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Pain in jaw below ear, palpitations in ears. on BP and cholesterol drugs. EKG normal. history of heart problems. Causes of pain below ears ?

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ENT Specialist
Practicing since : 2001
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59 yr old female; 155 lbs.; treated for high blood pressure and on colesterol drugs. 8 yrs ago I had 2 coronary stents in arteries.
No heart attack then, but close. Now for 3 months I've had pain in my jaw, below my ear, and pain/palpatations in my ear which is constant. 1. ENT said there's no problem with my ear. 2. Oral surgeon says there's no TMJ, but "Maybe" a muscle problem- offered to make an appliance to sleep in. 3. My family practice MD did an EKG and it was normal. Do you have any suggestions of what to do next?
Posted Thu, 12 Apr 2012 in Ear, Nose and Throat Problems
Answered by Dr. Naveen Kumar 2 hours later

Thanks for the query

Pain below the ear could be due to various reasons such as infection of the external ear, gingivitis, TMJ arthritis, etc. but when it is associated with palpitations then the other causes have to be looked for, such as aneurysms, glomus jugulare tumor and palatal myoclonus.

I would like to know about few more things before arriving at a probable diagnosis.
1. Do you have fullness in the ear?
2. Decreased hearing in the affected ear?
3. Any twitching in the palate (inside the mouth)?
4. Does the pain worsen on chewing the food?
5. Is the pain associated with any swelling below the ear?

I will be looking forward for the reply to the above questions.

Dr. Naveen Kumar N.
ENT and Head & Neck surgeon

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