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 is the reason for recurrent pain in the left side of my face when I swallow liquids?

Query: Hello doctor, I am a 27 year old male in good physical shape, doing workouts every day. My weight is 198.41 lb and my height is 5.58 ft. About four months ago, I started to feel a sharp pain on the left side of my face, above my left eye when I swallow liquids. The pain is not intense, but rather I ...  Read Full »

Dr. Ashok Kumar

Answer: Hello, Welcome to I read your query and understand your concerns. Firstly, I feel your neurologist was right to prescribe you Lyrica (Pregabalin) although it did not help you in gaining control over the pain. Secondly, finding the etiology of a sharp pain over the left eye is quite imp...  Read Full »

I get bouts of dizziness and electric shocks in the head. Why?

Query: Hi doctor, I am a 37-year-old male. I am getting bouts of dizziness as an electric shock in my head. I have some nerve twitch in my temple. I have done some screening tests such as stress echo, blood test, and holter monitor. All the results came back normal. My doctor referred me to an ENT speci...  Read Full »

Dr. Aida Abaz Quka

Answer: Hi, Welcome to I understand your concern. Dizzy boots are caused due to inner ear disorders including positional paroxysmal benign vertigo. Electric shock-like feeling in the head occurs due to trigeminal neuralgia. It is a condition where a nerve in the brain gets irritated and it ap...  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 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 »

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 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 »

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 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 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 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 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 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 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 »

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