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    Diagnosis Anxiety
    Lois41 posted:
    I have the excruciating pain described so well here. Went to an ENT 30 years ago while having the pain. After a thorough examination that lasted 45 minutes he asked what was going on in my life and told me there was nothing physically wrong with my ear. He suggested therapy for anxiety. I do grind my teeth and have broken several doing so and am wondering if that might be the problem when this pain occurs. Today I had to face a situation out of my comfort zone and within minutes of being there the pain started. That was 3 hours ago and the pain continues even though I'm no longer in the situation. I tried motrin with no help but have gotten relief with excedrin. I tried pulling on the ear lobe but got no relief. Guess misery likes company because I find some relief knowing that others have this same experience. I can now turn my head without screaming so it may be on its way out.
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    Rod Moser, PA, PhD responded:
    Because of nerve pathways, the grinding of the teeth (bruxism) can definitely cause pain to be referred to the ears. Have you ever consulted a dentist who deals with TMJ disorders? Anxiety does play a role in this (and every) medical condition, but there is an underlying physical problem that needs to de addressed. Seeing a different ENT would be helpful, too.
    Lois41 replied to Rod Moser, PA, PhD's response:
    I've been diagnosed as having TMJ but have never consulted or been referred to a dentist who deals with it. In the past several months the occurrences have been less because I tend to more readily take a xanax when I'm aware of anxiety related situations. Today I didn't do that because I thought I had a handle on the situation. The thought of an underlying physical problem gives me pause and am thinking your recommendation to see an ENT might be in order. Thank you for your reply.
    Rod Moser, PA, PhD replied to Lois41's response:
    You are welcome. I am pleased that you have the anxiety component under control.

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