Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Remedy For Headaches And Fluid In Ears
Question: I have written a while back rearding "fluid" in my ear that was not there. I went to an ENT and he said there is no fluid, just looks that way to a general practioner. I am at at a loss as to why the left side of my head, ear, tooth, roof of mouth, (gets sores on that side) are sore and when I get a "flare" I feel like I have and awful flu, tired, weak. I am convinced it is some kind of virus flare. I had mono 35 years ago and have intrermittent trigeminal neurlagia. I had a root canal and I still have pain in that tooth, but referred I guess, also the ear pain is referred, headaches behind the ear too. The ENT said it must be musculoskeletal pain. At this no one can tell me what is wrong other than to go on amitripytline which I don't want to if at all possible. I don't want to take any more meds, already on Pristiq and wellbutrin for depression. Not sure what specialist to put down, I was hoping for an infectious disesae specialist.
Brief Answer:
? trigeminal neuralgia
Detailed Answer:
Good evening
Thank you for writing on health care magic
Well the sort of.pain you are describing does fit in with trigeminal neuralgia. Referred pains are mostly due to nerve irritation than a musculoskeltal component. It is an intermittent sort of.pain which gets triggered by touch in the areas of nerve along and causes shooting pain in the jaws, face, head. It also has a sensory component, probably that's the reason you ate facing numbness along with a feeling of swelling. It is not infectious, as no infection can last that long without causing other symptoms
Now coming to the cause for it. It is mostly idiopathic but I would like to know if you experience other symptoms like dry eyes, dry mouth, fatigue, hair fall and oral ulcers. One of the most common cause for it is sjogrens syndrome.
Now next thing is about management. Amitryptilline is not such a good rug for it. I am not sure if you have tried carbmaezepine before as it Is an excellent drug for the sort of pain you are experiencing
Well do let me know few of the queries. Would try to help you out
Also let me know any unusual symptoms you have been experiencing apart from this
Regards
Dr naval
? trigeminal neuralgia
Detailed Answer:
Good evening
Thank you for writing on health care magic
Well the sort of.pain you are describing does fit in with trigeminal neuralgia. Referred pains are mostly due to nerve irritation than a musculoskeltal component. It is an intermittent sort of.pain which gets triggered by touch in the areas of nerve along and causes shooting pain in the jaws, face, head. It also has a sensory component, probably that's the reason you ate facing numbness along with a feeling of swelling. It is not infectious, as no infection can last that long without causing other symptoms
Now coming to the cause for it. It is mostly idiopathic but I would like to know if you experience other symptoms like dry eyes, dry mouth, fatigue, hair fall and oral ulcers. One of the most common cause for it is sjogrens syndrome.
Now next thing is about management. Amitryptilline is not such a good rug for it. I am not sure if you have tried carbmaezepine before as it Is an excellent drug for the sort of pain you are experiencing
Well do let me know few of the queries. Would try to help you out
Also let me know any unusual symptoms you have been experiencing apart from this
Regards
Dr naval
Above answer was peer-reviewed by :
Dr. Yogesh D
I'm not sure if my response to this went through or not, but in response to your other questions, yes I have oral mouth sores, have 1 right now with this flare, my joints hurt, some eye irritation, and I can't have sex, too painful.
Brief Answer:
Possible Sjogrens Syndrome.
Detailed Answer:
Good evening
Well i have gone through your other history as well. The sort of symptoms you are describing can very well fit in with a disease called Sjogrens Syndrome. It is an autoimmune condition which can involve dry eyes, dry mouth and even dried up vaginal secretions(which causes Dyspareunia, that is painful sex). Cause at your age, painful sex is quite unusual. Still, one gynaecological check up should be done to look for this cause.
Sjogrens syndrome can have the implications you are having of oral ulcers, joint pains and even trigeminal neuralgia. The sensation of ear fullness can be due to the sensory part of the nerve involved giving a sense of heavy feeling.
I am not sure if anyone has looked into this angle, but you can sure discuss it with a rheumatologist once. Also, you can check up on your ANA and ENA report and let me know if it has been carried out and what are the results. Do read up on net about it and let me know if the symptoms you are experiencing match in it
Await your reply
Regards
Dr Naval
Possible Sjogrens Syndrome.
Detailed Answer:
Good evening
Well i have gone through your other history as well. The sort of symptoms you are describing can very well fit in with a disease called Sjogrens Syndrome. It is an autoimmune condition which can involve dry eyes, dry mouth and even dried up vaginal secretions(which causes Dyspareunia, that is painful sex). Cause at your age, painful sex is quite unusual. Still, one gynaecological check up should be done to look for this cause.
Sjogrens syndrome can have the implications you are having of oral ulcers, joint pains and even trigeminal neuralgia. The sensation of ear fullness can be due to the sensory part of the nerve involved giving a sense of heavy feeling.
I am not sure if anyone has looked into this angle, but you can sure discuss it with a rheumatologist once. Also, you can check up on your ANA and ENA report and let me know if it has been carried out and what are the results. Do read up on net about it and let me know if the symptoms you are experiencing match in it
Await your reply
Regards
Dr Naval
Above answer was peer-reviewed by :
Dr. Shanthi.E
Thank you so much for your help. I have called my doctor to get me a referral for a rheumatologic consult; but of course this will take months to get in. I sure I can get answer. I also wonder if itching go along with it. I itch sometimes that I get raw from it. XXXX
Brief Answer:
? Is it Sjogrens
Detailed Answer:
Good evening
Oh man.. That is quite a lot. Here you can get appointments scheduled in 2 days time. But till the time you get an appointment is it possible for you to get ANA and ENA profile done. So we have a clear idea on what we are dealing with and by the time you meet the rheumatologist it will be easier, than you having to wait for the results again. Itching can accompany any connective tissue disease. It is a non specific symptom but can be a part of it.
Hope the information has been useful and if we can sort it out, it will be great. You will benefit from the treatment then
Do let me know for more queries
Regards
Dr Naval
? Is it Sjogrens
Detailed Answer:
Good evening
Oh man.. That is quite a lot. Here you can get appointments scheduled in 2 days time. But till the time you get an appointment is it possible for you to get ANA and ENA profile done. So we have a clear idea on what we are dealing with and by the time you meet the rheumatologist it will be easier, than you having to wait for the results again. Itching can accompany any connective tissue disease. It is a non specific symptom but can be a part of it.
Hope the information has been useful and if we can sort it out, it will be great. You will benefit from the treatment then
Do let me know for more queries
Regards
Dr Naval
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
