Dizziness and jaw pain: How Are TMJ And Dizziness Connected?
Are TMJ And Vertigo Related?
Treatments for TMJ and Vertigo
If you experience any TMJ symptoms, consult your dentist or doctor to diagnose and treat the disorder correctly. According to The TMJ Association, Ltd., TMJ can occur concurrently with other disorders, such as fibromyalgia, lower back pain, and endometriosis. And your vertigo might be the result of another medical issue, such as a head injury or migraines, instead of TMJ. So, it’s always good to get a comprehensive health screening.
If your vertigo results from your TMJ, you should avoid driving and other activities where dizziness puts you or others in danger – until you’ve successfully treated your TMJ. You can also undergo a series of head positions to get back your balance.
If you have a rather mild or non-chronic case of TMJ, you might be able to heal yourself. Try these home-care methods to see if you feel better after a while:
- Eat only soft foods.
- Apply ice packs to your jaw to reduce inflammation.
- Get pain and inflammation relief with over-the-counter medications.
- Avoid extreme jaw movements, such as singing, yelling, laughing big, yawning big, or chewing gum.
- Open your mouth as little as possible to brush and floss.
- Do some simple physical therapy exercises.
- Get a massage or try other relaxation techniques.
For more advanced TMJ cases, the Mayo Clinic notes that treatments can range from minimal to invasive. Treatments include:
- Prescriptions for pain, inflammation, muscle relaxers, and low-dose antidepressants used to control pain, teeth grinding, and sleep disorders
- Therapies, such as physical therapy, counseling, and the use of mouth guards or oral splints
- Injections, such as botulinum toxin type A into the jaw muscle and corticosteroid into the jaw joint
- Surgeries, including minimally invasive procedures and more complex open-joint surgery
Though not a common complication, vertigo can perhaps relate to your TMJ. To get the best diagnosis for both conditions, relate all your symptoms to your dental and medical professionals. They can then advise you on the appropriate tests and treatments leading to TMJ and vertigo relief.
Are You Dizzy Because of These 7 Possible Conditions?
Dizziness spells — often called vertigo — can be disabling. It’s hard to maintain a normal life when dizziness can strike at any time and last for hours — job, family, and hobbies all have to be put off when you are affected by dizziness. Just getting around can be a major challenge. You can’t even walk — let alone drive — safely.
Tracking down the cause of your dizziness can help you manage the condition, and, in some cases, guide you to something like a cure that can diminish or even eliminate your dizziness spells. Here are some of the causes of dizziness to consider.
Temporomandibular joint disorders (TMJ or sometimes TMD) are a common cause of dizziness. As much as 30% of people are affected by this disorder at some point in their lives, although for most people it’s transitory and may not cause serious symptoms like dizziness.
TMJ occurs when there’s a dysfunction in your jaw joint. This dysfunction may cause many potential symptoms, including ear symptoms. These ear symptoms are actually among the most common experienced by people with TMJ, including vertigo, with studies showing that 50-65% of TMJ sufferers reporting the symptoms.
The exact link between TMJ and vertigo is debated, but the complex interconnections between the jaw and the ear provide many possible links. For example, the temporal bone that houses the inner ear is part of the temporomandibular joint. In addition, two of the small bones in the ear have their evolutionary roots as jaw bones and retain several delicate muscle connections. They also interact in several regions of the brain. We don’t know which of these hold the secret to the link. What we do know is that many people with TMJ are misdiagnosed as having other conditions on this list and are given unsuccessful treatments. When their TMJ is treated, their vertigo can reduce or vanish entirely.
Benign Paroxysmal Positional Vertigo (BPPV)
BPPV occurs when one of the body’s balancing mechanisms, the canals in the inner ear, has its function disturbed by small stony crystals. The labyrinthine canals require the free movement of fluid in the ear, and the crystals displace the fluid, which causes the canals to give improper signals about the position of the head and body.
This condition is most common in people over the age of 60. It may also be linked to head trauma or to dehydration. But in many cases, there is no cause detected for the condition.
Following a proper diagnosis of BPPV, you may be taught what is known as the Epley maneuver, which allows you to reposition the crystals out of the canals. This maneuver has a more than 90% success rate in treating BPPV.
Anxiety can be linked to dizziness. If you have other anxiety symptoms like feelings of dread, restlessness, palpitations. Typically, you will be aware of your anxiety, in part because you are completely unable to put aside your concerns.
To treat dizziness related to anxiety, you have to treat the anxiety itself. For low levels of anxiety, you can try home remedies such as increasing your activity level and cutting down on stimulants like nicotine, caffeine, and alcohol. For more serious levels of anxiety that interfere with your daily life, it is recommended that you seek professional help.
Low Blood Pressure
We’ve probably all experienced a lightheaded feeling after rising. If it happens to you a lot, you may have low blood pressure. Low blood pressure can be a chronic condition, but it can also be related to dehydration. Make sure you stay hydrated, and talk to your doctor about your blood pressure.
Anemia occurs when your body doesn’t have enough iron to make red blood cells that carry oxygen throughout the body. When the brain isn’t getting enough oxygen it can make you feel dizzy. Other symptoms of anemia include fatigue and pale skin.
You may develop anemia if you’re not getting enough iron in your diet or if your body isn’t processing it properly. Dietary changes can sometimes help, but other times you may need special treatment.
Infections in the ear can cause inflammation of the ear canals that help you with balance. When these become inflamed, they can lose their ability to give good information about your position, causing vertiginous sensations.
Resolving the infection is the way to treat this. Antibiotics are used for bacterial infections, but with viral infections, we can only control the symptoms and let it pass.
Meniere’s disease is an affliction of the ear that causes many related symptoms, including ringing in the ear, hearing loss, sensations of ear fullness, and ear pain. This is caused by excess fluid pressure in the ears. Dietary changes, exercise, and medications may help.
Many people diagnosed with Meniere’s disease actually have TMJ. When Meniere’s Disease Detroit.
Is Your Treatment Not Working?
