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I have fiber neuropathy and muscle spasm with persistent eye twitching. Should I seek medical help?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 28-year-old female. I have small fiber neuropathy (unknown cause), muscle weakness, and frequent muscle spasms. The only test that came back abnormal was the VGKC-AB test. My left eye has been continuously twitching nonstop for the past few days. It does not hurt but is driving me insane. What should I do to subside the symptoms that I deal with it? I want to know if there is anything I should worry about? Should I seek help at this point?

Answered by Dr. Aida Abaz Quka

Hello,

Welcome to icliniq.com.

I passed carefully through your question and would explain that your symptoms could be related to vitamin D deficiency or vitamin B12 deficiency.

For this reason, I would recommend rechecking these vitamin levels. In the meantime, I would recommend taking Gabapentin or Pregabalin to help improve your situation.

Another treatment option would be Clonazepam, which can reduce muscle twitching and muscle spasm.

I hope this helps.

Patient's Query

Thank you doctor,

I stopped taking Gaba about a year ago because I could not function at work anymore. I fell asleep at my desk several times. I have been off all medications for a significant amount of time now because of the side effects. However, I will look into going in and getting my levels retested to check for Vitamin B12 and D deficiencies. Do you not think eye twitching is anything to worry?

Answered by Dr. Aida Abaz Quka

Hello,

Welcome back to icliniq.com.

Eye twitching is widespread during anxiety or caffeine intake. So, I would recommend avoiding caffeine. Vitamin D deficiency can also trigger it. Anyway, I do not think that this is anything serious. Regarding the drugs, you should try a low dose of Clonazepam and see if it helps.

I hope this helps.

Answered byDr. Aida Abaz Quka

Medically reviewed byDr. Vinodhini J.

Published At January 9, 2021
Reviewed AtDecember 22, 2023

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Aida Abaz Quka
Dr. Aida Abaz Quka

Neurology

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