Dr. Dwight Romriell

Pain Management 47 years experience

There is likely an association of the dry noise and likely dry mouth with the diagnosed periodontal disease. The combination would cause bleeding. T... Read More

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Reviewed >2 years ago

Dr. Toshi Hart agrees1 doctor agrees

A 36-year-old member asked:

Pressure and slight ringing in left ear and pain, what should i do?

Pain Management 47 years experience

See an ENT maybe TMJ: Ear problems need to be first considered by an ENT and if a negative finding is reached consider the possibility of a TMJ condition.

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3.9k viewsAnswered >2 years ago

A 30-year-old female asked:

I have severe pain, leakin and pressure in my left ear. so i put in an ear plug i heard air escape and pain momentarily got better. any suggestions?

Pain Management 47 years experience

See an ENT maybe TMJ: You should surely see an ENT to rule out ear damage. You may also consider the possibility of a TMJ condition that is altered by the use of the ear p... Read More

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3.9k viewsAnswered >2 years ago

A 28-year-old male asked:

Can any health care professional such as pca's or respiratory therapists get certified to start iv's or injections?

Pain Management 47 years experience

Depends upon state: Yes, that is governed by the individual state and requires competency certification.

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3.8k viewsAnswered >2 years ago

A 42-year-old female asked:

I've had flexor tendonitis for about 6 months because i would not rest. now i am resting. does icing for chronic pain as opp. to acute injuries help?

Pain Management 47 years experience

Rotate ice & heat & : Rotate ice, & heat , & ice, heat, ice each for several minutes. The depth of the injury dictated the time necessary to cool and warm the tissue. Inc... Read More

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5.3k viewsReviewed >2 years ago

Dr. Heidi Fowler and another doctor agree2 doctors agree

A 60-year-old male asked:

Is it true that there is no post op bleeding after a placed dental implant even when there is a periodontal incision of the gum line?

Pain Management 47 years experience

Very very little: Typically there is very little bleeding following a dental implant procedure. Other things will contribute to bleeding such as the use of aspirin, bl... Read More

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3.8k viewsReviewed >2 years ago

Dr. Theodore Davantzis agrees1 doctor agrees

A 31-year-old male asked:

Does it bleed in teeth's root canal treatment? i m asking since i take some blood thinner medicine regularly for some other disease and i can't stop my blood thinner. my pt/inr is approx 2.5, do i need to worry for bleeding while root canal treatment?

Pain Management 47 years experience

The short answer is no! I also take blood thinners and as a dentist i would not be concerned in having a root canal treatment procedure.

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Answered >2 years ago

A 34-year-old male asked:

I have a feeling of head pressure at the back and right side of the head, its been there for a 3 days now. comes every morning and in the night. i have no other symptoms. it just feels like pressure and have some neck pain too. what could this be ?

Pain Management 47 years experience

Your description of location is not very specific, and I will make a suggestion. Firmly press the pressure area with your fingers looking for an area... Read More

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Answered Nov 11, 2021

A 21-year-old male asked:

When i got sad of something, or anything not desirable happen, i got a severe headache in the part beside my left eye, and it makes it harder to do things like even talking or do activities, literally everything, it may last for months?

Pain Management 47 years experience

The pain on the side of your head is likely the temporal chewing muscle form the stress of clenching the teeth. Behavioral modification and possibly ... Read More

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Reviewed Oct 08, 2021

A 19-year-old male asked:

I have a hard lump on the right side of my neck between my jawline and ear?

Pain Management 47 years experience

the most likely cause is a swollen lymph gland which may quickly reduce with gentle massaging of the swelling. It could also be in the muscle which ... Read More

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Reviewed >2 years ago

Dr. Susan Rhoads and 2 doctors agree3 doctors agree

A 42-year-old female asked:

I was diagnosed with cluster headache after getting new onset severe stabbing pains in my r temple.don't normally get headaches.was put on prednisone 40 mg x 5 days.will it likely come back? is this an inflammatory condition? i do have sle as well?

