chest

Based on these tests and clinical findings a treatment plan will be initiated.

If you could back to me with the requested clarifications, I can help you further.
Please let me if there is anything else I can help you with.
Wish you good health

Regards,
Dr. Shuba Hariprasad

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Shuba hariprasad (1 hour later)

im 5'2 113 lbs, no recent cold, no allergies, yes sexually active, yes regular on periods, no smoke dont drink alcohol, Its been about 2 weeks, no medications, No swelling, no weight changes, the clavical pain is right below my bone. more like a gassy feeling.left side. swelling and pressure in my head and neck area. lymphnodes maybe ? No shouting or voice changes.

Answered by Dr. Shuba hariprasad (5 hours later)

Brief Answer:
Other causes need to be checked if TMDis not confirmed

Detailed Answer:
Hello,
Thank you for the follow up and clarifications.

# do you grind your teeth?
# any ringing in your ears?
# does it hurt to yawn or chew hard foods?
# any jaw pain?
# do you have any cavities?
# do you have a sedentary job? Or work with your arms a lot?
# any digestion problems?
# is your urine and stools normal?

Temporomandibular joint disorders (TMD) can mimic these symptoms and cause sleep disorders resulting in fatigue, dizziness.

However, other causes need to be ruled out, if the diagnosis has not been confirmed.
It is possible for it to be lymph nodes but that is usually associated with Infection and a palpable bump.

Please consider my earlier recommendations and get treated appropriately.
If it is indeed TMD, jaw rest, night guard (to prevent teeth grinding while asleep), anti inflammatory medications, ice pack application, avoiding pressure on the area with your hands, correcting posture, help ease the pain.

I urge you to Consult a physician.
Hope this helps. Please let me know if there is anything else I can help you with.
Wish you good health

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T