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Having upper jaw pain and tightening of chest. Feeling pressure behind ears and side face. Have hives. Help?

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General & Family Physician
Practicing since : 2003
Answered : 1274 Questions
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UPPER JAW PAIN TIGHTENING OF CHEST - NIGHTS ONLY?

ACHE ALSO IN AFTERNOON BRIEF, THEN GONE, PRESSURE FELT BEHIND EARS DOWN SIDE FACE TO JAW AXIS, CHEST DISCOMFORT SUBTLE FEELS LIKE LARYNX/THROAT INNER CHEST TIGHTENING.

LESS ACTIVE AFTER ACTIVE 3 WAR SURVIVOR LIFE OSTEO ARTH SCIATTICA ETC

IF YOU ARE ABLE TO ANSWER WHAT I GUESS IS A SECOND QUESTION WOULD BE NICE

HAVE HIVES AS LOCALLY DIAGNOSED, QUESTION IS - IS IT CYCLICAL ONCE THE SOURCE TRIGGER REMOVED - WHAT WOULD AN AVERAGE PERIOD BE IVE HAD IT FOR A FORTNIGHT. ALL OVER BODY NOW SCALP CHEST LEGS, DOING NOTHING DIFFERENT, NO DAIRY CEPT MILK, NO CHOCOLATE, NO NUTS, ONE COFFFE AND MANY WATER AND GREEN TEA..??????????

WE ARE IN ST HELENS TASMANIA WITH A VERY DYSFUNCTIONAL LOCAL MEDICAL STRESS CENTER AND LOCUMS COMING AND GOING, NO PERMANENT MD..

LOOK THANKS FOR BEING THERE

IN APPRECIATION
XXXXX
Posted Thu, 22 Aug 2013 in Bones, Muscles and Joints
 
 
Answered by Dr. Vaishalee Punj 2 hours later
Hi

Thanks for posting your query on XXXXXXX

First I will answer your second question. In my experience an attack of urticaria lasts for 4 - 6 weeks. It may finish off earlier if the trigger (source has been removed) Usually if the source has been removed then the attack may clear up within a day or two. You may drink lots of pure water to flush out chemicals as a result of mast cell activation in the blood. May also clean your bed and mattress and take bath with curd or yogurt rather than soap.

Now coming to your first question. Chest tightening and jaw pain warrants an ECG to rule out heart problems. Since it is occurring at night it may be angina - the Variant or Prinzmetal type. This is a type of angina that happens at rest, typically after mid-night. Diagnosis is made by doing ECG during an attack. It usually happens when there is migraine or cigarette smoking history.

Let me know If you need more clarification.

Regards

Dr Vaishalee
Above answer was peer-reviewed by
 
Follow-up: Having upper jaw pain and tightening of chest. Feeling pressure behind ears and side face. Have hives. Help? 45 hours later
THANK YOU VERY MUCH..

I HAD AN EKG AT ST HELENS HOSPITAL HERE IN TASMANIA - NO HART PROBLEMS ..

THE INNER CHEST CAVITY OR IS IT THE LUNGS I FEEL - CONTINUE TO GIVE ME A RECURRING NON CONSISTENT PAIN AND THE TIGHT PRESSURE ON THE FACE SIDES AND BEHIND THE EARS TO THE LOWER JAW CONTINUES ..

ANY FURTHER THOUGHTS?


XXXXXXX
 
 
Answered by Dr. Vaishalee Punj 17 hours later
Hi again,

If you can describe the chest pain in detail, I will be able to figure out the source of it. Do you get the chest pain with position change or breathing? From how long are you having the symptoms? Any other relevant characteristics of chest pain you may have noticed. What are the medicines you are taking? I will also suggest a lipid profile along with other detailed blood tests.


I hope they did the ECG during an attack. If not, then we can ask for exercise tolerance test like stress echocardiography and maybe something can come up on it.

Since ECG is negative and you are having pressure on face and behind ears on both sides, it may also point towards temporomandibular joint disorder. This joint is below the ears and helps in the movement of lower jaw. Due to pain or stiffness in this joint the overlying muscles may become spastic and result in pain. In such a case a dental consult is of help.

