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HomeAnswersNeurologytwitchingI am having eyelid twitching frequently. Why?

Why do I have twitching and tingling sensation of the eyelids and nose on the left side?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Meera Premanand

Published At March 3, 2022
Reviewed AtDecember 22, 2023

Patient's Query

Hello doctor,

I have been experiencing eyelid twitching and tingling intermittently for about six weeks. It mainly occurs on the left side, but sometimes it creeps over slightly to the right. I can also feel muscles around the bridge of my nose tensing at times. When I touch the areas that are tingling or twitching with my finger, they stop until I let go. The muscle on the left side of my head above my ear feels sore if I massage it, but rubbing it usually relieves the tingling momentarily. The left side of my jaw is also tender at the joint. Possibly related or not, I have also had a few instances of bad headaches that started behind my left eye over the last couple of months. In addition, I have been withdrawing from Ativan for about five weeks and have been experiencing muscle cramps in both calves. This seems complex, and I have trouble deciphering a proper way forward. My primary doctor thinks I am just anxious, but I am having difficulty accepting that. The sensations have been over a week. Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I understand your concern. To guide you better, please answer the following:

1) Do you get twitchings in a particular group of muscles or the whole of the body?

2) Any thinning of limb muscles?

3) Any weakness in limb muscles?

4) Any problem chewing or swallowing? How is your sleep?

5) Any addictions?

6) Has the EMG NCV (Electromyography and nerve conduction velocity) test been done?

Follow-up with the above questions.

Thank you.

Patient's Query

Thank you doctor,

I am getting cramps in calves, sometimes quads and triceps (infrequently), and many around the eyes and nose. Sometimes I do not have any. Sometimes all day long. It seems like tablet Naproxen alleviates 90% of eye twitching, but not calves. I lift weights four times a week, and my strength is excellent. I do not have weakness or atrophy. I do not face problems while eating or swallowing. Sleep is also good. I use nicotine all day, and I am 5 weeks out from the last tablet Ativan dose. I was taking tablet Ativan 1 to 2 mg per day at night for four months. Please advise.

Hello,

Welcome back to icliniq.com.

Nicotine also can cause muscle twitchings. Although there are no other symptoms suggesting motor neuron disease, I still suggest an EMG NCV test. Are you taking any other medicines than tablet Ativan?

Thank you.

Patient's Query

Thank you doctor,

I have been taking tablet Benadryl 25 mg every night. Although I stopped taking it for five days and the symptoms continued. Please advise.

Hello,

Welcome back to icliniq.com.

I suggest you take an EMG NCV test and consult a psychiatrist as it may be related to anxiety. I hope this helps.

Thank you.

Patient's Query

Thank you doctor,

Would stress or anxiety be able to cause this body-wide twitching? I also know that my blood ferritin is very low: 16 ug/dL from blood donations. Can this be the cause? The TMJ on that left side is tender and tight, and the muscle above the left ear has knots and is also very delicate and painful. Could this be contributing to the eye twitching? Please help.

Hi,

Welcome to icliniq.com.

Yes, anxiety is known to cause fewer twitchings. Low ferritin and TMJ problem are less likely to be the reasons.

Thank you.

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

Dr. Abhishek Juneja
Dr. Abhishek Juneja

Neurology

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