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Its to do with sulphites, my mother in law is a nurse and when out to dinner i was suffering with pins and needles/ tingling in my jaw she said its was the sulphites in the glass of wine i was drinking.

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I'm so glad I found this thread... for years (probably about eight or so, a couple years after I started drinking - I'm 28) I've had this jaw pain upon the first sip of a beer or a mixed drink (never a shot, strangely enough) - typically rye whiskey or vodka.  It only happens maybe once in a couple dozen times, but I haven't noticed it being related to hydration or anything like that.  There are a lot of different theories on this message thread... it would be nice to have an actual doctor study this and find out the true cause!  My friends don't believe me, either.. especially since it's so inconsistent, and it can happen with the first drink or after having a few - seems to be quite random and unpredictable.
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Well, well I am quite surprised. Not much clarity on what this sensation is. Had it all my life when I blow up balloons. At a dinner a couple of nights ago and mentiioned I am getting that "balloon blowing up pain". Well everyone just stared at me blankly. I then realised that not everyone experiences it, so I decided to see if the internet had some answers as to what it is. Fascinating to read this thread because I experienced the sensation over a glass of red wine?  Nice to read here that I am not the only one. Remarkable that no one seems to clearlly know what causes it. Havn't had any real joy anywhere else either - lot of theories but nothing conclusive.
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I've been having this problem for around two years, specifically with beer. I notice it especially when I drink beer while consuming food. For me, I have been able to find instant relief (Works in less then a minute) by consuming a slice of lime.  I imagine any vitamin c would also work. Lime is convenient because most places that serve alcohol tend to have limes around. Interestingly enough, when i drink a corona with lime in it, my cramps are super bad. However, taking a bite of lime after the cramps have come stops them immediately.

Next time this happens, I suggest everyone reach for the nearest lime and write back!!!

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Hi,

I read all the posts on this subject, and I have found most very interesting and logical.  However, I always believed that it was sulfites in wine that caused this for me.  I noticed that when I have low grade wines, it is very painful, bunch of needles poking at my jaw with a distinct tingling sensation that lasts about 15 minutes.
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Do you think you could have bilateral stones at the same time every time your symptoms occur? It always occurs bilaterally with me. When I feel the pain is coming I have noticed that when I eat something right away it is extremely painful but doesn't last as long which makes me think it could be some kind of concretion. My latest theory is that the pain is caused by a spasm of the masseter, digastric, lateral/medial pterygoid or stylohyoid muscles in the neck. Constriction of blood vessels supplying the trigeminal nerve may also cause this type of bilateral pain. This can be caused by a sypathetic response.
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I didn't realize this many people had the same condition as me. I used to think it was trigeminal neuralgia. Trigeminal neuralgia is supposed to be a lot more painful I think. I have noticed the symptoms arise with alcohol intake, but not always. Maybe once or twice a month. Never unilateral. Which is why I don't think the pain is due to calcium build-up, stones, or concretions.



When I feel the pain is coming I have noticed that when I eat something right away it is extremely painful but doesn't last as long. My latest theory is that the pain is caused by a spasm of the masseter, digastric, lateral/medial pterygoid or stylohyoid muscles in the neck. Constriction of blood vessels supplying the trigeminal nerve may also cause this type of bilateral pain. This can be caused by a sympathetic response.
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(FYI I have posted this reply in the other discussion that relates to the same problem with pain in the jaw after drinking alcohol as well... sorry if you've already read this.)

Hi everybody,

****I apologize to everybody in advance, but this is a very, very long post, BUT PLEASE READ IT! I THINK IT COULD HAVE THE SOLUTION EVERYBODY IS LOOKING FOR!****

I'm glad to find that I'm not alone in this, but as a medical student and a long term sufferer myself, I've been extremely keen on figuring out what this is... and I think I have the answer.

It's not JUST Sialolithiasis, as one of the posters diagnosed it, or may not involve the disease at all, but I think it could be a factor for some people... Before I get there, I do have a couple questions for other posters, my fellow sufferers:
  • Does anyone experience this pain WITHOUT alcohol, such as after excercising very hard and breathing through the mouth heavily?
  • How about anyone experiencing this while on over-the-counter allergy medications, especially ones that come with pseudophedrine?
  • What about after maybe a lot of coffee during the day, or any other heavily caffeinated drinks?
The reason why I ask is because of my story... Essentially, I used to drink alcohol, nothing too egregious, but your occasional beer or glass of scotch with some buddies. It wouldn't happen every time, but I get the pain only sometimes I would drink, and the pain would be excrutiating.

Well, now, I've quit drinking due to school and work demands, and I still experienced the pain after I did a very strenuous cardio workout... I haven't had a drop of alcohol in over six months now, so I know this isn't just an alcohol thing... Also, a post here said that someone gets the pain after smoking a cigarette, and I used to be a smoker (quit that a year ago), and I know that that'd, occasionally, cause the pain for me as well.

With the flurry of posts about how people ate fruit, or had a chewable vitamin C tablet, and their symptoms went away got to me. In fact, there was one post where the affected individual brushed his teeth, and the pain subsided, that really got me thinking.

So, I need someone to do this for me, since my pain doesn't happen very frequently these days:

Instead of scrounging around for something that has Vitamin C in it, can you chew a stick of gum for me? Or if you have it, can you grab something that has sugar in it? Or better yet, just eat a spoonful of sugar right when the pain occurs and reply on thread or PM me to let me know if it worked or not?

My theory is fairly simple: So I don't think has anything to do with vitamin deficiency or anything like that. I think we all have dehydration issues instead... issues that especially affect the mouth, or what's called Xerostomia, commonly referred to as dry mouth... but there is obviously something else that is affecting us in particular, otherwise this would be far more common, and we wouldn't have the issue of other people looking at us weird...

I think this is where the submandibular salivary gland and its various afflictions possibly come into play. I think we have either blocked ducts or narrow passages / duct openings into the mouth. Blockages of this gland or any of the salivary glands in the mouth is called Sialiolithaisis. What happens is that once we dehydrate the mouth, either due to medications that have a dehydrating and/or stimulatory effect on you (e.g. allergy medications, pseudophedrine, or other stimulants), caffeine or alcohol intake (both of which have not only a drying effect in your mouth as soon as you drink the drink, but also since both are diuretics, i.e. they both make you pee more, they further deplete the water in our bodies), or due to smoking / tobacco use, I think we aggravate the ducts in the submandibular salivary gland at the base of our tongues, right next to the jaw, or do something to aggravate the nerves in the area. This causes the acute, sharp pain we all feel... And from there, I think what a Vitamin C lozenge, or a lemon, or any fruits, do is reactivate those salivary glands, not because of the Vitamin C, but because of the sugar and "sour" taste, which automatically puts those glands into overdrive/. This re-hydration of the mouth essentially lubricates the passage way of the gland for saliva to start flowing again. This is also why my theory explains why some people are able to make the pain subside by brushing, and not just through vitamin c-based products / produce, because brushing has a similar effect of promoting salivation of the mouth.

Now, if someone could test this theory, that'd be much appreciated, and in the meantime, I am going to go to my medical school professor to confirm this, and/or see if he has anything to add.

I'm not entirely sure, but I think rather than have those calcium-based blockages, the Sialothiasis that I was talking about earlier... instead, there is something that exposes the glossopharyngeal nerve, a very important nerve that runs through the jaw and your throat to your brain. I think this nerve is normally kept in the tissue without any problems, but the exposure to air when we have dry mouth causes it to go haywire and start hurting like a mother******. Since it is such a big nerve, the pain is that much more due to its aggravation.

I find it hard to believe that all of us have stones stuck in our ducts and that we just can't feel them any other time other than when we eat, drink, smoke, or exercise. It's not totally impossible, but I find it fairly unlikely.

Regardless, despite me wanting to make sure I have the details figured out (chalk it up to my perfectionism and need to know everything =]), I still think the solution is eating or chewing on anything that makes you salivate. So, chew a stick of gum, eat a spoonful of sugar, eat a vitamin c tablet, grab a lemon... I think any of these things could work. I'm hoping that someone can do something that very obviously doesn't have vitamin C... if your have a sour candy, that'd be great.

I think the sourness of Vitamin C, which is an acid (asorbic acid), and because acids make you clench and squeeze the back of the mouth, may be the other piece to the puzzle here... That's why I think lemons, lime, all the fruits where Vitamin C and citric acid (a rather potent acid, giving the distinct "sourness" to certain fruits) is abundant, work better than other things that people are doing, like brushing their teeth or eating melon (which doesn't have much citric acid in it, but does have a lot of fructose, which is essentially sugar; hence, my theory that sugar should be enough).

Anyways, let's see if we can figure this out together!! I do hope that one of these things or a combination work for you, and I'm looking forward to your posts on whether or not it does!

Cheers, Matt
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My story is a little different, but I feel it corrolates to everyone else's stories. I had a root canal done on my upper molar (#14) on left side of mouth, second from back tooth, in 2007. After getting the crown put on, I started to have sensitivity issues while drinking beer. Not every time, but most times it would make my tooth (just the one with the crown) start to throb and ache. I dealt with it by discontinuing to drink once the pain started. Like I said though, sometimes, it didn't happen at all. It was enough to bother me with chewing food, but not a sharp pain like you all have described. Also, it was just in the tooth area, not my jaw/ear area. Also, it would ache when I had a sinus infection or ear ache, but again, just the tooth. My dentist said it had to do with my sinuses along the top of the tooth. He said when I was sick, they were inflamed and it would put pressure on that tooth and make it hurt. (I personally thought he messed up with the root canal/crown, but of course, he never admitted that!) He did say maybe there was some of the root that didn't get killed off all the way, and that could be giving me issues as well. I just learned to live with it, took advil when it got really sore and moved on.

Fast forward to last Friday, when I woke up with my cheek the size of a basketball! My tooth had been hurting for 4-5 days, like it normally did when I had a sinus infection, which I had just gotten over. So, I took advil and tried to ignore the growing pain. The thought of paying to remove my crown and deal with this was more than I wanted to take on, so I left it alone...though I did complain to my husband that it hurt pretty bad! So Friday comes, I look like a basketball and I'm in so much pain I want to rip this tooth out myself! I head to my dentist, who is new (she bought practice from my old dentist) and hasn't dealt with this issue yet. She takes one look at me and calls the oral surgeon and sends me on my way! So, I get the tooth removed. Very painful by the way, tears everywhere, body shaking, wouldn't wish that on anyone! It was severely infected; they put me on a prescription and gave me vicodin and sent me home. After two days in bed with severe pain, I finally emerge and feel like eating. My husband was having a Coors Light, so I took a sip. OH MY GRACIOUS, TALK ABOUT PAIN!!!!! Instant, horrible, knock me to the floor pain shooting through my entire jaw and into the spot where the tooth was. I got some ice for my instant headache, swished mouth with water, took some more pain pills and laid down for a while. After 30 minutes the pain subsided, but I am not kidding, it was worse than having my 3 babies! I think the beer got directly onto the nerve/gland since my gum isn't healed up yet. Because of that though, I started searching online and found this site. Although my pain isn't exactly like everyone else's, I still think it's part of the same problem. My fear now, is that when I get a fake tooth or bridge put in, that I'll continue to have problems like that and not be able to drink again! That would be horrible, as I really enjoy the taste of beer!

Just wanted to share my story and see if anyone has any other insight. And before you tell me how stupid it was to drink while on pain meds, I already know! My parents are in the medical field and I realize the complications. I just wanted a sip since nothing had sounded good for two days. NEVER EVER did I think it would cause pain like that!
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I have the same pain in the back of my low jaw (needles stabbing, hurts to talk) AND I am prone to getting toes cramps whenever I play sports (one toe just pops up above the rest and continues to do so for awhile, painfully). I started taking magnesium supplements (400-600 mg) a few hours before playing a sport, in addition to NOT EATING before playing. This has prevented any toe cramps. As far as this awful jaw pain (I just had Merlot with my dinner and can't move my jaw right now), maybe the key here is also NOT EATING before drinking? Not sure, but it does suck. Especially since this pain doesn't happen every time I drink.
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I'll give your idea a try, Matt, the next time this happens. I'll have a sugar packet, suck on a lemon slice, or chew some fruity gum. Will post the results.
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I've had this problem for over 13 years now. It isn't just alcohol that causes the pain as it also happens if I drink caffeine, eat cheese or chocolate. I had no problem drinking alcohol in the 24 years prior to this pain starting. I have tried all the things that Matt has suggested, but I still have the pain.
Prior to the pain starting, I had a lot of dental work and also a car accident which put my jaw out of alignment. My doctor thinks my facial nerves around the jaw area are damaged and are aggravated by alcohol, caffeine etc. I did think it could be a sulphite allergy and cut out anything that contained sulphites, but still got the pain. I haven't met anyone else who has suffered from this pain, but I do enjoy a glass of wine and it is most embarrassing when you can't talk properly , because of the pain, after a couple of sips!
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MCM03 wrote:

I, like everyone on this thread, suffer excruciating jaw/neck pain whenever I dare to wine. My husband is a doctor and he's stumped too. However, in my own case, I believe it is a salicylate sensitivity/allergy as it happens if I bite into a tomato or a Granny Smith's apple or indeed any fruit except for bananas & very ripe Golden Delicious apples. Not everyone knows that all fruit contains salicylates - the act as a natural pesticide. I also have to use salicylate free toiletries , creams and make up as they have the same effect. Someone once said it could be the sulphites in the wine which I believe is a possibility. Why isn’t there any research going on into this??  ***this post is edited by
moderator *** *** web addresses not allowed***

You will find the salicylate content in a whole range of foods & drink. I feel your suffering but at the same time it is oddly comforting to know I am not alone
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Hi Matt/All,

I'd like to thank you for all the information here and I'd also like to say how surprised all these people experienced the same thing as I did. It usually happens after I take drugs that give me dry mouth. I was experiencing it every time I had a sip of beer this evening and found this thread. I thought I'd try out some of your theories by putting myself through a little pain.

I tried eating a sugar cube, which hurt immensely when chewing but very quickly brought relief, and the same went for lime juice and a halls Vitamin C candy. I don't usually have this problem when I don't have drugs that make me have dry mouth.

::HUGE WINKY FACE::
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Hi Matt, Thanks for the detailed information.
I just had the pain tonight when drinking red wine (I have it from time to time when drinking wine, mostly when I drink red. Lasts only a few minutes).
The pain stopped immediately after chewing a piece of dark chocolate. So sugar seems to work for me.
I do drink a lot of coffee and green tea during the day.
Regards from Brazil!
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