OpenHealth Q&A

Get answered by medical professionals

Understanding Facial Twitches

8/6/2025, 11:20:37 AMMale25-34

A 35-year-old woman reports that she abstains from alcohol and drug use, aside from using nicotine vape products. She is not taking any daily medications. Recently, she discovered a slight tremor in her jaw that is barely noticeable to anyone else. Having previously experienced jaw clenching during sleep, she presumed this might be the cause. However, this week, she began experiencing involuntary twitching on the left side of her face, specifically around her eye and nose. She is wondering if there could be a connection between these symptoms and if it’s advisable to seek medical attention, or if they might simply be manifestations of stress.

COPDInternal MedicineRheumatology

Answers (1)

Cony

8/6/2025, 11:21:00 AM

OpenHealth AI

Facial twitches or tremors can be concerning, and it's understandable to want clarity about these symptoms. Your experience of jaw clenching during sleep may be related, but the new involuntary twitching of the left side of your face—such as around your eye and nose—warrants some attention, especially since it’s a new development.

Explanation: Twitching or tremors can stem from various causes, including muscle fatigue, stress, anxiety, or even neurological factors. While stress and fatigue can lead to muscle spasms, it’s essential to ensure that there aren't underlying issues. Conditions like hemifacial spasm or other neurological concerns could present with similar symptoms. Given the change in your symptom pattern and location, it's wise to monitor this closely.

Next Steps:

  1. Monitor Symptoms: Keep track of when the twitching occurs, its frequency, and any associated factors (like stress levels, sleep quality, or physical activity).
  2. Reduce Stress: Focus on stress management techniques such as deep breathing exercises, mindfulness, or gentle yoga. These may help ease the twitching if stress plays a role.
  3. Stay Hydrated & Rested: Ensure you are drinking enough water and getting adequate sleep, as dehydration and fatigue can exacerbate muscle issues.
  4. Avoid Stimulants: Since you use nicotine vape products, consider reducing their use, as stimulants can contribute to muscle tension or spasms.
  5. Seek Medical Attention if Necessary: If the twitching persists for more than a few weeks, worsens, or is accompanied by other symptoms like changes in vision, facial weakness, or unusual symptoms elsewhere, it would be prudent to consult a healthcare professional.

Let me know if you have any further questions or need additional support!

Related Questions

Is a Small Papercut Capable of Triggering Lymphangitis?

Hello, I am a 32-year-old female, standing at 170 cm and weighing 60 kg. I am currently prescribed birth control and citalopram. Earlier today, while retrieving medication from the pharmacy, I managed to acquire a minor papercut on my pinky finger near the nail. After applying some sanitizer, I returned home 15 minutes later, where I carefully cleaned the area, disinfected it, and applied mupirocin cream along with a band-aid. Now, approximately six hours have passed, and I decided to take off the band-aid during my shower. Although the cut is minuscule, I noticed some redness surrounding it, including what seems like a red line extending toward my knuckle. The sting from the papercut is quite noticeable, but otherwise, my finger appears normal. I have a friend who has experienced "red streaks" due to a skin injury, so I am somewhat familiar with lymphangitis and cellulitis. It's currently 1 AM in my timezone; do you think it would be prudent to sleep and assess the situation in the morning? Seeking medical attention for just a papercut seems excessive to me. I appreciate your insights!

LupusFibromyalgiaInternal Medicine
Male25-34
15 minutes ago

INQUIRY FOR A MALE UROLOGIST

Recently, my 17-year-old son approached me, expressing a desire to discuss a matter that left him feeling quite apprehensive and embarrassed. Uncertain of how to articulate his thoughts or gauge my response, he hesitated to bring it up. Completely oblivious to the subject at hand, I reassured him that he should feel no shame in sharing and that I was here to help him however I could. He promised to elaborate during our next moment of privacy. Later that evening, while out for a drive, he revealed that the issue pertains to his genital area. I encouraged him to speak openly, assuring him that our conversation would remain confidential. He explained that a few nights prior, he experienced discomfort resembling cramping in the area behind his scrotum, near his anus, during masturbation. I inquired about the duration of this occurrence and at what specific moment the pain manifests. He mentioned that the discomfort began just a couple of nights ago and occurs right before climax. He shared that while he engages in masturbation nearly every night, the pleasurable sensations he once enjoyed have changed; now, the act feels satisfying while it’s happening, but the cramping strikes at the moment of ejaculation. I expressed my inability to provide a definitive explanation for his symptoms, emphasizing that he shouldn't feel embarrassed discussing these topics with me, as I am a man myself. I assured him I would keep our conversation private from his mother and promised to seek out information that could help us understand this situation better.