If you are currently undergoing treatment for dizziness, and it’s not working, TMJ may be the cause of your condition. To learn whether TMJ treatment can help with your dizziness in the Detroit area, please call (248) 480-0085 today for an appointment with TMJ dentist Dr. Jeffrey S. Haddad at the Michigan Center for TMJ & Sleep Wellness.
Cosmetic, General, and Neuromuscular Dentistry
Are you suffering from unexplained spells of spinning and dizziness? This is often referred to as vertigo and can affect an individuals ability to drive, work, and go about normal daily activities. You may have even been referred to an ENT medical specialist that has run numerous tests and determined that your ears are fine. If this is the case your vertigo (dizziness) may be caused from inflammation in the Temporomandibular Joint.
This disorder is called TMJ and causes inflammation of the jaw joint many times affecting the middle or inner ear. The middle ear contains the vestibular nerve and other important parts that are responsible for maintaining the body’s sense of balance. This situation is treatable and the symptoms can be reversed in the care of a dentist with experience treating TMJ. We have had a very high rate of success treating these cases using neuromuscular dentistry. This type of dentistry uses specific techniques and equipment to place the lower jaw in a more forward and downward position in relation to the ear canal, relieving the pressure to these areas of the ear. Once this position is found an orthotic (bite splint) is fabricated for the patient. They are to wear this orthotic for a period of months and after a period of time the symptoms should subside.
In conjunction with the neuromuscular approach to treating TMJ, there are several things that you can do to help with your symptoms. Vitamin supplements such as Vitamin A, C, E, and Zinc may provide some relief of pain associated with TMJ.
Reducing stress can certainly help. Stress is a significant contributor to TMJ related issues due to the clenching and grinding that one does when they are under chronic stress.
Seeking out a massage therapist that is trained in relaxing the TMJ can be very beneficial, especially times when the pain or dizziness is severe.
Finally, when these sudden episodes of dizziness occur try to lay down in a dark quiet room and focus on deep breaths until it subsides.
Following these tips and seeking out a well trained neuromuscular dentist may be your answer to relieving your frustrating experiences with vertigo. If you have any questions please contact our office at 832-610-3123. We serve The Woodlands, Houston, Kingwood, and Conroe areas.
Dr. Scott Young, DDS
Dizziness & Jaw Joints – A Surprising But Common Connection
Dizziness & Jaw Joints – A Surprising But Common Connection
posted: February 26, 2015
Feeling dizzy is a rare occurrence for most people. It can happen when one stands quickly when their blood pressure is low. Or, it may be the result of some prescriptions who have dizziness as a side effect.
However, the most common cause of persistent dizziness is a problem with the inner ear. What is not commonly connected to dizziness is the Temporo-mandibular Joint (TMJ, or jaw joint) ability to trigger inner ear inflammation.
The middle ear contains the vestibular nerve and a structure that is responsible for maintaining your sense of balance. In close proximity is the jaw joint. TMJ Disorder is a chronic problem that causes a variety of pain and discomfort, including migraines, headache, earache, painful chewing, jaw clicking, night-time clenching and grinding, worn teeth and dizziness. TMJ Disorder, which is the result of jaw misalignment, affects balance by triggering inflammation of the muscles and ligaments around the middle ear.
Fortunately, there are effective methods to resolve TMJ-related symptoms. In some cases, minor tooth reshaping can remedy the misalignment. In more severe cases, the bite can be rebalanced with crowns on selected teeth, orthodontic treatment or a simple oral appliance worn during sleep.
Until your problem is resolved, it is important to stay safe when a dizzy spell occurs. When you feel a dizzy spell coming on, when possible, stop what you’re doing and lie down. Otherwise, take deep breaths and try to relax the muscles of the face and mouth. You may also try focusing on a fixed point for several minutes. This sends signals to your brain that can help stabilize balance.
TMJ Disorder will not improve without treatment. If you are experiencing any of the symptoms mentioned above, call toll free 1-877-966-9009 to arrange a free consultation. Here, we can discuss options that may work best for your needs.
TMJ Symptoms Are Not Just In Your Jaw
For people suffering from temporomandibular joint disorder, commonly referred to as TMJ, there are a variety of unpleasant symptoms. Jaw pain is a common indicator of the disorder, as is the tendency to clench or grind teeth. Some people experience popping or clicking sounds when they open and close their mouths.
But despite the fact that TMJ is rooted in the jaw, not all of the symptoms manifest there. In fact, there are plenty of common TMJ symptoms that show up in other areas of the body. These seemingly unrelated symptoms might be confusing and frustrating for sufferers who don’t know that they’re connected to TMJ.
Watch Out for These Whole-Body Symptoms
There are a few surprising symptoms that could be heralds of TMJ. For instance, do you experience vertigo? Vertigo or dizziness are common symptoms of TMJ because the affected joint is directly adjacent to the inner ear, which regulates balance. Issues with the joint of the jaw can put pressure on the inner ear, disrupting the body’s natural sense of balance and resulting in dizziness or the sensation of the world spinning around you.
The positioning of the temporomandibular joint relative to the ear can also affect your hearing, causing tinnitus. Tinnitus is usually explained as a ringing in the ears, but it can also manifest itself with other sounds, such as buzzing, hissing, or clicking. No matter what sound it presents as, tinnitus is another common symptom of TMJ. If your tinnitus changes when you move your jaw, it’s likely that your tinnitus is connected to TMJ.
But TMJ symptoms can go way further than the ears. People with TMJ are four times as likely to report pain and other symptoms, like tingling or numbness, in the hands, shoulders, and other joints. Although this isn’t a very common TMJ symptom, the pressure that the disorder puts on the jaw can displace vertebrae in the neck, putting pressure on the nerves that extend to your hands and fingers.
By that same token, pain in the face, neck, back, and shoulders can also result from bite problems. Sometimes symptoms like this are a result of “referred pain,” when pressure on your nerves tricks your brain into thinking the pain is coming from wherever those nerves connect to. Other times, an imbalanced spine or out-of-place jaw might be displacing undue stress onto other muscles.
Last but not least, chronic headaches and even migraines can be a debilitating side effect of TMJ. The tension that the temporomandibular joint exerts on the face, neck, and spine can be a trigger for migraines in some people. This symptom in particular can plague people for years without leading to an accurate diagnosis, since migraines are so poorly understood and can be triggered by a wide variety of things.