Pain Management 47 years experience

I regard "Cluster Headache" as a symptom not so much as a diagnosis. The underlying problem could be as simple as temporal muscle tension or muscle s... Read More

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Answered Dec 09, 2021

A 32-year-old female asked:

Hi i recently fell off the back of a chair and hit the back upper part of my head on the bottom of the chair. i was fine did not black out or anything. but two days later i feel pressure in ears/temple/front like sinus pressure?

Pain Management 47 years experience

Consider a jaw joint injury. Normal jaw motion is 12-15mm lateral motion left and right without pain.

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Answered >2 years ago

A 62-year-old female asked:

3 days ago, i began noticing 2 horizontal swollen areas high in my throat, about where the jawline bends and between the jawbones. 3rd day-beginning to feel touchy on left side. what all could this be? for reference, i have ra and am on orencia?

Pain Management 47 years experience

You likely have an infection which i recommend you use a strong mouthwash such as saltwater or commercial mouth washes. Left untreated you may be in ... Read More

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Answered Feb 23, 2022

A 39-year-old male asked:

1) what parts of the body are behind the left breast on a male? 2) what bones and organs are to the left of the left nipple on a male?

Pain Management 47 years experience

Your heart is beneath and to the left of the nipple. Have you had a recent covid vaccination?

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Answered Oct 08, 2021

A 30-year-old female asked:

Is it safe to take vitamin d from nature made? i have a vitamin d deficiency and looking to find a brand that is safe to take with safe ingredients and the least possible amount of contaminants ?

Pain Management 47 years experience

I like to use supplements from TIME Lab.

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Answered >2 years ago

A 21-year-old female asked:

My 1 front tooth had a very small chip. i went to the dentist and he filed it to be even. after that it kept on chipping even more and now my other front tooth is also chipping away small pieces. what should i do ?

Pain Management 47 years experience

I suspect the front teeth have previously been hit and cracked allowing for small pieces to be lost. Clenching and grinding of the teeth could also b... Read More

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Reviewed >2 years ago

Dr. Susan Rhoads agrees1 doctor agrees

A 16-year-old female asked:

Two nights ago i scratched my eye by accident (used a double-sided dental pick, got startled by something, poked my eye via that) i've kept it closed on/off since, using systane to help with irritation/pain, but it still hurts. any advice or tips?

Pain Management 47 years experience

It appears the eye should be examined by a doctor to identify the damage and suggest appropriate treatment.

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed >2 years ago

Dr. Arnold Malerman agrees1 doctor agrees

A 43-year-old female asked:

Need to have all upper teeth pulled and wisdom teeth,im so scared of facial nerve damage or not coming unnumb or bells palsy whats the chances,im so scared of a dentist but the pain is bad i cant eat on soft food n liquids n augmentin?

Pain Management 47 years experience

I would also add there is little risk of facial nerve damage or Bell's palsey. There could be a risk of damaging the trigeminal nerve that served the... Read More

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Reviewed Nov 20, 2021

Dr. Franklyn Gergits agrees1 doctor agrees

A 34-year-old female asked:

Small hard lump, right side of neck, just behind the jaw and under the ear. bit tender when pressing on it. history of bruxism. right ear a bit clogged too. serious?

Pain Management 47 years experience

It could be temporomandibular disorder. I suggest you have an evaluation by a TMJ specialist.

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Answered Aug 10, 2022

A 33-year-old female asked:

Tinnitus, ear fullness feeling, right head tenderness, neck pain since 20 days. pta, mri brain normal. mri cervical spine shows disc bulge in c3, c4, c5, c6 levels.taking nuflam twice. d high 2000 iu, nervex bt at ngt. tinnitus related to disc bulge?

Pain Management 47 years experience

An ear examination is certainly in order. I would also suggest a TMJ evaluation. by a TMJ specialist. I have seen several thousand of these cases res... Read More

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Answered >2 years ago

A 16-year-old male asked:

Can your height growth become stunted and slower when you smoke cigarattes?(smoking?

Pain Management 47 years experience

Absolutely!

Created for people with ongoing healthcare needs but benefits everyone.

Answered Nov 11, 2021

A 33-year-old female asked:

I have all of the pain symptoms of tmj but none of the mechanical symptoms such as jaw clicking/popping, or restricted range of motion. could this still be tmj?

Pain Management 47 years experience

More advanced TM joints begin to click less and become quiet as the joint degenerates and required less space the joint fossa. Headaches, facial pain... Read More

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Answered Jan 30, 2023

A 18-year-old female asked:

Hello, i have migraines quite frequently. over the last year, without taking 500 mg of magnesium they can happen any day. my issue is that even while taking magnesium any change in my environment can cause a painful migraine?

Pain Management 47 years experience

I would have to answer a question with a question. Are you sure you are having migraine headaches? Could it be you are actually having muscle tensio... Read More

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Reviewed >2 years ago

Dr. Susan Rhoads agrees1 doctor agrees

A 22-year-old female asked:

I got invisalign a month ago. yesterday, my gums got extremely inflamed. i went to my general dentist who discovered residue bonding material underneath my gum. is the orthodontist who did the invisalign treatment responsible?

Pain Management 47 years experience

The question is who laced the bonding material. Who ever placed the bonding is responsible; unfortunately, residual bonding agent is common and shoul... Read More

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Reviewed Jan 15, 2023

Dr. Arnold Malerman agrees1 doctor agrees

A 66-year-old male asked:

I am on 20 mg nortriptyline daily for migraine headaches. it has raised by resting heart rate from 52 bpm to 72 bpm. unsurprisingly i am a distance runner, and it seems as if it is significantly slowing my pace. does that make sense?

Pain Management 47 years experience

You may consider for the prevention of migraine headaches the use of nociceptive trigeminal inhibition appliances.

Created for people with ongoing healthcare needs but benefits everyone.

Answered Jan 14, 2023

A 36-year-old female asked:

What could cause chronic headache? tension headache w/numbness almost 3 months no relief, vision blurry, nausea, mri/ mra/ ct/ blood work normal. right side head numbness. nsaids dont help. what to do next??

Pain Management 47 years experience

Does pressure on the temporal area or on the side of the face increase the level of pain? Does active jaw movement cause an increase in the pain? TM... Read More

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Answered Dec 09, 2021

A 37-year-old female asked:

Sometimes my ear drum thumps/spasms when i'm talking. i'm a bilateral tinnitus and tmj sufferer. hearing is good, normal exams from ent. i do get pain and fullness in my ear when i'm having a day like that at times, but sometimes just thumps no pain?

Pain Management 47 years experience

I think you answered your own question. It appears you have a TMJ disorder that needs to be addressed. I suspect you also have ear symptoms eye symp... Read More

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Answered Aug 01, 2022

A 39-year-old male asked:

I had quit smoking in feb this year my problem is that whenever i tried to get my throat clear i found few(1-5) dark spots in clear phlegm,which get destroyed when touching recently have pft done all values are normal please suggest?

Pain Management 47 years experience

I would expect the dark sediment in the secretions to be smoke, tissue secretions and food remnants from the years of tobacco use finally being releas... Read More

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Answered Nov 17, 2021

A member asked:

Painful burning tongue/mouth/hroat for months, w/sometimes numbness of tongue/lips. drs. have said only "burning mouth syndrome" - no solution. help!?

Pain Management 47 years experience

Brush w baking soda: There is an increasing number of patients sensative to the chemicals in tooth paste including the whitners and th eagent that causes the fiz or bubble... Read More

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5.7k viewsAnswered >2 years ago

8 thanks

A female asked:

I have a headache practically everyday. they're annoying and i'm 15. how do i stop without using nasids?

