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Having trouble in chewing, dry mouth - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Dental Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   Hello Dr.for the past week or so I have been feeling like I can chew normally. I currently have braces and I am preparing for jaw surgery in two months. I suffer from TMJ. I have never felt this difficulty while I chew and mostly the dryness of my mouth. These past two days have been a nightmare. All I read online is very scary. What do I have? What should I do?
User :   Hello Dr
User :   I feel I'm having trouble chewing.
Doctor :   can you explain your symptoms for me ?
User :   Its a weird feeling like I'm running out of saliva.
User :   I'm having trouble chewing
User :   I currently suffer jaw problems, but never felt this before
User :   I was looking online and everything it says is quite scary, it says it can be cancer
Doctor :   may i know what symptoms specifically and have you been formally diagnosed with TMJ ?
User :   Yes I have been formally diagnosed
Doctor :   OK
User :   At this time I am wearing braces and I am ready for my surgery in two months
User :   I am 27 years old
Doctor :   Oral dryness could be due to a lot of reasons
Doctor :   1 lack of proper fluid intake
Doctor :   2. severe stress
User :   I have been drinking a lot of fluids and don't think I am under that much stress
Doctor :   3. infections causing inflammation and reduced hydration
Doctor :   ok
User :   I feel my jaw hurts in my ears
Doctor :   have any investigations been done ?
User :   But i never felt this before and as I said I have suffered TMJ my whole life.
User :   No
User :   This just started a week ago
Doctor :   i mean for TMJ ?
User :   Well, I have seen my Maxilofacial Dr, I need surgery
User :   thats all I know at this point
Doctor :   Ok
Doctor :   do u have trouble swallowing ?
User :   Also, when I finish my meals I feel like throwing up
User :   not on my throught
User :   I would say its my mouth
User :   Just a lot of dryness
Doctor :   do u have recurrent ulcers in your mouth ?
User :   No, never have.
Doctor :   you might be benefited by some blood tests
User :   What could this be?
User :   And what kind of doctor should I seek?
Doctor :   including a complete blood count, vit B12,
Doctor :   you need to seek a internist
User :   I also read some medications cause dry mouth
User :   does Xanax do this?
Doctor :   vitamin deficincies specifically b12 and also B complex can cause such issues
User :   Could it be cancer?
User :   I've been a smoker for 10 years!
Doctor :   Medications like antihistamines can cause it , but less likely with xanax
Doctor :   do u have any white patches, painful ulcers on the tougue , cheeks etc ?
Doctor :   This does not seem cancer
User :   No I don't see any of that at all.
Doctor :   in that case , no need to worry about cancer
User :   I am also super diligent when it comes to cleaning my teeth
Doctor :   also cancers can cause lymph node nelargement below the jaw , etc
User :   So could it be that my TMJ has reached a point where its getting worse?
User :   I am also going to see my orthodontist tomorrow I guess
User :   The gap that I have between my upper and lower teeth is quite big
Doctor :   please note, Tmj can be caused by a wide variety of causes
User :   Ok Dr. So is there anything I can do at this point to not feel this dryness?
User :   Its like I'm choking in my own mouth. I couldn't describe this.
Doctor :   you can try to sip water on and off
Doctor :   and also keep sucking peppermint tablets
User :   Ok, I guess I will do that and contact a Dr tomorrow for a general checkup.
User :   I forgot to mention that all of these symptoms are accompanied by some shortness of breath.
Doctor :   for your information Dry mouth can be a side effect of medical conditions, including diabetes,sjogrens syndrome, anemia, cystic fibrosis, rheumatoid arthritis, hypertension, Parkinson's disease, and mumps.
User :   While I eat
User :   Could I suffer from any of that being so young?
User :   I don't have good eating habits. Thats for sure.
Doctor :   mumps can be caused by viral infections
User :   But I am super skinny. I am 5'5 and weigh 100 pounds
Doctor :   having good habits are needed to solve issues like dry mouth
Doctor :   your vital statistics seem fine
Doctor :   i would suggest to get a X ray of your chest to rule out the cause of your breathlessness
User :   I really need to quit smoking! I'm sure non smokers don't feel this scared when it comes to changes in their body!
Doctor :   any intertial lung diseases can cause brethlessness and also issues like dry outh
Doctor :   Yes that is necessary
Doctor :   smoking cessation can help to prevent lot of cancers
User :   I know! I really need to do this. Mostly because I am thinking of becoming pregnant soon.
User :   Ok Dr. So i guess we cleared out the mouth cancer issue. Did we?
Doctor :   yes
User :   I guess that's what got me into a panic mode.
Doctor :   you do not have mouth cancer
Doctor :   you can relax about that
User :   So thank you for your help and I will seek a general checkup
User :   Thanks for your help
Doctor :   ok, take care
User :   goodbye!
Doctor :   and have a good day
Doctor :   bye for now
Doctor :   Using an over-the-counter artificial saliva substitute will also help to solve your issues
Doctor :   some of them include Optimoist spray; Saliva Substitute liquid; and Xero-Lube spray.
Doctor :   take care and bye for now
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Diseases and Conditions
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