Common "Trigeminal Neuralgia" queries answered by top doctors | iCliniq

Trigeminal Neuralgia

Trigeminal neuralgia is a neuropathic facial pain condition. The pain is recurrent and episodic. Patients describe this pain as lancinating, sharp, pricking, stabbing, and electric shock-like pain lasting for few seconds. It affects one side of the face. The cause has been attributed to the damage of the myelin sheath of the trigeminal nerve and nerve compression due to an enlarged blood vessel. In addition, specific triggers like a gentle touch on the face, chewing, shaving, brushing the teeth, washing face, smiling, talking, wind blow over the face, etc., are known to cause pain episodes. Carbamazepine is recommended to reduce nerve pain. Glycerol injections, balloon compression, radiofrequency lesioning, and microvascular decompression are the available treatment options to relieve the symptoms.

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What can cause head and ear pain on the same side for a month?

Query: Hi doctor, I have earache and headache on the same side. I have pain while washing my face near my ears for a month.   Read Full »


Dr. Thakre Mahendra Shivram

Answer: Hi, Welcome to icliniq.com. I understand your concern. You are having headaches and earaches on the same side. You have more pain while washing your face. Please mention the nature of your pain whether it seems like an electric shock or it comes and goes or dull in nature. This type of pain can oc...  Read Full »

I am suspected of having trigeminal neuralgia. Please help.

Query: Hello doctor, Three and a half months ago I started with numbness, burning and tingling on the left side of my face. I had been very sick with a chest cold. One week later I had blisters on my upper left palate, I went to the doctor and she said definitely shingles. Now l never had any pain or sensa...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. You should know that trigeminal neuralgia is a common complication of shingles or herpes infection. As blisters appeared the first time, it means that the herpes infection was present (probably HSV1 (herpes simplex virus, which is typical in this region). It is quite ...  Read Full »

My mother has trigeminal neuralgia. Please help.

Query: Hello doctor, My 58 year old mother has a history of trigeminal neuralgia from the past four years. She was initially treated with Carbamazepine, but she had a severe allergic reaction, due to which it was stopped. Oxcarbazepine was tried, and it caused allergy too. Pregabalin, phenytoin, and sodium...  Read Full »


Dr. Anshul Varshney

Answer: Hello, Welcome to icliniq.com. You seem to have tried all the possible treatments. I would suggest trying a medicine known as Tapentadol at doses of 50 mg twice daily, along with Gabapentin 600 mg per day. Consider radiofrequency ablation or alcohol injection into the nerve again, if no relief is o...  Read Full »

I have noticed tiny squiggles and long hair in my urine for six months. Why?

Query: Hello doctor, I am hoping to get some advice on something strange in my urine. I have noticed tiny squiggles and long hair in my urine for six months. It ranges from 10 mm to 40 mm with a head-like follicle. I have attached a picture of the squiggle. I have been ill for 15 months with various sympto...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to icliniq.com. Severe neutropenia can cause immune suppression and acute infections. Hair in the urine is rare, and it is mainly associated with masses that can grow in the urinary system. Therefore, an ultrasound of the kidneys, ureter, and bladder will be required for diagnosis. ...  Read Full »

Why do I have pain on my face?

Query: Hello doctor, I am having pain in my right side of the face between the temple and cheekbone. I am getting a stabbing pain when I press there. I am also suffering from sinus and taking Sinarest and antibiotic. What can I do?  Read Full »


Dr. Mehak Agarwal

Answer: Hi, Welcome to icliniq.com. Do you have a CT scan of your paranasal sinus (PNS)? If you have sinusitis, then you have to continue antibiotic and decongestant for at least a week. Also, you need to take a steroid nasal spray along with decongestant nose drop. Chronic sinusitis has to be operated an...  Read Full »

I have neck pain, jaw pain, and pain under my chin, and am unable to smile properly, as the right side of my face feels numb. Please help.

Query: Hi doctor,I have been suffering from an unexplained pain in my mouth for around six months. My dentist referred me for a full mouth X-ray at my local hospital last year, which showed no abnormalities. He seemed to think I have a burning mouth syndrome. I have neck pain, jaw pain, and pain under my c...  Read Full »


Dr. Naveen Thomas

Answer: Hi, Welcome to Icliniq.com. I understand your concern. Could you please attach the full mouth X-ray done? It seems to be very strange that no doctors have been able to find the exact source of pain. It might be either some nerve compression or trigeminal neuralgia, which causes pain like this. An X-...  Read Full »

I have nerve pain due to HSV-1. Is it common?

Query: Hello doctor, I am a 28-year-old female with a height of 5 feet 5 inches weighing 140 pounds, healthy, non-smoking, non-drinking female with no drugs and no other known health problems. Two months ago, I was exposed to HSV-1 and then seven days later, I was tested positive for HSV-1 oral with IgG o...  Read Full »


Dr. Aida Abaz Quka

Answer: Hello, Welcome to icliniq.com. Your symptoms are compatible with trigeminal neuralgia. I agree with your doctor's decision to avoid performing brain MRI (magnetic resonance imaging) or any medication within the first trimester. Regarding encephalitis, you should know that it is a very serious condi...  Read Full »

I am suffering from sinusitis and it is getting worse. What is the cause and treatment?

Query: Hello doctor, I have suffered from sinusitis for the last five years. I used to live in a house that had mould issues, and I am not sure if this brought on the sinusitis. I have been using Avamys nasal spray and Texa allergy tablets. For the last three weeks, I have developed a new symptom. I am hav...  Read Full »


Dr. Dheeraj Kumar Jonnalagadda

Answer: Hello, Welcome to icliniq.com. Firstly I will brief you on what you are suffering with, 1) You have an allergy, which is a disease in your blood to which your body reacts to foreign materials, and the symptoms are shown as sneezing, different in breathing, nasal discharge, watering of eyes, and the ...  Read Full »

My nephew has pain after the removal of the salivary gland tumor.

Query: Hello doctor, My nephew had a tumor on the left side of his face in the submandibular gland region eight months back. He visited a nearby clinic, where the doctor advised FNAC for the tumor. After reviewing the biopsy reports, he advised him to take some antibiotics, he developed an intolerance to t...  Read Full »


Dr. Florilyn Joyce Chulsi Bentrez

Answer: Hello, Welcome to icliniq.com. I understand your concern. I see it is indeed a difficult case. I suggest you also give a trial to anti-Koch's medications (antitubercular medications). I am thinking of it as a differential diagnosis, given the duration, location, and biopsy results. Please conti...  Read Full »

My mother is under treatment for hypertension, cholesterol, trigeminal neuralgia, and osteopenia. Is it safe for her to take a supplement containing Resveratrol?

Query: Hello doctor, My mother is 66 years old and has cholesterol but is under control with Fibator (Atorvastatin 10 mg and Fenofibrate 145 mg). For hypertension, she is taking Seloken XL 50 mg in the morning and Amlogard 5 mg in the night, and with this medication hypertension is under control. She is ...  Read Full »


Dr. Anshul Varshney

Answer: Hello, Welcome to icliniq.com. I read your query and can understand your concern. Your mother is on a lot of medications, and Resveratrol is a supplement that is on the hike these days, but try to understand, that whenever a new supplement comes to market, its side effects come after years and y...  Read Full »

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