Assessing Jaw Pain Linked to Fosamax Use
I'm a 36-year-old male measuring 179.5 cm and weighing 104 kg. I do not smoke and have no history of alcohol misuse. For the past three years, I've been prescribed Fosamax as a treatment for osteoporosis, which developed as a side effect of prolonged use of prednisolone (initially at 40 mg and tapering down to 5–10 mg daily over roughly three years) to manage cardiac sarcoidosis. I have since shifted to taking a weekly dose of 10 mg Methotrexate and completely ceased any prednisolone intake over a year ago. According to my most recent DXA scan conducted in December 2024, my lumbar spine Z-score is -2.5. Fortunately, there are no fractures present, and there has been a slight improvement in my condition over the three years of treatment. Recently, I have been experiencing recurring pressure and pain in my jaw, particularly between the upper molar and my ear, which occurs exclusively while taking Fosamax and alleviates once I discontinue the drug. Additionally, I've encountered deep aching pain in my femur, despite three CT scans yielding no clear diagnosis. Both my general practitioner and hospital specialists have indicated that these symptoms are unlikely to be related to the Fosamax treatment, advising against stopping the medication. Given my current situation, I'm contemplating the option of discontinuing Fosamax entirely. I would then monitor my bone health through annual DXA scans and might consider alternatives such as teriparatide in the future, if necessary. Is this approach medically sound, or does it carry significant risks associated with stopping the medication?
Answers (1)
7/19/2025, 3:40:41 PM
OpenHealth AI
Your situation involves significant medication considerations, particularly as they relate to Fosamax (alendronate) and your bone health. It’s understandable to be concerned about the persistent jaw pain and other symptoms you’re experiencing, especially given your long history of osteoporosis and the risks associated with medication changes.
Key Points:
- Jaw Pain and Fosamax: Your recurring jaw pain that alleviates when discontinuing Fosamax, although your healthcare providers suggest it may not be related, is noteworthy. Jaw pain can sometimes be associated with bisphosphonates like Fosamax, which has been linked to osteonecrosis of the jaw in rare cases.
- Monitoring Bone Health: Regular monitoring of your bone density is crucial, especially considering your osteoporosis diagnosis and prior steroid use.
- Medication Alternatives: Exploring alternatives like teriparatide may be a valid option, but it requires careful consideration, particularly regarding your current clinical status and future bone health.
Plain Language Explanation:
Fosamax is used to treat osteoporosis by helping to strengthen bones. However, your jaw pain is concerning, particularly since it resolves when you stop taking the medication. This raises the question of whether Fosamax is the right choice for you. Staying vigilant about your bone health through periodic scans is critical, regardless of whether you choose to stay on Fosamax or switch medications.
Next Steps:
-
Consider Medical Advice on Discontinuation: While it seems reasonable based on your symptoms to contemplate stopping Fosamax, discuss this decision thoroughly with your healthcare provider. Ask for their insight on your jaw pain and the experiences of other patients with similar symptoms.
-
Plan for Alternative Treatments: If you decide to discontinue Fosamax, outline a robust plan moving forward. Consider discussing teriparatide or other medications with your doctor, including what monitoring protocols would be prudent.
-
Regular Monitoring: Schedule annual DXA scans to keep an eye on your bone density, particularly during any transitional period with your medications. Tracking improvements or declines will guide future treatment decisions.
-
Symptom Diary: Keep a daily record of your symptoms, noting when they occur, their severity, and any food or activities that seem to influence them. This could be helpful for your healthcare provider in determining the best course of action.
-
Maintain Overall Health: Continue to focus on maintaining a healthy lifestyle, including balanced nutrition and weight management, to support your bone health, regardless of your medication choices.
Reassurance:
Remember, your health decisions should prioritize your comfort and well-being. You're not alone in navigating these complexities, and adjusting treatment to meet your specific needs is a normal part of managing chronic conditions. If any new or worsening symptoms arise, prioritize reaching out to your healthcare team for further evaluation.
Related Questions
Understanding a Nodular Finding on My Appendix: Seeking Clarity
I'm a 22-year-old female, standing 4'9", with a background of EDS and anxiety. Recently, on January 30, 2026, I visited the emergency department due to kidney discomfort, which turned out to be a kidney stone. While reviewing my CT scan report to recall the size and location of the stone—still lodged and proving quite troublesome—I stumbled upon a mention of a nodular area on my appendix. This detail was not brought up by my doctor during my visit. Although I suspect it may not signal a serious issue, I'm curious if this is something I should discuss further with my primary care physician. Can anyone clarify what a nodular finding on the appendix means? I came across some information suggesting it could indicate a tumor, but I’m aware that online medical searches can often lead to misunderstandings. Any insights would be appreciated!
Dealing with Esophageal Cramping and Heartburn while on Oral Minoxidil
Hello everyone. I’m a 37-year-old male who frequently experiences alopecia areata, particularly during stressful periods at work. Recently, my dermatologist recommended oral minoxidil in 2.5mg capsules to speed up my hair restoration process. Since I began this treatment, I’ve encountered several side effects, including elevated heart rate, dizziness, shortness of breath, heartburn, and esophageal cramps, albeit not all at once. Most of these issues have subsided, but the cramps and intermittent heartburn persist. I find the cramps tend to occur after meals, accompanied by a sensation as if I can feel the food moving through my esophagus; this uncomfortable feeling can linger for hours before fading, only to return with my next meal. The discomfort isn’t severe enough to incapacitate me, but it can be quite bothersome, with some days being better than others. Should I consider halting the medication, or should I wait until my next scheduled appointment to discuss this? I live in a rural area, making it difficult to find sooner availability, as the next appointment isn’t for another month. I appreciate any advice you might have!
