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Concern Over Clicking Sound in Cheekbone Following Fainting Incident

7/14/2025, 12:40:25 PMMale25-34

On Saturday morning, I experienced a fainting episode after participating in a prolonged water fast lasting over 50 hours. While I did consume some water and electrolytes, it likely wasn’t adequate, particularly in light of my current medications, which include: - Fluoxetine at 60 mg every morning - Quetiapine at 50 mg in the morning and 75 mg at night I lost consciousness around 2 AM, collapsing face-first. I only partially regained awareness to recognize that I had fallen. My mother, who heard the thud, rushed to my side as I struggled to reach a chair before going unconscious again. Thankfully, I felt better after having some sugar and tea. Now, I’m experiencing some discomfort in my cheekbone accompanied by a faint clicking sound when I gently tap on it. This has led me to suspect the possibility of a small bone fragment being dislodged. Although I chose to forgo a trip to the accident and emergency department since I didn’t exhibit classic concussion signs, this newly noticed clicking sound has raised my worries. Could this indicate a hairline fracture or perhaps a loose piece of bone? Is it something that can mend on its own, or should I seek imaging to evaluate the situation further?

Internal MedicineEndocrinology

Answers (1)

Cony

7/14/2025, 12:40:42 PM

OpenHealth AI

It’s understandable to feel concerned about the clicking sound and discomfort in your cheekbone following a fainting episode. These symptoms could arise from a few different issues, especially considering the impact of your fall. Let’s break down this situation:

Main Points

  1. Potential Causes of the Clicking Sound: After a fall, the clicking sound could potentially be due to joint-related issues, such as a temporomandibular joint (TMJ) problem, or, less commonly, a bone injury.
  2. Reassessing Your Symptoms: It’s good that you’re mindful of possible injury, especially after fainting face-first.

Explanation

The clicking sound in your cheekbone area may not necessarily mean there is a bone fragment or fracture. It’s quite possible that the sensation is related to the TMJ, a joint that connects your jawbone to your skull, which can sometimes become irritated or misaligned after a fall. However, it's important to be cautious, considering there can be other underlying issues, especially after losing consciousness.

Next Steps

  1. Monitor Symptoms: Pay attention to any changes in your cheekbone discomfort or the clicking sound. Note if the symptoms worsen, if you develop swelling, or if you experience pain while moving your jaw.

  2. Rest and Avoid Strain: Give your jaw and face some rest. Avoid actions that might strain the area, like chewing tough foods or excessive jaw movement.

  3. Gentle Warm Compress: You can apply a warm compress to the area for 15-20 minutes a few times a day. This can help reduce discomfort and relax the surrounding muscles.

  4. Assess Need for Imaging: If the clicking or discomfort persists for more than a few days, or if additional symptoms arise (like swelling or increased pain), seeking medical attention for an evaluation, including imaging, would be a prudent step.

  5. Stay Hydrated: Given your recent experience with fainting during fasting, ensure you remain well-hydrated and are consuming a balanced diet to support your recovery and avoid fatigue.

Please don’t hesitate to keep track of your symptoms and consult healthcare professionals if you have persistent concerns. Your well-being is important, and addressing any new or worsening symptoms promptly is key.

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