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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Jaw And Ear Pain

Boyfriend 66 yrs old, jaw pain left side, inner ear pain severe seen by two hospitals in ER treated, diagnosed different Dx: Left Trigeminal Neuralgia prescribed Gabapentin 100mg, 1 capusle/night x 1 week, then increase to 2 capsules/night. Prior Er visit said Dx was fluid in inner ear canal Rx Prednisone 20mg Tab/day/4 days (on 6/15/16), causing the pain over 10 on 1-10 scale, pain returns and has been ongoing for approximately 10 days now. Rx Hydromorphone 2mg 1 tab Q 4/hr/prn + Ibruprofen 600mg/Q/8hr for inflamation as needed+ pain, Rx Tramadol 50mg 1-2 TabQ 4-6hr/prn. Hx angina, COPD, CHF, DM II, 3 stents in arteries on left ventrical side angina, carpal tunnel x 2, GERD, pinched nerve in upper spine, Lichen Plantus chronic. Need advice to go back to another Er different hospital? Repeated visits back to Kaiser 6/7 discharged from ER, returned 6/13. Once to Loma Linda 6/17 admit in ER one day then discharged. Pain over 10 scale says it lifts off the mattress. Using heating pad, Tens Unit on upper back/neck tension, tried ice. BP elevated to 249/114 ranges BS within normal ranges. Prescript given to get Oxygen for home use saturated in mid 80 s-low 90 s. Takes a lot of med on reg basis; Lipitor, Plavix, Coreg, Bidal, Humalog 8U, Aspirin, Levemir 25U/night, Metformin, Paxil, QVAR, Albuterol, Atrovent, Cardizem, Nitro/prn, Cozaar . Suggestions?
posted on Thu, 23 Jun 2016
Twitter Sun, 5 Jan 2020 Answered on
Twitter Tue, 7 Jan 2020 Last reviewed on
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General Surgeon 's  Response
Hello,

The jaw pain with ear discomfort at 66 years indicate most likely Trigeminal neuralgia in majority of the cases. The gabapentin and hydromorphone with ibuprofen are best molecules for such issue and one has to wait for its resolution over a period of time which may be weeks to months in many cases.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Jaw And Ear Pain

Hello, The jaw pain with ear discomfort at 66 years indicate most likely Trigeminal neuralgia in majority of the cases. The gabapentin and hydromorphone with ibuprofen are best molecules for such issue and one has to wait for its resolution over a period of time which may be weeks to months in many cases. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon