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Severe pain from Temporomandibular Joint Syndrome causing blood pressure spikes

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Tryptamine*Dreamer

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I was diagnosed with a condition called Temporomandibular Joint Syndrome (TMJ). This was about 3 years ago. I suddenly got this extreme pain in my head and just had to lay in the floor. It was so bad that I was moaning and yelling and could barely talk good enough for anyone to understand me. I was rushed to the hospital because everybody thought it was an aneurysm or something. I started vomited while doing this and that made it worse. I had never felt pain even remotely similar before. I was rushed in for a CT scan of the head - by that time the worst part was over and I could talk coherently and walk without assistance. It still hurt really bad. My blood pressure was pretty high when I got to the hospital, but I don't remember by how much. They injected me with some opiate and promethazine for nausea. The loud moaning/halfway screaming(not at the top of my lungs, but it was difficult to stop myself) had ended by the time I got there, but it was still really bad. They thought it might be Trigeminal Neuralgia, which I have heard is pretty painful. The exam showed it was TMJ syndrome - they said the trigeminal nerve was involved in my case and it could cause significant pain due to the effects on the trigeminal nerve. I have had some symptoms of TMJS since I was 12, but not any extreme pain. It seems that TMJ syndrome can vary extremely from one person to another because it can involve joints, muscles, and some of the cranial nerves. The pain was mostly gone after about an hour and my blood pressure back down, so I got to go back home. I had several more similar attacks that week - the extreme pain would last less than a minute to five minutes and let up to what felt more like a bad migraine after that. The attacks come on instantly. The upper part of the face and sides of head feel just really bad when it happens. I usually feel like I have a bad migraine after that ends.

It was maybe four or five months later before it happened again. Maybe a dozen short attacks over 10 days or so, and then it clears up for a while. There have been several more flareups since then, and have been pretty much the same - there was one attack that staid extreme quite a bit longer than most, maybe 10 minutes or more. For the most part, it is no big deal except when it is happening, and then I act like some crazed lunatic. It is really bad when it happens but attacks are brief and flareups don't occur very often. It does not affect my quality of life or anything, though it would probably be dangerous if it happened while I was driving. I don't know how I could avoid crashing if that occurred because I am unable to function at all during an attack. They said it was not anything dangerous to my health but I might need surgery in the future.

Another flare up started a couple of weeks ago. It seemed like just the same old thing, but I ended up in the ER because one came on and would not stop. It was like all my senses were blurred. They kept asking me questions, but I could barely say 2 or 3 words at a time. My mom told them what I had though. According to my mom, my blood pressure was like 245/140, though I have no idea. I did catch that they gave me morphine and told me a couple of other things they gave me that I could not understand. I broke off a piece of a tooth from clenching my teeth and bit a hole in my lip. My glasses fell off onto the table and I just snapped the frame somehow. I have no idea why, I did not even know I did it. Maybe I rolled on them or something. It is almost like I had gone insane or something. I also apparently bit my hand and it had bruises and teethmarks on it. I don't remember doing that either. I don't remember being told anything about my blood pressure or seeing a reading.

According to my mom, it had dropped to something like maybe 20 or 30 minutes later 235/130 and heart rate like 130. They gave me more injections and I have no idea what they were(I only saw them giving one in an IV tube but my mom said they gave me four more things through the IV tube - I assume at least one was something for blood pressure. My mom said I staid like that for about two hours. I remember some of it but I felt like I was in a really altered state of consciousness (It feels like that every time I have a bad one - the altered state might be interesting if it could be separated from the pain and used as a drug) A little after those injections the pain had reduced a lot. I felt quite high as well. I am not sure how to describe it, but I could definitely tell there was an opiate effect. I also felt kind of like I had taken some ketamine (I know they would not have given me that, though. I would like to know what caused that feeling). I knew what was going on just fine after that and could see my blood pressure pressure was only 169/134 and pulse 102 at that point. The pain quickly decreased to a very low level and my blood pressure dropped down to 113/66, pulse 51. I was feeling really good at that point and whatever combination of drugs used would be great for recreational purposes and it was different from any other high I have had (in large part because they combined multiple things, probably). I'd really like to know what they gave me. That is not the purpose of this post though.

The flare up is still on going and I have had attacks happen 5 more times. The pain is just as bad each time but I doubt any of them stayed at that level more than 30sec to two minutes. This is really no big deal in my life as far as that aspect goes since the extreme parts of an attack are normally really brief and the flare ups don't occur often. I don't think the blood pressure elevation would be likely to do serious harm if it only lasts a couple of minutes.

I did try using 3-meo-pcp during a somewhat less severe attack and it worked a lot better than hydrocodone. Normally, no treatment is actually needed for the pain because it goes away too fast.

What does worry me is how high I was told my blood pressure was. I had drank coffee earlier but I don't think I had taken anything else that day. It was before I got the order of drugs I got recently, so that was not involved. I did not think blood pressure could rise like that just from pain - I don't ever remembering pain causing a rise above 180/135, pulse 120 before. It really does not seem safe to me for a blood pressure to rise that high - 245/140. I have checked my blood pressure right attacks and it has never been that high (though it seems the diastolic pressure responds more severely that the systolic to the attacks more often - those measurements were taken after the worst part as I could not do it while it was happening). That blood pressure seems extreme. Coffee normally won't even raise it to 160/100. Mine is usually 115-150/65-90 pulse 50-85 It does not sound safe at all to me for it to get that high. It also seems unlikely to me that pain could raise it that high. I can't be sure if it was that high given that I just did not pay any attention to that kind of thing myself, I am just going by what my mom told me.

Is this something I should be concerned about? Don't know if there are any doctors here who could answer.
 
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