Pain Management 47 years experience

Find the cause !: The question that need to be answered is why do you have the headache. Is it inside of your head or is it on the outside of your head? Is the surface... Read More

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5.4k viewsReviewed >2 years ago

Dr. Jimmy Bowen agrees1 doctor agrees

A 32-year-old member asked:

What to do if i have head hurts and feel pressure on left ear what can it be?

Pain Management 47 years experience

1st ENT consider TMJ: Ear problems need to be first considered by an ENT and if a negative finding is reached consider the possibility of a TMJ condition. The jaw muscles... Read More

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3.9k viewsReviewed >2 years ago

Dr. Holly Maes and another doctor agree2 doctors agree

3 thanks

A 43-year-old member asked:

Can you tell me how to relieve pressure in left ear?

Pain Management 47 years experience

ENT 1st consider TMJ: Ear problems need to be first considered by an ENT and if a negative finding is reached consider the possibility of a TMJ condition.

Created for people with ongoing healthcare needs but benefits everyone.

3.9k viewsReviewed >2 years ago

Dr. Walter Husar agrees1 doctor agrees

A 29-year-old male asked:

Been having a headache for 2 weeks straight. sometimes its on my right side or all over. kinda feel it on my right eye as well. sometimes its bad, other times its just anoyying and i feel pressure my head ears?

Pain Management 47 years experience

Your problem could be a TMJ disorder which is often called the great imposter in that the symptoms can involve the ears;, eyes, face, and head. commo... Read More

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Reviewed >2 years ago

A 31-year-old female asked:

I had frenectomy operation for frenulum labialis superior, but i am very worried, will my lip shape or smile change because of this operation? will my upper lip hang down? or will there be any changes in my appearance?

Pain Management 47 years experience

I assume the frenectomy was done recently; and no there should be no change in the normal function and appearance. Commonly the surgery is done to pr... Read More

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Reviewed Nov 08, 2021

Dr. Arnold Malerman and 3 doctors agree4 doctors agree

A 49-year-old female asked:

What does an emg test show. i had one done for toe pain on both feet and was told pain is from back. how can they know pain is from back?

Pain Management 47 years experience

EMG shows muscle: EMG (electromyography) is a recording of the electrical activity of the muscles (myo) of a specific area. There is no direct correlation of the elect... Read More

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391 viewsAnswered >2 years ago

A 49-year-old female asked:

Hi, mri for migraine results indicate nonspecific foci of increased t2/flair signal intesity in the periventicular, deep and subcortical white matter. multiple nonspecific white matter foci with predominantly in the subcortical white matter. ?

Pain Management 47 years experience

Migraine= Trigeminal: It has been my experience over 40 years migraine headaches can and often are prevented by focusing on the activity of the trigeminal nerve and reducin... Read More

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381 viewsAnswered >2 years ago

A female asked:

Dentist removed crown and put medication on root.no infection in root. but another dentist who saw me suggested it better to leave to leave root open?

Pain Management 47 years experience

Never leave open: I never recommend leaving a root canal open especially if there is no infection. Left open you could expect tooth and jaw infection to soon follow.

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1.5k viewsAnswered >2 years ago

A 46-year-old member asked:

I have ear pain caused from weight lifting, what to do for treatment?

Pain Management 47 years experience

See TMJ specialest: Consider the possibility of a TMJ condition. The jaw muscles in the face and on the side of the head when fatigued become very tender and cause heada... Read More

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3.9k viewsReviewed >2 years ago

Dr. Liesa Harte and 3 doctors agree4 doctors agree

A 37-year-old male asked:

Please share an interesting fact about giving palliative care.

Pain Management 47 years experience

Ignore: Reduce the inflammation! Nearly all medical conditions have inflammation as their basis.

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3.8k viewsAnswered >2 years ago

A 37-year-old female asked:

How low can your heart rate dip while you are sleeping? mine is in the 40s?