Last but not the least, stress can cause similar symptoms. I will advise a few lifestyle changes that may help.

1. Take fruits and vegetables at least 5 times a day. Take low calorie diet. High calorie foods are milk products (cheese, butter, cream, ice-cream, etc) and non-vegetarian food. Take hygienic food and pure drinking water. Drink lots of water to flush out toxins and excessive medicines.

2. Exercise for at least 20 min a day. Exercise can include walk, gym, yoga, cycling, swimming, etc

3. Relaxation techniques: Help by eliminating the physical effects of stress on body. For example during a stressful time a person tends to breathe heavily. It results in symptoms of hyperventilation. In such a case a breathing technique can help that regulates the breathing pattern.

I will describe a few examples of relaxation techniques. You may try and see if something works for you.

There are four major types of relaxation techniques:

Autogenic training: The person imagines a peaceful place and then focuses on different physical sensations, moving from the feet to the head. For example, one might focus on warmth and heaviness in the limbs, easy, natural breathing or a calm heartbeat.

Breathing technique: For example XXXXXXX XXXXXXX (available in some cities of Australia)

Progressive muscle relaxation: This technique involves slowly tensing and then releasing each muscle group individually, starting with the muscles in the toes and finishing with those in the head. This works best during acute stress and office environment.

Meditation: this helps too

Regards

Dr Vaishalee

Above answer was peer-reviewed by
 
Follow-up: Having upper jaw pain and tightening of chest. Feeling pressure behind ears and side face. Have hives. Help? 9 hours later
Dr. Vaishalee Punj,

You are a 10/10 - am most impressed and will recommend this Site to my extended Family. Poetry & Spiritual Philosophy is my name - I can't send you Denero in appreciation - just a Poem - and re Meditation visit WWW.WWWW.WW and enjoy the Didgeridoo Duet from Tasmania -

SUNSET

Soft light emerging from the East,
Past the day, under Nature’s Ray;
Mystical, magic light from the West,
Tells the time for Mankind to rest.

Day turns, spinning beneath our feet,
Sunsets’ multi-colors, spellbound we greet;
Sunrise announced the XXXXXXX
No surprise, new life was Born.

A Solar System’s setting sun,
Watched over all as each day done,
Awoke upon a distant shore,
Long afore Earthman stood to Explore.

Sunset upon Maldek, XXXXXXX and Moon,
Fifteen Billion years before Eden’s garden bloom,
Earth’s molten fiery surface cooled.

Falling ash absorbed Moisture’s kiss,
Upon hostile Lava’s bed peaks the green,
Sprouting within the mist;
From this green came all today’s Earth has seen.

When XXXXXXX was the Planet Blue,
Yes, You the Ancestor resided too;
Forced to flee to a watery Moon,
Settled upon Earth and none too soon.

Mankind from Maldech and long afore,
Fled the blast, another past, failed the test,
Nuclear horizon threatens all as before;
Surely time to let the Atoms rest.

On XXXXXXX Moon, now Earth again,
Mankind no stranger to self created Pain.

Hidden history of a species and Pan now know,
Truth at last for all to grow;
If mankind fails another test,
Past reveals what’s coming next.

Sun brings forth life, endings and rebirth,
Is the way on Planet Earth;
Universal Principle in you and I,
Together we confront tomorrow’s Sky,
Forget confusion and delusion, no longer wonder Why.

Remove error, Eden’s garden do not reject.


Sunrise, fleeting skies, Sunset,
Golden light of Wisdom to reflect,
Live life in Peace and Self Respect,
Prepare for the final moment this Sun will set,

For each is to be met,
Beyond the day of Last Sunset,
Life is, Life will continue,
Past the shedding of human Tissue,

Fact is fact is not an issue,
At the Setting of the Solar Sun,
Life continues as it begun.

Earth is unique, a Sacred Place,
Gentle caress the Cradle of this Ancient Race.


 
 
Answered by Dr. Vaishalee Punj 1 hour later
Hi again

Though I am not much of a poet but understood this poem and appreciate the gesture. I should have understood this aspect from the smile on your face.

Thank you

Dr Vaishalee
Above answer was peer-reviewed by
 
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