Are Your Symptoms Related to TMJ?
Some people suffer from many of these symptoms without realizing they’re all related. If you suffer from some of the symptoms listed here, you should see a neuromuscular dentist who can help you determine if you have TMJ. TMJ treatment could relieve your other symptoms.
If you’re looking for a TMJ dentist in Denver, call us at (303) 691-0267 or contact us online today.
5 Surprising Symptoms of TMJ Disorder
Posted by Dr. Cabal
In recent years, dentists, orthodontists, and doctors have become increasingly aware of the seriousness and frequency of TMJ disorder. In fact, according to the National Institute of Dental and Craniofacial Research, more than 10 million Americans may suffer from this condition, which causes inflammation in the jaw joints and surrounding tissues. While most people associate TMJ disorder with jaw pain, as your Ft. Worth orthodontist will explain in this post, TMJ disorder has a wide range of symptoms.
What Is TMJ Disorder?
TMJ disorder (TMD) arises when there is pain, irritation, or inflammation in the temporomandibular joint (TM joint), the surrounding muscles, or the nearby ligaments. This joint is extremely complex, and offers a wide range of motion; your TM joint allows you to open and close your mouth and move it side to side. This joint is in almost constant motion, and you probably do not realize the thousands of tiny movements that your jaw joint makes each day. TMD is a rather mysterious condition because doctors are still not certain of its causes. Sometimes it is the result of repeated grinding or clinching of the teeth, and it can also result from a blow to the head or face. TMD can also occur when the soft, cushioning pad between the joints has slipped out of place.
The Unexpected Symptoms
As you might expect, the most common TMD symptoms include jaw pain, tightness in jaw, and a popping noise when opening or closing the mouth. However, there are a number of symptoms that seemingly have nothing to do with the jaw. Because the symptoms are apparently unconnected to the jaw, many people suffer for years, unaware that relief is within their reach. Some of these surprising symptoms include:
- 1. Ringing of the ears (tinnitus) – Much like TMD itself, scientists are not sure about the cause of TMJ-related tinnitus. It may have something to do with the chewing muscles that run very close to the muscles of the middle ear. Alternatively, the ligaments that attach to the jaw also attach to one of the bones in the inner ear. Finally, other scientists suggest that nerves surrounding the TMJ connect to the part of the brain that registers sounds and monitors hearing.
- 2. Dizziness – Researchers are still investigating the link between vertigo and TMD. However, experts believe that when the muscles and ligaments around the jaw become inflamed, it also affects the nerves of the inner ear, which control the body’s sense of balance.
- 3. Speech impediments – TMD and malocclusion (or a misaligned bite) are often interrelated. Because speech is as dependant on the position of the teeth and tongue as it is on the vocal cords, patients with TMD may often speak with a slight impediment. In fact, Real Housewives of Beverly Hills star Brandi Glanville recently announced that she is speaking with a slight lisp this season because of her struggles with TMD.
- 4. Blurred vision – Much in the same way that TMD can cause hearing problems, the disorder can also result in vision issues. Inflamed nerves behind the eyes can lead to blurred vision, eye twitches, and light sensitivity.
- 5. Neurological conditions – In some cases, patients with TMJ may hold their neck in an unnatural position, either because of stress or in an attempt to alleviate the pain in their jaw. In turn, this can put pressure on the nerves surrounding the neck, leading to numbness and tingling in the arms and legs. In some rare, extreme cases, TMJ can cause impaired thinking and involuntary muscle twitches.
Schedule an Appointment
If you have experienced one or more of these symptoms, you may be suffering from TMD. To learn more about this condition and your treatment options, call our office at (817) 236-7846. Dr. Ciro Cabal proudly serves patients of all ages from Ft. Worth, Azle, Saginaw, Springtown, Weatherford, Haslet, and the surrounding areas.
Ear Fullness, Tinnitus, Vertigo and Dizziness
Ear problems can be hard to figure out. The underlying cause may not be in the ear at all. That sounds odd, but the nerves and muscles in the head and neck can play tricks on you. There is a lot packed into the area around the ear. Ears can be impacted by tooth decay, uneven bite, TMJ, tooth grinding or clenching and other problems involving the jaw that dentists are best qualified to treat.
Unexplained Ear Fullness
Patients that experience ear fullness often describe it as either increased pressure in the ears or a feeling of stuffiness in the ears. While many causes of ear fullness are fairly easily diagnosed and treated by a qualified ear, nose and throat doctor, there are still “mystery” cases where there is no obvious inflammation or obstruction in the ear. The answer may be TMJ. Problems with your jaw can cause a variety of symptoms which you might not think have anything to do with TMJ. Ear fullness is one of these symptoms. The eustachian tubes that allow fluids to drain from your ears to your throat can be impacted by TMJ. Treating you for TMJ may provide relief from unexplained ear fullness.
If you have a ringing, roaring or clicking sound in your ears that won’t go away, you’ve likely been diagnosed with tinnitus. Tinnitus is often considered a neurological problem because most of the time there is no physical obstruction or problem that is creating the noise. This problem has historically been difficult to treat and there are no medications specifically for tinnitus. However, there are connections between tinnitus and TMJ. Many patients that have tinnitus have been successfully treated with treatment for TMJ.
Dizzy? That spinning sensation may be caused by a number of problems, including infection. Like the other problems above, vertigo is closely related to the ears and can be difficult to treat. Sometimes the reason is that the vertigo is another surprising symptom of TMJ. The ears and jaw are closely connected which is why TMJ can cause so many unexpected symptoms like dizziness, even if it doesn’t cause jaw pain.
If you are suffering from any of these ear-related symptoms and doctors have ruled out infection or other causes, then it is time to explore relief from TMJ treatment. We use a mixture of traditional and advanced therapies with the goal of relieving your symptoms and getting you back to your normal life.