Internal MedicineEndocrinologyRheumatology
Male25-34
25 minutes ago

Concerns Over Brain-Eating Amoeba After Trip to Shanghai

I recently returned from a two-week work assignment in Shanghai and couldn’t shake off my worries about encountering Naegleria fowleri in the water. To play it safe, I kept my head down while showering and made sure to expel air forcefully every time water touched my nostrils. A week ago, I thought some water might have entered my nasal passage while rinsing off facial cleanser. In a bit of a panic, I blocked one nostril and blew out hard enough that it felt as though the water reached my throat. This incident has haunted me, as I can’t help but consider that the forceful blowing may have pushed the water from one nostril to the other, potentially allowing the amoeba access through my nasal cavities. Since yesterday, I've felt a bit off; my forehead temperature has been hovering around 36.8 to 37.0 degrees Celsius. I experienced a sore throat that has lessened somewhat, but it lingers. My head has been aching, especially around the temples, and my back feels stiff and tender. There’s a burning sensation in my nose tonight, and I’ve sneezed multiple times throughout the day. My eyes also feel strained. On my way back, I spent a full 12 hours on a flight, which could be contributing to my discomfort. Although I hope it’s merely a cold or virus, I can’t help but worry about my greatest fear: the brain-eating amoeba. Admittedly, it may sound irrational, but considering the timeline of potential symptoms, I find myself quite anxious. Could the amoeba be making its presence felt slowly? Any water that entered might have been just a small amount, considering the way it could have been forced through my nasal passages. The hotel I stayed in was part of a reputable IHG chain, so I keep reminding myself that they likely have water purification systems in place to eliminate any harmful pathogens. Plus, I believe the tap water in Shanghai is treated. Still, it’s frustrating to feel unwell after what was an otherwise successful trip. I managed to travel to China without significant anxiety, aside from this worry. As a 30-year-old male, tall and healthy without any current medication, I wonder if my own apprehensive behavior may have inadvertently contributed to this concern. Has anyone else experienced similar symptoms? Could these indeed correlate with the early signs of primary amoebic meningoencephalitis (PAM) caused by Naegleria fowleri?

Multiple SclerosisThyroid DisordersRheumatology
Male25-34
44 minutes ago

Understanding Painless Enlarged Lymph Nodes in the Neck

Recently, I discovered a lump on the left side of my neck that is painless. I learned that this area is referred to as the level II lymph node. After consulting with a physician and undergoing a non-fasting complete blood count, the results came back normal. However, the ultrasound indicated that lymph nodes were present. Here are the details: 1. **Left Level II Lymph Node**: Dimensions are 2.7 cm x 1.4 cm x 0.9 cm, with a volume of 1.8 mL. It appears enlarged and shows increased vascular flow at its center, along with irregular cortical widening. The cortex measures up to 4.5 mm at its widest. 2. **Right Level II Lymph Node**: Measures 1.6 cm x 1.5 cm x 0.6 cm, with a volume of less than 1 mL. This side is included for comparison. **SUMMARY**: There is an enlarged left level II lymph node noted, characterized by heightened vascular flow and unusual cortical expansion. Could someone explain what these ultrasound findings imply? Is a biopsy necessary in this case? Thank you!

LupusFibromyalgiaInternal Medicine
Male25-34
1 hour ago

Recovering from Hepatitis A: Concerns About Elevated Bilirubin Levels

I'm a 24-year-old man currently in the process of recuperating from Hepatitis A. I've been diligent about taking care of myself by resting adequately, steering clear of outdoor activities and fried foods, and adhering to the guidance provided by my physician. According to my doctor, I have the green light to consume most foods, with the exception of anything fried, and thankfully, there's no requirement for me to be hospitalized. Despite these reassurances, I'm feeling a bit anxious after my latest liver function tests (LFT). Here are the results: - Total Bilirubin: 18.62 mg/dL (Normal range: 0.3–1.2) - SGPT (ALT): 68.76 U/L (Normal range: <55) - SGOT (AST): 50.84 U/L (Normal range: <35) While these figures show a reduction from earlier tests—except my bilirubin levels—I can't help but notice that my bilirubin is still significantly elevated, which is concerning to me.

Crohn's DiseaseThyroid DisordersInternal Medicine
Male25-34
1 hour ago