Pain Management 47 years experience

The heart is a pump distributing blood and oxygen to the body. When we are less active or asleep the need for oxygen is reduced and the bumping of bl... Read More

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Answered Jun 15, 2022

A 44-year-old female asked:

I have recurring ocular migranes. what is causing this?

Pain Management 47 years experience

There are several possible causes of ocular migraines. The most commonly overlooked cause is temporal muscle tension commonly caused by emotional ten... Read More

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Answered Feb 23, 2022

A 33-year-old female asked:

Can tmj disc displacement cause hearing loss?

Pain Management 47 years experience

I have specialized in the treatment of TMJ disorders and have treated thousands of patient over the past 30 years. It is very common for my TMJ patie... Read More

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Reviewed Oct 08, 2021

A 19-year-old male asked:

My head has been hurting for a month. the pain is so severe i had a mental breakdown without any pain relievers and headache prescription only on the left side of my head. what is the cause and name if this problem?

Pain Management 47 years experience

The likely diagnosis is muscle tension headache. An examination is in order from the month long pain and the other conditions you are suffering from.... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed Dec 14, 2021

A 66-year-old female asked:

I was told i had tmj. my jaw doesn't hurt but i can't touch my temple without a bit of pain. is that normal?

Pain Management 47 years experience

There are 2 aspects of a TMJ disorder. First, there can be an underlying jaw joint disorder which would be reflected by reduced ability to slide the ... Read More

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Answered Dec 09, 2021

A 16-year-old female asked:

Whats the best way to treat or ease a bad headache?

Pain Management 47 years experience

I agree with the previous answer, and would add muscle pain of the face and head are commonly described as "headaches." Muscle tension could be a res... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Reviewed >2 years ago

A 19-year-old male asked:

Hi, i have been having sharp pains i my ear every 10 mins or it can vary for the past three days. im not sure what treatment would help. this pain has really been bad i would appreciate help on how to deal with it. thanks in advance?

Pain Management 47 years experience

First you are in need of a diagnosis, and that is most likely to come from a medical doctor preferably an ear doctor. There are other causes of ear p... Read More

Created for people with ongoing healthcare needs but benefits everyone.

Answered Dec 14, 2021

A 31-year-old member asked:

Could sugar intake slow down the healing of a sore throat?

Pain Management 47 years experience

Yes: I recomend you keep the throat clean. Rinse and swish after meals. Use an antiseptic mouth wash. Avoid feeding the invading organisms.

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5.7k viewsReviewed >2 years ago

Dr. Michael Rothman agrees1 doctor agrees

7 thanks

A 31-year-old female asked:

Headache with pain at the base of the skull, over-the-counter pain medal are not helping, going on for 4 days. what should i do?

Pain Management 47 years experience

Need more info. : I would want to know if the painful area is tender to palpation, . Is there an area or any activity that triggeers or amplifies the pain or referrs th... Read More

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5.7k viewsAnswered >2 years ago

A 37-year-old member asked:

The left side of my jaw is in agony.. i can hardly chew. i don't have a headache/ear pain/ringing. what can i do to get rid of the pain?

Pain Management 47 years experience

1st ENTconsider TMJ: First see an ENT !If the side of your head is tender consider the possibility of a TMJ condition. The jaw muscles in the face and on the side of the ... Read More

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3.9k viewsReviewed >2 years ago

Dr. John Munshower and 4 doctors agree5 doctors agree

A 28-year-old male asked:

Swollen lymph node under jaw and behind both ears under jaw 2 months and behind ears 3 days lack of sleep and drinking for 6 day and staph inf on head?

Pain Management 47 years experience

Treat the staph NOW!: The staph infection could be the cause of all the symptoms listed and could become a life threatening experience if the swelling continues and impinge... Read More

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3.8k viewsReviewed >2 years ago

Dr. Mary David agrees1 doctor agrees