Learn More about TMJ Treatment
90,000 Causes of pain in the jaw joint. Symptoms
Like any other, the mandibular joint is a junction of bones. The bone of the lower jaw, the head of which is covered with cartilage, is attached to the temporal bone. The articular disc serves as a kind of interlayer between them. Mouth movements are regulated by the work of the masticatory muscles, which are already recognized as the most trained in the body. Paired with ligaments, the muscles provide strength to the mandibular joint, while allowing the jaw to move in different directions.The mobility of the jaw is individual for each person and largely depends on the anatomical features of its structure.
Pain in the jaw when chewing or speaking causes considerable discomfort. There are many reasons why it can arise. In order to avoid complications, it is important to receive timely treatment.
The main causes of pain in the jaw joint:
A fracture is diagnosed when complete or partial damage to the jawbone is detected.The fracture is often the result of a strong mechanical effect on the mandibular joint. Fractures can be open and closed, single and fragmented. The consequences of a fracture can be deformation of the dentition, loosening or loss of teeth at the site of injury, displacement of teeth, numbness of the lower jaw, headache, dizziness.
- the mandibular joint should be fixed with a tight bandage, if necessary, the tongue should also be fixed; 90 026 90 025 providing rest;
- urgent appeal for qualified medical help.
Treatment is aimed at creating conditions for proper bone fusion, restoration of bite.
Osteomyelitis of the jaws
Osteomyelitis is an acute inflammation of the mandibular bone caused by an infection, usually through a diseased tooth. Symptoms – not only the tooth hurts, but the entire jaw, fever – 38 and higher, swollen lymph nodes in the neck, the inflammatory process is confirmed by a blood test.
- Removal of infected teeth;
- complete sanitation of the oral cavity with antibacterial drugs;
- In case of complications, an incision is made in the area of a purulent focus and removal of purulent formations.
- Late seeking medical attention may result in abscess or sepsis.
Syndrome of dysfunction of the temporomandibular joint
In addition to painful sensations when chewing, dysfunction of the mandibular joint is accompanied by the presence of obvious sounds when moving the jaw, it can be clicks, “clicking” sound or grinding. Noises of this kind indicate a displacement of the jaw bone in relation to the articular disc.Dysfunction in most cases occurs due to overstrain of the mandibular joint. It can occur as a result of periodic involuntary contractions of the jaw, for example, in a dream. In addition, dysfunction can develop due to stress.
- relieving muscle tone;
- Elimination of muscle spasms (taking painkillers, applying cold compresses and ensuring complete rest is quite enough to eliminate joint dysfunction).
All kinds of neuralgia can also lead to pain. For example, cranial neuralgia, which is a consequence of inflamed nerves in the skull, is often a source of twitching pain. With glossopharyngeal nerve neuralgia, pain is localized in the region of the mandibular joint, and the area of its distribution is extensive, the right or left side of the head can hurt completely, starting from the chin up to the temporal part.The pain will increase with palpation.
- prescription of medicines;
- local anesthesia.
The most common diseases of the jaw joint are arthritis. Depending on the cause of the occurrence, purulent, rheumatoid or traumatic arthritis can be diagnosed. Purulent arthritis. It develops if the maxillofacial joint becomes infected, as a result, purulent formations appear.Infection can result from diseases such as tonsillitis, flu, or hypothermia. Infection in the mandibular joint can also penetrate the bloodstream, for example, with otitis media. In addition to pain, general weakness and an increase in body temperature are observed.
- taking antibacterial drugs;
- in complicated cases, the purulent focus is opened, and the mandibular joint is treated from the inside with antiseptics;
- Ensuring rest of the jaw joint for the period of treatment.
It is also a very common disease that is infectious and allergic in nature. To a greater extent, the culprits of this type of arthritis are streptococcal and staphylococcal infections. The consequences of rheumatoid arthritis are muscle fiber atrophy and tendon damage.
- electrophoresis session;
- medical gymnastics;
- Restriction of the motor activity of the jaw joint during rehabilitation.
It is a consequence of hemorrhage in the maxillofacial joint, which has arisen due to strong mechanical stress. Perhaps the development of this type of arthritis after dislocation of the lower jaw. The consequence can also be
subsequent deformity of the mandibular joint.
Treatment is similar to that used for other types of arthritis.
The main factor of occurrence is temporary. The disease appears due to deterioration of the mandibular joint. People over the age of 50 are more susceptible. However, it can develop earlier and may be caused by previous diseases of the jaw joint, such as joint dysfunction, arthritis or even non-professional dental prosthetics. Symptoms in the form of painful sensations appear in the later stages of the disease.
- removal of excess stress and load; 90 026 90 025 use of special tires;
- conservative physiotherapy.
The temporomandibular joint (TMJ) is the joint that is located in front of the ear and connects the lower jaw to the base of the skull. Its main function is to provide movement of the lower jaw.
TMJ is one of the most important joints in our body, without it we would not be able to talk or eat. That is why it is important to identify TMJ diseases at an early stage.
TMJ diseases are widespread – according to various sources, they suffer from 70% to 92% of the population, people of different sex and age. The most common TMJ disease is the muscular-articular dysfunction of the TMJ.
Main signs of TMJ muscular-articular dysfunction:
- Pain syndrome . Depending on the stage of the disease, it is possible to feel pain in the area of the chewing muscles when eating, talking for a long time, and in difficult cases even constant muscle pain.
- Crunch, clicks in the area of the temporomandibular joint. It is important to understand that normally the movement in the joint should be silent, and any clicks and crunching in the joint area indicate that the cartilage tissue of the joint is injured.
- Asymmetrical, uneven mouth opening. Normally, when opening the mouth, the lower jaw should move evenly downward, without lateral displacement. If there is a displacement of the lower jaw to the side when opening the mouth or its S-shaped movement, you should consult a doctor.
- Restriction of mouth opening . Normally, the mouth should open 40-45 mm, this distance is approximately equal to the width of three fingers. With TMJ dysfunction, mouth opening is limited to 20 mm or less at maximum mouth opening.
- Other symptoms. Also, with TMJ dysfunction, there may be jaw jamming, teeth grinding (bruxism), dizziness, headache.
At the onset of the disease, symptoms of dysfunction may be mild, but without treatment, the disease will progress.
Danger! With long-term dysfunction, osteoarthritis of the TMJ may develop.
Diagnosis of TMJ diseases:
For a correct diagnosis of joint diseases, you must consult a doctor.The doctor will carry out the necessary diagnostics: palpation of the masticatory muscles and temporomandibular joint, auscultation of the joint, assess the limitation of opening the mouth, determine the consistency and symmetry of the work of the right and left temporomandibular joint and masticatory muscles. If necessary, he will appoint additional examinations and consultations of related specialists.
Treatment of TMJ diseases:
Treatment is prescribed depending on the results of the examination. Used for joint treatment:
- drug therapy
- myogymnastics (muscle gymnastics)
- Splint Therapy
Splin therapy is one of the most effective methods of treating TMJ muscular-articular dysfunction.An individual mouthguard is made for the patient, which helps to relax the chewing muscles, to set the joint in the correct position, thereby eliminating the cause of the musculoskeletal dysfunction of the TMJ.
The article was prepared by Kurakova A.S., orthodontist.
90,000 The first signs of a stroke | Ministry of Health of the Khabarovsk Territory
FIRST SIGNS OF STROKE
(for the population)
Shcherbonosova Tatiana Anatolievna
Head of the Department of Nervous Diseases and Psychiatry,
KGBOU DPO Institute for Advanced Training of Healthcare Professionals
Gorbulina Svetlana Vladimirovna
Assistant of the Department of Nervous Diseases and Psychiatry,
KGBOU DPO Institute for Advanced Training of Healthcare Professionals
Stroke – sudden disturbance of blood circulation in the brain, blockage or rupture of a vessel in the brain. With a blockage of blood vessels, an ischemic stroke occurs, with a rupture, a hemorrhagic stroke. It is considered to be the most common brain disease in the adult population. Moreover, with age, the risk of stroke increases significantly. According to statistics, a stroke affects 0.1 – 0.4% of the population per year, depending on the country of residence. Stroke is the leader among the causes of human disability and ranks 3rd among the causes of mortality in the population.
Scientific studies have shown that earlier stroke affects men, but the female half of humanity suffers from this disease a lot.Therefore, everyone needs to know the first signs of a stroke in order to provide timely assistance to a sick person, because delay in this case is unacceptable.
Stroke – acute violation of cerebral circulation
Even before the active development of a stroke, the patient may show signs of a transient disturbance of the blood circulation in the brain.
Precursors of stroke:
– a person feels a sudden and inexplicable headache.It does not appear due to stress or some other explainable reason;
– dizziness appears, coordination of movements or balance is lost;
– some part of the body may become numb: tongue, face, arm or leg, trunk. This phenomenon is present on one side of the body, on the right or on the left, and is accompanied by weakness;
– unexpected deterioration of vision. It becomes difficult for the patient to see, both with one and with two eyes;
– consciousness and orientation in the environment are disturbed;
– there may be a speech disorder.
The above sensations appear abruptly and disappear after a few minutes or hours. And if such attacks are repeated regularly, then a person develops a stroke of varying severity within a year. No need to wait for everything to end soon, you should immediately call an ambulance.
Before the arrival of the ambulance, the following must be done:
– to calm the patient down and put him to bed. It is advisable that he turned his head to one side. If the person is agitated, constantly persuade him to calm down.Until the arrival of doctors, it cannot be moved to another place;
– Place a towel soaked in cold water on the head of the stroke victim. An ice pack or any frozen food will work as well;
– measure blood pressure. If it is high, you need to give the patient a drug that lowers blood pressure, but the drug should be the one that the patient usually takes;
– create fresh air access to the room. It is necessary to immediately remove the patient from the stuffy, especially smoky room.Be sure to open the windows, unfasten the clothes that are restricting breathing – you need as much air as possible.
To check that these are signs of a stroke, you can conduct a simple test: ask to smile if half of the face remains motionless – this is a stroke. Ask to keep your hands raised up, if the muscles are weak, this will not be possible, ask to repeat a simple phrase, if you cannot repeat after you, then there are problems with articulation and this is an acute attack of circulatory disorders. Ask to stick out your tongue – its tip deviates towards the focus in the brain if there is a stroke. If such symptoms occur, it is an ischemic stroke, the symptoms of which are unambiguous and suggest impaired blood circulation in the brain. The sooner emergency medical care is provided, the more favorable the prognosis of such a serious illness will be. It is optimal if you seek help within 2-3 hours after the onset of the attack.
Difference between stroke and its causes in women, from stroke in men .
Stroke affects women mainly after 60 years, while in men the risk appears after 40 years. Previously, it was believed that stroke is the lot of older people and women, stroke is less common than men, and that after 60 years the risk is the same in both men and women. However, at the age of 18 – 40, women began to have a stroke more often than men. Pregnant women are also more likely to have a stroke. Young women often ignore the symptoms of transient ischemia. Strokes are harder for women than for men.Stroke deaths in women are higher than in men. A smaller percentage of women are able to return to the previous rhythm of life after a stroke, men are better able to cope with this. The “unconventional” early first signs of stroke may occur more frequently in women than in men. The well-known risk factors in women are added – taking oral contraceptives, the pathological course of pregnancy, migraine pains, women have a higher predisposition to thrombosis and vascular complications. Women with frequent mood swings, not stress-resistant, unbalanced, with a tendency to dwell on problems are more prone to cerebral strokes.Women who smoke over the age of 30 and use contraception have a 22 percent increased risk of stroke. In recent decades, there have been very frequent cases of severe ischemic strokes associated with the popularity of such a method of contraception as oral contraceptives.
Signs of stroke in women.
Symptoms of the disease, both in women and in men, will primarily depend on the part of the brain that has been attacked by the disease. If its right side is affected, then the symptoms of the disease appear in the left half of the body and, conversely, with damage to the left side of the brain, changes are felt on the organs that are on the right.
