need help

[rose820]

HI i am 25 year old female that started to have problem two year ago. One day i woke up with pain in the right side cheek and in the jaw line .Right there in that section appear a small hard bump  like a pea size in that same time i started having intensive dry mouth , and pain. since that time i  been having problem to open my mouth specially in the morning everything to be getting worst.Also every time i opened my mouth it seem that the bump blocked the mouth opening, also it hurt terrible when i try to eat also my ear get bloated for instance. sometime the pain pass through my ear. Also my cheek have gotten swollen and also feel numbness in the right side of my face. I have been through a lot of oral surgeon they have all told me their is a little inflammation in the jawline but for them everything seems normal when i tell them about the dry mouth and the bump on my cheek and the pain they don't even try to check me , they only follow what the panoramic x ray say so everything  for them seem fine for them . this for me have been a nightmare  I really appreciate if any could guide me could this parotid gland. could ENT help me in this case i would appreciated any one could help me thanks bye

[OHNS2010]

Hi Rose,

Your ENT specialist should make this diagnosis, you can talk to him and explain him about your past history.


Also consult an ophthalmologist to check for the dryness of the eyes and can be determined in the doctor's office by testing the eye's ability to wet a small testing paper strip placed under the eyelid (Schirmer's test using Schirmer tear test strips).

Salivary-gland inflammation can be detected by radiologic nuclear medicine salivary scans.

The diminished ability of the salivary glands to produce saliva can be measured with salivary flow testing. The diagnosis is strongly supported by the abnormal findings of a biopsy of salivary-gland tissue. The glands of the lower lip are often used to obtain a biopsy sample the salivary-gland tissue in the diagnosis of Sjogren's syndrome


Regards
OHNS2010

[rose820]

Hi which doctor diagnose sjogren's syndrome i really appreciated it if you could let me known i have gone to my physician he don't see to care either beside the oral surgeon would ENT diagnose what the problem might be i would really appreciate your help

[OHNS2010]

Hi,

In that case you might be having Sjogren's syndrome( dryness of mouth, eyes and swelling of the parotid gland) which is sometimes associated with Hashimoto's thyroiditis. Please refer to following links below, it might be of some help to you:

1. http://emedicine.medscape.com/article/120937-diagnosis

2. http://www.medicinenet.com/sjogrens_syndrome/article.htm

All the best

Regards
OHNS2010

[rose820]

Do not have dry eye or diabetes but i do have hashimoto disease. I get what you are trying to say but my biggest concern is the small bump that cause pain and swell that cause my jaw to tighten with the severe dryness in the mouth. Also cause numbness in that right section. I don't think tmj does all of this I have try everything that you said but it's getting worse and the medicine don't seem to help. thank for helping

[ENTMD]

ENT specialists are uniquely trained to be able to diagnose and manage problems like these --- I would seek one out.  You need this examined in person.