### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
my niece is in alot of pain involving the gums and her jawbone. she has seen a dentist and he looked at her xrays and examined her teeth and said everything looked okay. she developed the symptoms 3 weeks ago and now she tries not to talk because it causes too much pain. she is scheduled feb 26 to see an endocrine doctor. she has put on weight in the past 6 months and has developed acne. she has never had acne in her entire life. she is 37 years old and lately has been developing terrible mood swings. what could be the underlying cause of the problem

### output:

Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint pain in gums and jawbone can be most probably due to dental infections but in case if there is no problem associated with teeth and gums the pain can be due to jaw joint problems also known as Temporomandibular joint dysfunction. It can also be due to nerve related disorders. In case if it is in the upper gums and jawbone it can be due to sinus infection and sinusitis. A thorough clinical examination and investigations like MRI, x-rays can help in diagnosis and treated according to cause confirmed. For weight gain, pimples and mood swings the cause can be most probably hormonal and a complete hormonal profile and examination by an Endocrinologist can help. As of now she can take anti-inflammatory painkiller like Ibuprofen to relieve pain in jaw and gums. She can apply ointments like Clindamycin and Benzoyl peroxide over the pimples. Do cool compresses over pimples. Do meditation and breathing exercises for relieving anxiety. Take sufficient sleep and a nutritious diet. Hope this information helps. Thanks and regards. Chat Doctor. 