The main symptoms of stroke in women are as follows:
– unbearable headache for no good reason;
– the face begins to grow numb, there is a weakness of the facial muscles;
– leg and arm go numb on one side of the body;
– a woman is unable to gesture;
– speech is disturbed, the patient cannot say a word or speaks indistinctly, she also cannot understand what is being said to her;
– vision is impaired, up to its loss, this is especially true for one eye.Can see double;
– coordination of movements is impaired;
– there may be a sharp loss of balance, cramps appear in the legs, arms or the other half of the body;
– the patient may fall, as inexplicable dizziness appears;
– with a stroke, depression may develop and a woman cannot control her emotions – she cries or laughs for no reason;
– nausea appears, up to vomiting, hiccups, temperature rises, swallowing functions are impaired;
– there may be a loss of consciousness for a short period of time. Before this, the woman’s face turns red, she begins to breathe often and deeply, the pulse decreases, and the pupils stop responding to light.
Signs of stroke in men.
The main symptoms of the disease in males are almost the same as in women and include:
– unbearable sudden headache, accompanied by dizziness;
– a sharp weakness appears, which cannot be explained by anything;
– the affected part of the body begins to grow numb.If the stroke is left-sided, then pain and numbness is felt in the right side of the body, and if the disease has touched the right side, then numbness with pain is present on the left;
– there may be visual impairment and speech disorder;
– very often there are convulsions, nausea, turning into vomiting, fever, loss of consciousness and even coma.
Also, specialists have identified atypical symptoms. These include dry mouth, chest pain, mental disorders. Separately, they do not cause suspicion of apoplectic stroke, but in combination with the typical ones, they give serious grounds for immediate medical attention.
Symptoms of hemorrhagic stroke in young people.
This disease affects not only people of mature age, it also develops in young people. This is affected by the rupture of an aneurysm of the cerebral vessel, this phenomenon is most often observed at a young age. Hemorrhage occurs in the lining of the brain and a headache appears so severe that a person screams from unbearable pain sensations.Then vomiting and loss of consciousness begins, but then the patient regains consciousness. Such patients feel constant drowsiness and lethargy, which do not leave them for several days in a row, while the head hurts severely, vomiting is possible, but there is no paralysis.
Proper nutrition and a healthy lifestyle will help prevent stroke
Not a single person on the planet is immune from terrible diseases or premature death. But everyone has the ability to prevent trouble.In the case of stroke in women, especially young women, experts recommend adhering to the following recommendations. Some of these helpful tips will help prevent stroke not only in women, but also in men of all ages:
– reduce the consumption of salty and fatty foods;
– refrain from smoking and the simultaneous use of hormonal contraceptives;
– in case of diabetes mellitus, it is necessary to carefully monitor the blood sugar level;
– do not abuse alcohol and energy drinks;
– go in for sports or do exercises daily;
– monitor sleep patterns – lack of sleep can also lead to poor blood circulation in the vessels of the brain;
– monitor weight – extra pounds push the body to a variety of diseases;
– Eat more fruits and drink plenty of clean water.
Fragment of the article “To lie down or to be treated”,
dated April 23, 2015, No. 86 (6657)
90,000 15 signs that cardiac arrest may occur: 03 March 2019, 09:32
Heart disease can often be disguised as mild malaise, pain and general weakness. Mortality in the world from a sudden stop of a vital organ, according to WHO, can reach about 7 million people a year.Anesthesiologist-resuscitator Gulnur Baibulova helped the Tengrinews.kz correspondent to understand what signs can speak of cardiovascular diseases and signal a possible cardiac arrest.
The symptoms listed below are related to cardiovascular diseases and which can ultimately lead to rupture of the aorta, myocardial infarction, acute coronary syndrome, pulmonary embolism, coronary heart disease, vascular disease, varicose veins of the lower extremities and other diseases.
In acute coronary syndrome, the blood supply is disrupted or completely interrupted. In this case, oxygen is not supplied to the heart muscle in a certain area, which can lead not only to a heart attack, but also to death.
1. Chest discomfort
Symptoms of cardiovascular disease are not always pain. Often a person himself cannot understand what worries him. Some complain of chest tightness or pressure, while others are haunted by tingling, a slight burning sensation, or the inability to breathe deeply.Doctors advise not to hope that the discomfort will “go away by itself,” but to make an appointment with a doctor, undergo an ultrasound scan and an electrocardiogram.
2. Chest pain
The most obvious symptom of heart disease, as noted by the doctor, is chest pain on the left side. By its nature, this pain is pressing or constricting, the patient may feel heaviness or lack of air. Such an attack often lasts more than 10 minutes. Here you don’t even have to guess – in 90 percent of cases, this heart signals a malfunction.
3. Pain in arms and legs
Pain that radiates to the left shoulder, left or both hands at once is one of the subtle signs of heart problems. An examination by a cardiologist must be passed if it is not possible to accurately identify the focus of pain, and in the foreseeable past, these parts of the body did not have any blows or injuries. Cramps and pain when walking in the calves can be a sign of peripheral vascular disease of the leg arteries. And if there are problems with the vessels of the legs, the heart should also be checked.
4. Pain in the lower jaw
If the lower jaw periodically hurts, your teeth ache, there is no caries, and the dentist makes a helpless gesture, you should not blame him for unprofessionalism. Perhaps you just have a slight cold and there is no cause for concern. But it will be useful to visit a cardiologist. It also happens that pain in the lower jaw and teeth are signs of heart disease.
The five most heart-healthy foods were identified
The body, throwing out a fair share of adrenaline into the blood, makes the heart beat faster, and the vessels work with triple strength, because of this, profuse sweating can begin. In itself, it is not scary. But if along with him there are pains with pronounced weakness – go through the examination. In some cases, sweating is not related to heart disease – with excitement or hyperhidrosis, but sometimes it is a signal that the heart rhythm is disturbed.
6. Pressure surges
Pressure surges can be short-term or permanent. With constant pressure surges, there is a high risk of stroke, and it is necessary to see a doctor as soon as possible.
7. Confusion of consciousness and distraction
Due to arrhythmias, when the heart beats too fast or too slow, people often experience distraction and difficulty concentrating. The pressure drops, the brain does not receive enough blood, confusion arises.
