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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Teeth, Jaws, Shingles In Mouth, Trigeminal Neuralgia, Sinus Infection. Causes For Symptoms?

Hello, I was diagnosed with tmj 4 months ago by my dentist because of pain and swelling at the left jaw . X rays revealed no other problem. Soon after, the pain became electric and radiating to top and bottom teeth and jaws. My doctor diagnosed shingles in the mouth, prescribed acyclovir , neurontin , and voltaren for the pain. While this helped with the crazy pain, further symptoms. My left cheek became swollen and the inside of my mouth was so tender that it could not be touched. At my next Dr s appointment I was diagnosed with trigeminal neuralgia and was prescribed elavil and xanax. My pulse was 100 and BP just a little elevated than my norm at the time, but Dr stated there could be no infection. The next symptom was dizziness lasting a quick second but returning about every few minutes and a temperature of 100. The next Dr. stated that I have a sinus infection and bronchitis. The amoxicillin did not help any symptoms, so I went back to my dentist who stated that I have an infected tooth and did a root canal. All pain is gone but the dizziness remains though not as often. I am worried that this could be something else?
Tue, 25 Mar 2014
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ENT Specialist 's  Response
Hi , analysing your symptoms of dizziness after a sinus infection , I am in a opinion that it might be viral infection of the inner ear.that is viral labryinthitis.
In this condition dizziness persists for about 3 to 6 weeks after the infection.
This is not related to your TMJ, neuralgia, dental infection.
This is a sequelae or any viral infection , usually upper respiratory infection
.
For this , if a pt with these symptoms come to my clinic I would prescribe some labyrinthine sedatives like cinnarizine for 2 weeks along with neuro active drug .
Allthese are prescription medicine so consult your doctor and take it.
Along with this I would recommend the patient some vestibular rehabilitation exercises.
With this the dizziness will reduces, if it doesn't then I would recommend some audiological test. For this I would suggest youvto meet your ENT specialist only.
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Pain In Teeth, Jaws, Shingles In Mouth, Trigeminal Neuralgia, Sinus Infection. Causes For Symptoms?

Hi , analysing your symptoms of dizziness after a sinus infection , I am in a opinion that it might be viral infection of the inner ear.that is viral labryinthitis. In this condition dizziness persists for about 3 to 6 weeks after the infection. This is not related to your TMJ, neuralgia, dental infection. This is a sequelae or any viral infection , usually upper respiratory infection . For this , if a pt with these symptoms come to my clinic I would prescribe some labyrinthine sedatives like cinnarizine for 2 weeks along with neuro active drug . Allthese are prescription medicine so consult your doctor and take it. Along with this I would recommend the patient some vestibular rehabilitation exercises. With this the dizziness will reduces, if it doesn t then I would recommend some audiological test. For this I would suggest youvto meet your ENT specialist only.