I am worried about the twitching in my lower eyelid since a month. Please give me a solution.

Hi doctor,

I am a reasonably healthy 39-year-old male with health anxiety. I will be the first to admit it, and I am trying to mitigate it. For a long time, whenever something happens to my body, I tend to think the worst. With that said, for about a month now, on and off my right lower eyelid has been twitching. It is not noticeable, so other people can not see it, but I can certainly feel it.

There is no rhyme or reason to why or when it happens, but it is frustrating and, in a way, scary. There are some days when it happens for the majority of the day on and off. While it is happening, if I look closely at it in the mirror, I can see it moving a little back and forth. It is the lower eyelid where the tiny hairs come out.

I went to the eye doctor, and he did a complete check-up on both eyes, and they are fine. I do not have any other symptoms besides that. I sit in front of the computer for a living, and the health anxiety that I have been feeling can cause stress.

1. I wanted to reach out to a professional to see if this could be a neurological condition of any sort?
2. I understand that this type of thing can happen due to eye strain, stress, and lack of sleep. I sleep fine, though, so I doubt that is not the issue. I have had anxiety for a while now, but this is a reasonably new symptom, so why now?
3. And should it not stop?
4. Any insight you can give me on this would be beneficial. Should I go to a general physician or a neurologist for them to take a look?
5. Or will other symptoms be involved if it was something more severe or a precursor to any neurological disease?

Instead of making an appointment to see a neurologist, this was a much easier way of getting some answers that I desperately need.

Please give me a detailed insight regarding my issue.

Thank you.

Hello doctor,

Thank you for the reply.

As you tell, the anxiety gets a hold of me sometimes, and when something like this happens, it is hard to distinguish between something benign and something more serious.

It has just been a nonstop thing for a few weeks, so it becomes more disturbing to me when it is constantly happening every day. And then when the anxiety comes from that, I am sure that makes it worse. So I guess that in your opinion if there were something neurologically wrong, there would be more symptoms.

The levels you spoke of thyroid, electrolytes, magnesium, etc., can also be signs of twitching and nothing serious if they were low?

Please help.

Thank you.