8. Fainting and darkening in the eyes
Fainting or darkening of the eyes occurs for a variety of reasons, but a common cause is usually a sudden drop in blood pressure, which in turn reduces blood flow and oxygen delivery to the brain. Also, fainting can be due to too fast or slow heartbeats, dysfunction of the heart muscle or heart valves.
9. Pale or “bluish” skin
Skin discoloration can also be a symptom of cardiovascular disease. In case of circulatory disorders, areas of the body remote from the heart, namely fingers and toes, the tip of the nose, lips, ears, may have a bluish tint. This indicates an excess of hemoglobin in the blood. Very pale and cold skin, especially on the face, can also be a sign of heart problems.Since there is an outflow of blood and vasospasm in the skin.
Illustrative photo: aifudm.net
10. Lack of air or shortness of breath
The heart supplies blood to organs and tissues. If the heart transports an insufficient volume of blood ( that is, heart failure occurs. – Author’s note ), fluid accumulates in the lungs, gas exchange worsens and pulmonary edema occurs. Pulmonary edema just causes shortness of breath, which is often accompanied by a feeling of suffocation, shortness of breath, or heaviness in the chest.
Kazakh pharmacies sell a drug that can cause cardiac arrest
11. Nausea and vomiting
Changes in the frequency and rhythm of breathing, increased salivation, increased heart rate and pain in the heart provoke nausea and vomiting.
12. Pain under the scapula and in the neck
Pain under the scapula, between the shoulder blades or in the left subscapularis region, as well as in the neck region, are also non-obvious signs of heart disease.Myocardial muscle necrosis occurs, blood supply deteriorates.
Illustrative photo: newsmir.info
13. Migraine and headaches
Migraines and headaches can be caused by problems with blood circulation. A visit to the cardiologist will not be superfluous.
Loud and rolling snoring – sleep apnea – can also be a sign of serious heart problems. Apnea is a short-term cessation of breathing during sleep, which has a bad effect on the cardiovascular system: hypoxia of the heart muscle may begin or hypertension (high blood pressure) may develop.
Counting in millimeters. The heart of a 9-day-old baby was operated on by surgeons in Almaty
15. Weakness and fatigue
A weak heart cannot provide adequate blood circulation. Because of this, organs and tissues begin to experience a deficiency of nutrients and oxygen. To survive, the body reduces the blood supply to less important organs, primarily the limbs, and directs blood to more important ones – the heart, brain, lungs. Because of this, a person quickly gets tired and weak.
“With such a clinical picture, the patient urgently needs to provide first aid and call emergency medical care. The patient should never be left alone, especially if there is nausea with vomiting and loss of consciousness. One of the common causes may be acute coronary syndrome,” says anesthesiologist-resuscitator Gulnur Baibulova.
Separately, the specialist noted factors that can cause heart disease: obesity or high blood cholesterol levels, excessive consumption of fatty foods, tobacco abuse in any form (from smoking to chewing), high blood pressure, diabetes mellitus, frequent emotional stress or such character traits such as aggression, irritability, impatience.
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90,000 How to suspect acute coronary syndrome and what is the first aid
- Created on 07/05/2019 17:43
How to suspect an acute coronary syndrome and what is the first aid
Suddenly developing heart pain when it does not go away within a few minutes of rest, even if this symptom appears for the first time, requires an immediate call to an ambulance.
Do not be afraid to sound like an alarmist and seek medical help, because with every minute irreversible changes in the myocardium are accumulating, for acute coronary syndrome the expression is true: time = myocardium.
Currently, acute coronary syndrome refers to two conditions that manifest similar symptoms: unstable angina pectoris and myocardial infarction.
Unstable angina is a condition in which, against the background of physical activity or rest, pain appears behind the sternum, which has a pressing, burning or constricting character.Such pain radiates to the jaw, left arm, left shoulder blade, it may not give anywhere. It can also manifest itself with abdominal pain, nausea. Unstable angina is spoken of when these symptoms are:
• just emerged (that is, before the person performed loads without heart pain, shortness of breath or discomfort in the abdomen),
• started to occur at a lower load;
• become stronger or last longer;
• began to appear alone.
The basis of unstable angina pectoris is narrowing or spasm of the lumen of a larger or smaller artery feeding, respectively, a larger or smaller portion of the myocardium.Moreover, this narrowing should be more than 50% of the diameter of the artery in this area, or the obstacle in the path of blood (this is almost always an atherosclerotic plaque) is not fixed, but fluctuates with the blood flow, sometimes more or less, blocking the artery.
Myocardial infarction. It occurs when more than 70% of the diameter of the artery is blocked, as well as in the case when the “flying off” plaque, thrombus or fat droplets clogged the artery in one place or another.
When to suspect acute coronary syndrome.
The alarm should be beaten if you or your relative makes the following complaints:
– Pain behind the breastbone, the spread of which is shown with a fist, and not with a finger (that is, a large area hurts). The pain is burning, baking, intense. Not necessarily defined on the left, but can be localized in the middle or on the right side of the sternum. Gives to the left side of the body: half of the lower jaw, arm, shoulder, neck, back. Its intensity does not change depending on the position of the body, but several attacks of such pain can be observed, between which there are several practically painless “gaps”.It cannot be removed with nitroglycerin or similar drugs. Fear joins the pain, sweat appears on the body, there may be nausea or vomiting.
– Shortness of breath, which is often accompanied by a feeling of shortness of breath. If this symptom develops as a sign of pulmonary edema, then suffocation increases, a cough appears, and pink foamy sputum may be coughing up.
– Rhythm disturbances, which are felt as interruptions in the work of the heart, discomfort in the chest, sharp pushes of the heart against the ribs, pauses between heartbeats.As a result of such irregular contractions, in the worst case, loss of consciousness occurs very quickly, in the best case, a headache, dizziness develops.
– Pain can be felt in the upper abdomen and is accompanied by loose stools, nausea, vomiting, which does not bring relief. It is also accompanied by fear, sometimes – a feeling of rapid heartbeat, irregular heartbeat, shortness of breath.
– In some cases, acute coronary syndrome may begin with loss of consciousness.