Ongoing Symptoms Post-Concussion: Seeking Insights
Hello everyone, I’m a 25-year-old male and experienced a significant car accident about two and a half years ago. Although I didn't black out during the incident, I felt disoriented and unsettled immediately afterward. Since that day, my health has noticeably deteriorated, and I'm attempting to discern whether my current struggles are commonplace or if something more serious might be overlooked. Here’s what I've been grappling with: I endure daily headaches that typically originate in the back of my head or neck, gradually migrating towards my temples or eyes. Conditions that intensify these headaches include bright screens, excessive light, noise, and bustling surroundings. When I attempt to power through the discomfort, I sometimes see halos around lights or experience visual static. Mentally, I find myself exhausted very quickly. Concentrating becomes a challenge, and I frequently lose track of my thoughts or encounter difficulty finding the right words. Engaging in conversations or attending meetings can drain me significantly. Additionally, I become easily overwhelmed, especially in loud or crowded situations. Tinnitus is another issue I face, as the ringing in my ears is a constant presence. Since the incident, I’ve noticed weakness in my left hand; my ring and pinky fingers often curl up like claws. An electromyography (EMG) test revealed damage to the ulnar nerve, which accounts for some of this phenomenon. Unfortunately, it hasn't improved, impacting my ability to type, grip objects, and carry out everyday tasks. I also experience occasional facial twitching, jaw tightness, and short bouts where different parts of my body feel weak or tremble, but these symptoms are temporary. Fatigue is a significant battle for me. I struggle with poor sleep quality, waking up feeling unrested, and sometimes experiencing anxiety first thing in the morning. Even on days when the pain level is tolerable, my energy depletion restricts my activities. Here’s a summary of what medical evaluations have revealed: • My brain scans returned normal results, revealing only minor, nonspecific findings like white matter changes in certain regions. • The blood vessels in my brain appeared healthy. • EEG results indicated some slowing but no evidence of seizures. • More invasive tests ruled out any major health concerns. • Mild sleep apnea was detected. • Cognitive assessments showed deficits in attention, processing speed, and memory. • Eye examinations indicated challenges with tracking and focusing post-injury. What has proven somewhat beneficial includes: • Migraine medication has helped lessen the severity of my headaches. • Telecommuting allows me to take frequent breaks. • Engaging in occupational, speech, and vision therapy whenever possible has been somewhat advantageous. I maintain a full-time job, but managing it drains a considerable amount of my energy, leaving little for family interactions, social engagements, or time for recovery. I’m at a stage where I’m seeking clarification on several points: 1. Is it common for post-concussion symptoms to persist for such an extended period despite normal scan results? 2. When is it appropriate to seek an alternative explanation rather than accepting a diagnosis of merely post-concussion syndrome, stress, or anxiety? 3. Is it typical for fatigue to be the most pronounced and debilitating symptom? 4. Are there often overlooked aspects, such as sleep quality, visual processing, nerve health, or nervous system function, that should be reevaluated? I’m not seeking a diagnosis—just some insight. I want to determine whether I’m on a reasonable track or if I should be considering different inquiries. Thank you to all who have taken the time to read my message.
[30M] Intermittent Crackling Noise from Chest Area
Hello everyone, I've been experiencing a crackling sound that occurs occasionally when I laugh heartily or cough. It seems to originate from my chest, but I'm not entirely sure if it might also be related to my throat. Interestingly, there’s no mucus or phlegm that surfaces when this happens. Despite my attempts, I can’t reproduce the sound by quickly exhaling or taking deep breaths. I don't struggle with wheezing or experience shortness of breath. There’s a persistent cough I’ve had since dealing with the flu last December, but I can recall having these sounds before that incident. Additionally, I suffered from asthma as a child, which I suspect could be a contributing factor. I'm planning to schedule an appointment with my primary care physician for a comprehensive evaluation, ideally including an X-ray. Meanwhile, I would greatly appreciate any advice or insights you might have. Thank you in advance!
Concerns About Changes in Partner's Semen Consistency
At 19 years old, I’m seeking some insights regarding a situation. My girlfriend, who is also 19, has experienced a noteworthy change in her semen consistency during our intimate encounters over the last two to three weeks. To provide some background, she stands at 5 feet 5.5 inches tall and weighs approximately 130 pounds. Her ethnicity is Caucasian, and she is from Canada. Historically, my girlfriend has been in good health without any significant medical conditions. Currently, she is not taking any medications. Previously, she had a history of frequent vaping, but that was about a year ago, and now she limits it to occasional use. The change in her semen is quite striking; it appears very thick, white, and somewhat chunky, rather than being mostly liquid. There are some liquid components, but the thick texture predominates. Throughout this period, she has maintained her regular diet, and importantly, there are no signs of a urinary tract infection or sexually transmitted disease. Neither does she experience any pain or unusual odors. This alteration has raised some concerns for her, and while I am trying to be supportive, I am uncertain about the potential causes. We searched online for explanations, but the reactions we found mostly related to digital sources that discussed various infections or medical conditions, none of which seemed to match her symptoms. Does anyone have insights or similar experiences regarding this matter? It would be appreciated in easing her worries and determining the best course of action.