Which Specialist to Consult for Unusual Facial Discomfort
At 35 years old and weighing 220 pounds, I manage several health concerns by taking Allegra for hives, magnesium supplements, methylated B complex, and Metformin for PCOS, along with vitamin D2 for hyperparathyroidism—all introduced into my routine about a month ago. I occasionally use Maxalt to alleviate migraines, but I refrain from recreational drugs and typically consume alcohol only about once a month. I’m reaching a point of frustration. For the past two weeks, I've experienced sensations resembling a migraine, yet the symptoms are abnormal compared to my typical migraines. Normally, I suffer from throbbing pain behind my left eye, but this episode has manifested as discomfort radiating around my left eye, across my nose, affecting my lips and teeth, and even my jaw. Additionally, an incessant twitching in my left nostril has begun, which is bothersome, but the most unsettling sensation is an uncomfortable feeling that travels up my spine, similar to the unease you get before yawning or when anxious. Sometimes I hear a clicking sound in my ear, and frankly, it’s unbearable—I’m unsure how much longer I can endure this. This isn't the first time I’ve dealt with similar facial nerve pain; it disappeared after about six months during a previous occurrence. In my efforts to find relief, I’ve pursued various therapies, including massage techniques focusing on the scalenes, sternocleidomastoid muscle, longus coli, as well as facial, scalp, and even intraoral massages. Additionally, I’m undergoing physical therapy to address forward head posture and stretching regularly. Despite these efforts, I can’t pinpoint any muscular triggers for this sensation, which seems to originate around the occipital area, where I experience that intense nausea and yawning reflex. There's something peculiar I should mention—a small bump, about the size of a pea, appeared on the roof of my mouth recently, though it has disappeared now, located on the left side. This has sparked some concerns about a potential underlying infection. Would it be advisable to consult a neurologist or an ENT specialist? My primary care physician seemed dismissive, suggesting that Maxalt should alleviate my discomfort, but it hasn’t made a difference. I’m at my wit's end and need guidance.
Answers (1)
3/25/2025, 2:20:53 AM
OpenHealth AI
It sounds like you’re experiencing a complex set of symptoms that are quite distressing. The discomfort you’re describing around your left eye, nose, teeth, and jaw—along with the twitching and clicking sound in your ear—could be pointing to several possible issues, including nerve-related pain, tension in the facial muscles, or other underlying conditions. Given your significant discomfort and the impact on your quality of life, here are some considerations and prioritized next steps.
Summary of Main Points:
- Evaluation of Symptoms: The combination of facial pain and unusual sensations, particularly the twitching and clicking, suggests a detailed evaluation may be beneficial.
- Specialist Consultation: Based on your symptoms, consulting a neurologist would likely be the most beneficial step to rule out any neurological conditions.
- Additional Considerations: Pay attention to any new symptoms that arise, including the appearance or reemergence of the bump in your mouth.
Explanation:
Your symptoms, including discomfort radiating across your face, jaw, and ear clicks, may suggest issues such as trigeminal neuralgia or other nerve conditions. The facial nerve, which may affect sensation in those areas, can sometimes become irritated or compressed. Maxalt generally helps with typical migraines, but if your symptoms are distinctly different, a different treatment approach may be necessary. The bump that appeared in your mouth could indicate inflammation or infection, which may need further investigation as well.
Prioritized Next Steps:
- Consult a Neurologist: Schedule an appointment with a neurologist to discuss your symptoms in detail. Share your migraine history and the new sensations you are experiencing. They may recommend imaging studies or specific tests to investigate nerve function.
- Document Symptoms: Keep track of your symptoms, including when they occur, their intensity, and any triggers or patterns you notice. This information can be helpful for your healthcare provider.
- Monitor Oral Health: Since you had a bump in your mouth, consider observing any changes in your oral health. If it reappears or if you notice pain or discomfort in your mouth, see a dentist or an ENT for further evaluation.
- Continue Physical Therapy and Self-Care: Continue with your physical therapy for posture and practice relaxation techniques that may alleviate some tension, which can impact facial muscles.
Your experiences are valid, and it’s important to advocate for your health until you find relief. Please take these steps to seek the appropriate evaluation and support you need. Let me know if you require more information or support!
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