Increased or more frequent pains behind the sternum, about which a person knows that this is how his angina pectoris, increased shortness of breath and fatigue, should also be alerted. A few days or weeks after that, 2/3 of people develop acute coronary syndrome. People with risk factors are particularly at risk of developing acute cardiac syndrome.
Help should start at home. In this case, the first action should be to call an ambulance – 03 or 112.Further, the algorithm is as follows:
1) It is necessary to put the person on the bed, on his back, but at the same time the head and shoulders should be raised, making an angle of 30-40 degrees with the body.
2) Clothes and belt must be unbuttoned so that the person’s breathing does not constrain anything.
3) Give a person 375 mg of acetylsalicylic acid. They need to be chewed. This increases the likelihood of dissolution of a thrombus, which (by itself, or by layering on an atherosclerotic plaque) blocked the lumen of one of the arteries feeding the heart.
4) Open the vents or windows (if necessary, cover the person at the same time): this way more oxygen will flow to the patient.
5) If blood pressure is more than 100/60 mmHg, give the person 1 nitroglycerin tablet under the tongue (this drug dilates the vessels that feed the heart). Re-give nitroglycerin can be given 2 more times, with an interval of 5-10 minutes. Even if after a 1-3-time admission the person feels better, the pain has passed, it is impossible to refuse hospitalization in any case!
6) All the time before the ambulance arrives, you need to be close to the person, observing his condition.If the patient is conscious and experiencing a feeling of fear, panic, he should be calmed, but not soldered with motherwort valerian (resuscitation may be needed, and a full stomach can only interfere), but calm with words.
7) If a person stops breathing, check the pulse on the neck (on both sides of the Adam’s apple), and if there is no pulse, proceed to resuscitation: 30 straight-hand pressure on the lower part of the sternum (so that the bone moves down), after which – 2 breaths in the nose or mouth. At the same time, the lower jaw must be held by the area under the chin so that the lower teeth are in front of the upper ones.
8) Find ECG tapes and medications that the patient is taking to show them to healthcare providers. They will not need it in the first place, but they will need it.
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90,000 Cardiologist listed non-obvious signs of common diseases: Society: Russia: Lenta.Common crawl en
Non-obvious and varied symptoms may indicate common diseases of the cardiovascular system. They were listed by Nana Pogosova, Doctor of Medical Sciences, Professor, Deputy Director General of the National Medical Research Center of Cardiology of the Ministry of Health, in a conversation with Komsomolskaya Pravda.
Thus, the following symptoms may indicate hypertension: headaches or a feeling of heaviness in the head, often in the occipital region; nausea; dizziness; noise in ears; blurred vision, flashing flies or glare in front of the eyes; palpitations, discomfort in the area of the heart; shortness of breath on exertion; mood swings, feeling of inner tension, excitement; sweating, increased fatigue; weakness, restless sleep.
Signs of atherosclerosis can be skin formations – xanthomas (local deposits of cholesterol and triglycerides), which indicate a violation of lipid metabolism. “They have a yellowish-brown color and are painless, they can be flat or in the form of nodules, they are usually localized on the skin of the eyelids, neck, extensor surface of the arms,” said Pogosova.
Also, pain in the muscles of the legs and hair loss on the legs may indicate this disease. These symptoms appear due to impaired peripheral circulation.The state of the oral cavity is also associated with the development of cardiovascular diseases. So, with periodontal disease and caries, pathogenic bacteria enter the bloodstream, which significantly increases the risk of developing an inflammatory process in the vessels, and therefore the risk of atherosclerosis.
Angina pectoris can be suspected with an attack of pain in the chest, most often behind the sternum. The pain can be given to the left side of the chest, to the neck, jaw, to the left shoulder, arm and under the left shoulder blade. Sometimes, instead of pain, you may feel chest discomfort or sudden shortness of breath and weakness.Such attacks, as a rule, occur during physical exertion and during emotional arousal and stress. They last an average of two to five minutes.
Earlier, cardiologist Galina Lazarenko said that the symptoms of a “silent heart attack” can be atypical manifestations of a heart attack, for example, shortness of breath, a feeling of heaviness, burning, bouts of weakness, fatigue, sudden cardiac arrhythmias.
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90,000 Facial pain (prosopalgia) – treatment and diagnosis of nerves at a neurologist’s appointment at the St. Petersburg hospital of the Russian Academy of Sciences
Facial pain (prosopalgia) is a common reason for patients seeking medical help.Distinguish: ophthalmogenic, otorhinogenic, odontogenic, arthrogenic, myogenic and reflected causes of pain in the face.
1. Trigeminal neuralgia – manifested by intense paroxysmal pain more often in the upper or lower jaw, provoked by hypothermia, speech, food intake and accompanied by vegetative manifestations (nasal congestion, tearing, facial flushing). Trigger zones are often present. The disease is often based on compression of the trigeminal nerve fibers by pathologically altered vessels (more often – one of the cerebellar arteries).In this regard, an important stage of diagnosis is the establishment of the fact of vasoneural conflict using MRI and the conduct of neurosurgical treatment, which allows the patient to get rid of this suffering.
2. Glossopharyngeal neuralgia. Among the established causes are tumors and osteophytes of the jugular foramen, cicatricial changes in the nerve root, aneurysms. Clinically, the disease is manifested by acute shooting, jerking pain in the area of the tongue root, tonsil, palatine arch. Paroxysms can be accompanied by heart rhythm disturbances and loss of consciousness.
3. Neuralgia of the superior laryngeal nerve – attacks of unilateral paroxysmal pain in the larynx, accompanied by severe cough, light-headedness
4. Postherpetic neuralgia – occurs 2-4 weeks after a viral herpes zoster infection. In places of rashes, total anesthesia or areas of the skin with symptoms of hyperesthesia, hyperpathy (allodynia) is revealed.
5. Painful muscle-fascial dysfunctions – dysfunction of a particular muscle, arising in connection with its overload and accompanied by pain
6.Facial psychalgia – developing against the background of negative chronic emotional impact and latent muscle-fascial syndrome.
With all types of prosopalgia, it is obligatory to find out the leading cause of the pain syndrome.