Recurring Jaw Misalignment Issues: Seeking Insight
At the age of 29, I began experiencing a peculiar issue with my jaw a few months back, around either March or April. It all started while I was chewing gum; I could distinctly hear a clicking sound every time I chewed. This clicking mainly occurs with firmer foods like steak or gum. Initially, I dealt with this for several weeks until, out of the blue, my jaw would suddenly pop back into alignment. A memorable instance happened when my boyfriend made a funny comment, causing me to laugh; the popping was so audible that even he heard it from a distance. After such a realignment, the clicking would cease for a bit—perhaps a week—but inevitably, it would return. The misalignment seems to alternate sides; at times I notice it predominantly on one side, while other times it affects both. Recently, I have begun to feel headaches around my temples after chewing gum for extended periods. Until now, the only discomfort I experienced was the unsettling clicking sound rather than any significant pain. To prevent myself from biting my lips and the insides of my cheeks—which used to happen frequently and led to bleeding—I’ve developed a habit of chewing gum. I believe this oral fixation is something I need to address. I constantly feel the need to have some form of oral stimulation, whether it be chewing on various objects, biting my nails, or even while drinking, eating, talking, or singing to myself. I can’t help but wonder if these habits have caused permanent damage to my jaw. Should I be concerned about this condition, or would it be wise to just eliminate tougher foods from my diet? I can’t willfully pop my jaw back into place; it only occurs unexpectedly. I'm also unsure whether this situation warrants a conversation with my primary care physician or a dentist. My next dental appointment for a cleaning and check-up is scheduled for December, and I doubt my insurance would cover an additional visit before that date. Any guidance or advice on how to navigate this issue would be greatly appreciated.
Answers (1)
7/28/2025, 3:11:02 PM
OpenHealth AI
It sounds like you’re experiencing jaw alignment issues, characterized by clicking, popping, and occasional headaches, particularly after chewing. This can be related to Temporomandibular Joint Disorder (TMJ), which affects the jaw joint and surrounding muscles. While it may seem concerning, effective self-care and dietary adjustments can often help manage the symptoms.
Explanation:
The clicking sounds and misalignment you describe are common in TMJ disorders, where the joint that connects your jaw to your skull becomes irritated or misaligned. This can happen due to various factors including stress (often leading to teeth grinding), excessive gum chewing, or muscle tension. The occasional headaches you’re experiencing could be linked to jaw strain caused by these issues.
Next Steps:
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Modifying Your Diet:
- Avoid Tough Foods: While you may not need to eliminate them completely, it would be wise to limit tougher foods like steak and stick to softer options temporarily to prevent further strain on your jaw.
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Reduce Gum Chewing:
- Limit the Habit: While chewing gum may provide temporary relief for your oral fixation, it can exacerbate your jaw issues. Gradually replace it with other forms of oral stimulation, such as crunchy vegetables or sugar-free snacks, to help manage the urge.
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Jaw Exercises:
- Gentle Stretching and Relaxation: Try some gentle jaw exercises to help with flexibility and reduce tension. For example, open your mouth wide and hold for a few seconds, then slowly close it. Repeat this a few times daily.
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Heat Therapy:
- Apply a Warm Compress: Use a warm cloth on your jaw for 15-20 minutes a few times a day to help relax the muscles and ease discomfort.
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Monitor Your Symptoms:
- Keep a Diary: Note when the clicking or pain occurs along with any activities or foods you were involved in at the time. This will help you identify patterns and triggers and may be useful for your future dental visit.
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Regular Dental Visits:
- Inform Your Dentist: At your next dental visit in December, bring up your symptoms. They can evaluate your jaw alignment and suggest specific strategies, which may include referral to a specialist if necessary.
By taking these steps, you can help manage your symptoms and potentially reduce the frequency of the clicking and headaches. Remember to be gentle with yourself and refrain from excessive pressure on your jaw. If things do not improve or worsen significantly before your appointment, consider reaching out to your healthcare provider sooner to discuss your concerns.
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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7 Months Old) - **Weight:** 9 kg (good growth rate in spite of condition) - **Jaundice:** Continues to be present (yellow skin) - **Stools:** Remain pale/clay-colored - **Development:** Achieving appropriate milestones - **Energy:** Appears to have a good energy level - **Feeding:** Normal appetite --- ## QUESTIONS FOR r/AskDocs We have been informed this is **Type 2 Abernethy malformation** (portal vein present). **Three treatment avenues have been proposed:** ### Option 1: **Endovascular Coil Embolization** (minimally invasive approach) - A catheter is inserted via the leg vein to access the shunt and deploy coils/plugs to close the abnormal vessels - Pros: No surgical incision, minimal discomfort, short hospital stay (2-4 days), no scars, enhanced safety - Duration: 1-2 hours - Recovery: 2-4 weeks for jaundice to show improvement ### Option 2: **Open Surgical Intervention** - An incision in the abdomen to ligate abnormal vessels and redirect blood to the liver - Pros: Direct visualization, effective results - Cons: Surgical scar, longer recovery time (7-14 days in hospital) - Duration: 2-4 hours ### Option 3: **Liver Transplantation** - We have been advised this is not necessary as the portal vein is functional and liver health is improving. --- ## SPECIFIC QUESTIONS TO CONSIDER: 1. **With a functional portal vein (6.1 mm) and improving liver function (ALT normalized), is it advisable to pursue endovascular closure as the preferred treatment?** 2. **Despite ALT levels improving, the bilirubin remains consistently high (242). Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.